AFI REGIONAL MONITORING AGENCY (ARMA)

(FORM F3)

WITHDRAWAL OF APPROVAL TO OPERATE IN RMA RVSM AIRSPACE

1.	When a State of Registry has cause to withdraw the approval of an operator/aircraft for operations within the ARMA airspace, details as requested below, must be submitted to the ARMA by the most appropriate method.

2.	Before providing the information as requested below, reference below, reference should be made to the accompanying notes (PLEASE USE BLOCK CAPITALS).

State of Registry1:
Name of Operator2:
State of Operator1:
Aircraft Type3:
Aircraft Series4:
Manufacturers Serial No:
Registration No:
Mode S Address Code5 :
Date of Withdrawal of RVSM Approval7 :

Reason for Withdrawal of RVSM Approval8 :

Date RCP240/RSP180/PBCS Withdrawal7 :

Reason for Withdrawal of RCP240/RSP180/PBCS Approval8 :
Remarks:

When complete, please mail to:

The AFI Regional Monitoring Agency

Mail: afirma@atns.co.za

www.arma.africa

Telephone: +27 11 928 6546

Cell/Whatsapp : +2763 691 2295