Äîäàòîê 2
äî ïóíêòó 3.2 Ïðàâèë âèäà÷³ äîçâîë³â íà áîðòîâ³
ðàä³îñòàíö³¿ öèâ³ëüíèõ ïîâ³òðÿíèõ ñóäåí Óêðà¿íè
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Äàòà ................ð. |
Ðåºñòð. ¹ .................. |
ÐÑ ................... |
Äåðæàâíà ñëóæáà Óêðà¿íè ç íàãëÿäó çà çàáåçïå÷åííÿ áåçïåêè àâ³àö³¿ |
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ÐÏ |
UR- |
UR |
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Óêðà¿íà, 01135, Êè¿â-135 |
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Äàòà âèäà÷³....................... |
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ïðîñïåêò Ïåðåìîãè, 14. |
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ÍÀ ÁÎÐÒβ ÐÀIJÎÑÒÀÍÖ²¯
öèâ³ëüíîãî ïîâ³òðÿíîãÎ ñóäíà
APPLICATION FOR AIRCRAFT RADIO STATION LICENSE CIVIL AIRCRAFT
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1. |
Äåðæàâíèé òà ðåºñòðà- ö³éíèé çíàêè ÏÑ Aircraft national and registration marks |
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2. |
Ïîçíà÷åííÿ ÏÑ âèãîòîâëþâà÷åì Aircraft model |
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3. |
Ñåð³éíèé íîìåð ÏÑ Aircraft serial number |
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4. |
Âëàñíèê ÏÑ òà éîãî þðèäè÷íà àäðåñà Aircraft’s Owner & Owner’s address |
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5. |
Åêñïëóàòàíò ÏÑ òà éîãî þðèäè÷íà àäðåñà Aircraft’s Operator & Operator’s address |
Ïðîäîâæåííÿ äîäàòêà 2
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6. |
Ðàä³îîáëàäíàííÿ Appareil |
Òèï Type |
ʳëü ê³ñòü Quantity |
Ïîòóæí³ñòü (Âàò) Puiss Watts |
ijàïàçîí Frequences Assignees |
ѳòêà õâèëü Frequency Step |
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Ðàä³îñòàíö³¿Communication |
ÓêâVHF |
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êâHF |
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Íàâ³ãàö³éíåNavigationVHF |
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Êóðñ ÌÏ - 2 |
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ÊóðñCourse |
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Ãë³ñàäàGlide Slope |
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Ìàðêåð Marker |
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Íàâ³ãàö³éíå VLFNavigation |
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Ðàä³îëîêàö³éíà ñòàíö³ÿ Weather - Radar |
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Ðàä³îëîêàö³éíèé â³äïîâ³äà÷ Transponder |
“À/Ñ” |
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“S” |
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Ðàä³îäàëåêîì³ð “DME” DME-Interrogator |
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Ðàä³îâèñîòîì³ðRadio-Altimeter |
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Ðàä³îêîìïàñ Radio-Compass |
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Àâàð³éíå îáëàäíàííÿ Emergency- Equipment |
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Äîïëåð³âñüêèé âèì³ðþâà÷ øâèäêîñò³ òà çíîñóDoppler Speed and drift Meter |
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Áîðòîâà ñèñòåìà ïîïåðåä æåííÿ ç³òêíåííÿ ó ïîâ³òð³Traffic Alert Collision Sístem |
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ß öèì äîêóìåíòîì çàñâ³ä÷óþ, ùî âêàçàíà âèùå ³íôîðìàö³ÿ º òî÷íîþ ï³ä óñ³ìà îãëÿäàìè. Ç Ïðàâèëàìè âèäà÷³ äîçâîë³â íà áîðòîâ³ ðàä³îñòàíö³¿ öèâ³ëüíèõ ïîâ³òðÿíèõ ñóäåí Óêðà¿íè îçíàéîìëåíèé. I hereby declare that the above - mentioned particulars are true in all respects.
Ïðîøó âèïèñàòè îïëàòó çà âèêîíàíó ä³þ. ϳäïèñ çàÿâíèêà __________________ Ïð³çâèùå Signature of Applicant Surname _____________________Ïîñàäà _____________________________________ Äàòà Title Ì.Ï. Date _____________________ Îñîáà, ÿêà ïðèéíÿëà çàÿâêó ___________________________________ (ïð³çâèùå òà ³í³ö³àëè) Äàòà _________________ ϳäïèñ _____________________ |
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