British Gliding Association
Major Modification Application – Glider/SSS.
ANNEX II ONLY

Aircraft Type

Name & Address of applicant

Reg. No. BGA

Serial No

Tel

Details of Modification (use continuation sheets if necessary)

BGA Mod No.
BGA USE ONLY
Applicants Mod Number
Issue No Date

Suitable for installation on this aircraft only * Suitable for installation on any other _____________

Limitations, Conditions, Exemptions

Weight & C of G Schedule #
Modification Instructions #

Flight Manual Amendment #
Modification Drawings #

Maintenance Manual Amendment #
Parts list #

Electrical Load Analysis #
Published in TNS.

Can this modification be passed on to interested members within the BGA?

Yes / No

Or. All enquires to be directed to originator. (The former will apply if no preference is shown)

The above modification has been approved for incorporation on ANNEX II gliders/SSS registered with the BGA. Name of BGA investigating engineer……………………………………………..

BGA Technical Committee approval Yes / No* Report Completed Yes / No / N/A*

Signed……………………………………………...…For BGA

Date……………………………

* Delete as reqd, # Tick or N/A in box as reqd,

BGA Use only.

BGA282 05/05

AMP 1-3a11, 05/05

BGA AMP Part 1, Leaflet 1-3, Appendix 11, Page 1