Registration: G-
Owner/Lessee Name: Address:

C of A and NARC Application
CAA Approval No DAI/8378/73

For the transition from CAA expiring C of A to non expiring

C of A and NARC for Annex II powered aircraft.

Annex II Only

See AMP 2-12 for information

Postcode: BGA C of A Renewal fee £

(for current fees please refer to BGA web site)

Part 1 Date of expiry of current C of A:

Note: if the current C of A will have expired longer than 12 months before processing by BGA, please contact the BGA CTO before proceeding further.

Aircraft Make:

Type:

Serial No:

Engine Make:

Type:

Serial No:

Propeller Make:

Type:

Serial No:

(Refer to GINFO to confirm information)
Total Airframe Hours at 31 December prior to this renewal:

Number of flights:

(if recorded) (no decimals)

Is the aircraft equipped for glider towing:

Date last annual inspection completed:

Part 2

BGA M3/A8-25 site where Star Annual has been completed:
Compliance Statement It is confirmed that compliance with the following has been established and is properly entered and certified in the aircraft technical records. All modifications/changes and repairs revealed during this inspection and carried out since last C of A renewal have been assessed for approval and are properly recorded and certified in the appropriate log books:

All applicable Airworthiness Directives have been reviewed and embodied as required up to:

Motor Gliders:

BGA Airworthiness Compendium date:

BGA Technical News Sheets issue:

Tug Aircraft:

Manufacturers AD check review date:
(including Motor Gliders not supported by BGA Compendium of Airworthiness Directives)

CAP 747 issue

revision

Aircraft state of design AD’s:

Engine state of design AD’s:

Propeller state of design AD’s:

Equipment state of design AD’s:

(Bi-weekly, Issue or Date)

AMP 1-3 appendix 2/2

Page 1 of 2 BGA 202 01/14

The aircraft complies with TCDS/AAN:

revision:

Maintenance programme reference:

Issue:

Amendment:

All scheduled maintenance items and component lives satisfactory:

All known defects since last C of A renewal have bee corrected or carried forward in a controlled manner

All maintenance carried out since last C of A renewal has been properly released to service

Current weight schedule reflects condition of aircraft:

Date of latest weight & C of G schedule:

Date of last weighing:

The aircraft conforms to the correct amendment of the Flight Manual

Flight Manual amendment/revision status: issue:

Revision:

Flight manual supplements:

Radio equipment installed is in accordance with radio license:

or N/A if non radio

Radio license expiry:

BGA 278 Airworthiness Review completed (parts A & B) date:

All findings from the document & physical surveys have been appropriately addressed

Only if required: Maintenance check flight completed date:

Flight test schedule

Certificate of fitness for flight under "A" conditions issued date:

Expiry date:

N/A if previous C of A valid

Part 3
Certification and Recommendation The aircraft work pack & documentation have been reviewed and are complete, the Star Annual check has been carried out in a suitable environment at a BGA M3/A8-25 site, all completed work is correctly released and the above information is correct. I recommend to the BGA that above aircraft is transitioned to Non expiring C of A and NARC
BGA Chief Engineer.

Signed: Instructions for use;

Name:

Date:

BGA Auth. No:

This form is used for Annex II motor glider and tug transition from C of A to NARC by BGA M3/A8-25 sites

Look up the current fee on the BGA web site and make payable to British Gliding Association http://www.gliding.co.uk/bgainfo/technical/fees.htm Include the payment with this form and renewal package

Post the completed renewal package to BGA head office;
8 Merus Court, Meridian Business Park, Leicester. LE19 1RJ
Items to send; BGA 202 BGA 278 Old C of A (if expired) (Copy if still current) Maintenance check flight report (if applicable) Fee

DO NOT SEND: Copies of maintenance worksheets, LAMS check sheets, release certificates and other maintenance paperwork. All these must be kept with the aircraft records DO NOT send to BGA unless specifically requested.

AMP 1-3 appendix 2/2

Page 2 of 2 BGA 202 01/14