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2. Address of applicant
3. TSO Part’s Name, Model and P/N to be applied for
4. Proposed Installation on
5. Attachments (Note: Please check Par. 6.2.4 of AP-21-01R2 for details, and then fill in the appropriate □ with X):
□ A copy of part design and production approval issued by the exporting authority
□ A copy of any derivation approval granted by the exporting authority
□ A copy of certification requirements as established by the exporting authority
□ A list of data, such as specifications, test and analysis reports, installation manuals etc.
□ Any other necessary data requested by the CAAC
6. The point of the contact: Name E-mail Title Tel. Fax.
7. I certify that the statement of this application and attachments furnished herein are correct and without any error.
Title
(signature) Date
AAC-020 (10/2006)
（本頁空白）
附件 3 受理申請通知書
中國民用航空總局
GENERAL ADMINSTRATION OF CIVIL AVIATION OF CHINA
受理申請通知書
NOTIFICATION OF ACCEPTANCE FOR APPLICATION
Project No. Date:
1. 申請單位名稱 Name of applicant
2. 申請理由 Purpose of application
3. 申請日期 Date for application
4. 受理項目 Accepted items
5. 出口國適航當局頒發的證件編號/項目號（對于同步認可申請）
Certificate Number issued by the exporting authority/Project Number (for concurrent validation certification)
6.審查費
Airworthiness examination fee (including international and domestic air ticket):
USD Payment to:
Beneficiary Bank: China Construction Bank Beijing Branch SWIFT Code: PCBCCNBJBJX
Beneficiary Name/Address: CAAC Settlement Center D-16-19 Tower Landscape Chao Wai Da Jie Ji Qing Li, Chaoyang District Beijing 100020 P.R.China
Beneficiary A/C No.: 11001007400059555555
職務 Title：部門 Dep.:
（受理人簽字 Signature）
AAC-013 (10/2006) （見背面 See REVERSE SIDE）
受理申請通知書 NOTIFICATION OF ACCEPTANCE FOR APPLICATION
INFORMATION FOR APPLICANTS
Each applicant is kindly requested to provide to the Aircraft Airworthiness Certification Department of the CAAC, by fax (Fax No.: ), the payment ticket/evidence and the following reply, after making the payment as specified herein. This Notification of Acceptance for Application is valid for years from the date of application.
REPLY FORM
Project No. (assigned)
Payment Ticket No. (Intermediary Bank)
Point of Contact
e-mail Address
Fax No. / Tel No. /
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