This certificate certifies that ……………………..13 is authorised to perform commercial air operations, as defined in the attached operations specifications, in accordance with the operations manual, Annex IV to Regulation (EC) No 216/2008 and its Implementing Rules . 
Date of issue14:  Name and Signature15: Title: 

1.  
Other type of transportation to be specified.

2.  
Specify the type of operation, e.g., agriculture, construction, photography, surveying, observation and patrol, aerial advertisement.

3.  
Replaced by the name of the State of the Operator.

4.  
Replaced by the identification of the issuing competent authority.

5.  
For use of the competent authority.

6.  
Approval reference, as issued by the competent authority. Replaced by the operator’s registered name.

8.  
Operator’s trading name, if different. Insert “Dba” (for “Doing business as”) before the trading name.

9.  
The contact details include the telephone and fax numbers, including the country code, and the e-mail address (if available) at which operational management can be contacted

without undue delay for issues related to flight operations, airworthiness, flight and cabin crew competency, dangerous goods and other matters as appropriate.

10.  
Operator’s principal place of business address.

11.  
Operator’s principal place of business telephone and fax details, including the country code. E-mail to be provided if available. 

12.  
Insertion of the controlled document, carried on board, in which the contact details are listed, with the appropriate paragraph or page reference. E.g.: “Contact details … are listed in the operations manual, gen/basic, chapter 1, 1.1”; or “… are listed in the operations specifications, page 1”; or “… are listed in an attachment to this document”. 

13.  
Operator’s registered name.

14.  
Issue date of the AOC (dd-mm-yyyy).

15.  
Title, name and signature of the competent authority representative. In addition, an official stamp may be applied on the AOC.

EASA FORM 138 Issue 1
.
Appendix II to Annex II
OPERATIONS SPECIFICATIONS (subject to the approved conditions in the operations manual) 
Issuing Authority Contact Details Telephone1: ___________________; Fax: ___________________; E-mail: ___________________ 
AOC#2: Operator Name3: Date4: Signature: Dba Trading Name Operations Specifications#: 
Aircraft Model5: Registration Marks6: 
Commercial operations .…….. 
Area of operation7: 
Special Limitations8: 
　
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