危险品航空运输申请书

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1、危险品航空运输申请书APPLICATIONFORPERMISSIONOFDANGEROUSGOODSTRANSPORTBYAIR   1、综述1.1运营人法定全名FullLegalNameofOperator1.2运营人对空运危险品负全部责任的人员姓名：NameofResponsiblePersonforDGTransportations1.3运营人地址：Addressofapplicant1.4运营人信息/InformationoftheOperator：(a)电话号码/Telephone(b)传真号码/Fax(c)运营人三字代码/Operator3lett

2、ercode(d)电子邮箱/Email(e).申请人通讯地址/Address2.申请许可的类别/Typeofpermissionforapplication□临时许可/Temporary□定期许可/LongTerm3.申请理由/Reasonofapplication□初次申请/Originalapplication□包机飞行/CharterFlight□变更危险品运输的区域/Changeinareaofdangerousgoodstransportbyair□变更危险品运输的种类/Changeincategoryofdangerousgoodstranspor

3、tedbyair□变更危险品运输的机场/Changeinairportofdangerousgoodstransportbyair4．申请运输的危险品类别/Categoriesofdangerousgoodstransportedbyairforapplication5.申请实施危险品运输的区域/Areaoftransportofdangerousgoodsforapplication□国内/domestic□国际/international6.申请实施危险品运输的机场/Airportoftransportofdangerousgoodsforapplicat

4、ion序号No.机场名称Nameofairport机场代码.AirportCode机场货物收运/地面操作代理人名称NameoftheContractedThirdPartyforGroundHandling7.包机飞行的飞行计划/FlightPlanforChartFlight8.运营人的人员训练说明，包括指定的从事与货物操作和运输有关的地面操作代理机构的相关信息。包机需附带机组人员训练证明/DescriptionsofTrainingforOperator’sEmployee，IncludingEmployeeofTheThirdPartyGroundHan

5、dlingAgentswithRelationtotheHandlingandTransportofCargo.ForCharterFlight,TrainingCertificateoftheCrews）9.运营人的危险品手册和危险品训练大纲/Operator’sDGManualandDGTrainingProgramme10.对于包机，运营人危险品运输文件，至少包括物料安全说明书、危险品申报单、检查单、货单、机长通知单、如适用，包装合格证明/ForChartFlight,DangerousGoodsDocumentation，IncludingMSDS/D

6、GD/Checklist/AirwayBill/NOTOC/CertificationforPackageifapplicable11.应急处置程序/EmergencyResponseProcedure12.CCAR276的符合性声明/StatementofComplianceforCCAR27613.申请人签字职务SignatureofapplicantTitle申请日期Dateofapplication注：1、表格一经填好立即交还当局/Theformoncecompletedshouldbereturnedtotheauthority.2、表格填写不完整可

7、能延迟申请审批/Failuretocompletethisforminfullmayresultinadelayinprocessing theapplication。3、发放此表并非授权运输危险品/TheissuingofthisformdoesnotinitselfconstituteanauthorizationtocarryDG。4、此表格中“运营人”一词特指问题1.1所示含义/  Throughoutthisformtheterm "operator"refersspecificallytothatsoidentifiedinquestion1.1.

8、(fulllegalnameofthe