Appendix 1 APPENDIX 1. SAMPLE FORMS (CONTINUED) Figure 3. Completed FAA Form 8130-4, Export Certificate of Airworthiness - Issued for Class I Products The nited States of America Department of Transportation Federal Aviation Administration No. E30016 Washington, 2.C.
Export Certificate of Airtuorthiness This certifies that the product identified belew and more particularly described in Specification (s) of the Federal Aviation Administration, Numbered 6A17, E88, and P99 has been examined and as of the date of this certificate, is considered airworthy in accordance with a comprehensive and detailed airvorthiness code of the United States Government, and is in compliance with those special requirements of the importing country filed with the United Flates Government, except as noted below. This certificate in no way attests to compliance with any agreements or contracts velween the vendor and purchaser, nor does it constitute authority to operate an aircraft.
Product: Airplane Engine Model AIRECO IO-470-2 Manufacturer: ABC Airplane COrP. Serial Nos. 18976 and 18978 Total Time 50 hrs. and 51 hrs.
Model: 0-5 Perial No. : 2468 Propeller Model Senhart SC-82XK-2 hub with New D Newly Overhauled D X8498C-2 blades, Hub Serial Nos. 21375 and 21412 Used Sircraft I Total time 50 hrs. and 51 hrs.
bountry to which exported: Japan oxceptions: A temporary auxiliary fuel system has been installed in this aircrait in conformity with ABC Drawing 123,Rev.1 to facilate its delivery flight. This certificate is valid when the temporary installation is removed.
Total time since annual type inspection IAW 14 CFR part 43:
Aircraft 2 hours Engine (s) 2 hours (L/H) S/N 18976, 2 hours (R/H) S/N 18978.
Propeller (s) 2 hours (L/H) S/N 21375, 2 hours (R/H) S/N 21412.
Smith, FAA Designated Airworthiness Representative Signature of Authorized Representative December 18, 1996 ABC Airplane Corp. (PC75) Date District Office or Designee Number or complete aircraft, list applicable specification or Type Certificate Data Sheet numbers for the aircraft, engine, and propel plicable specifications or Type Certificate Data Sheet, if nol attached to this export certificate, will have been forwarded to appropriate governmental office of the importing country.
FAA Form 8130-4 (7-68) Formerly Fom FAA 26 * U.S. GOVERNMENT PRINTING OFFICE: 1974 - 773-234/139/7 Page 3 (and 4)
Appendix 2
Page 1 APPENDIX 2. SPECIAL REQUIREMENTS OF IMPORTING COUNTRIES AND
JURISDICTIONS
The information in this appendix is maintained on FAA’s Export Airworthiness Approval Procedures Web Page at
http://av-info.faa.gov/dst/AC21-2.htm
At this page you can access the complete updated appendix or the updated requirements for each importing country or jurisdiction
Appendix 3 APPENDIX 3. FAA AIRCRAFT CERTIFICATION OFFICE AND FAA INTERNATIONAL
FLIGHT STANDARDS FIELD OFFICE CONTACTS FOR OTHER COUNTRIES
FAA AIRCRAFT CERTIFICATION OFFICES Country or Geographic Area FAA Aircraft Certification Office Addresses 1
a. Canada Federal Aviation Administration Aircraft Certification Office, ANE-170 10 Fifth Street, 3rd Floor Valley Stream, New York 11581-1200 Commercial:
FAX: (516) 568-2716
b. Caribbean Area, South America, and Central America, (excluding Mexico) Federal Aviation Administration Aircraft Certification Office, ACE-115A One Crown Center 1895 Phoenix Boulevard, Suite 450 Atlanta, Georgia 30349 Commercial: (770) 703-6035 FAX: (770) 703-6097
c. Mexico Federal Aviation Administration Rotorcraft Directorate, ASW-100 2601 Meacham Boulevard Fort Worth, Texas 76137-0100 Commercial: (817) 222-5100 FAX: (817) 222-5959
d. Area east of Bangladesh and India, including all free nations south and east of China Federal Aviation Administration Aircraft Certification Office, ANM-100L 3960 Paramount Boulevard Lakewood, CA 90712-4137 Commercial: (562) 627-5200 FAX: (562) 627-5210 1 The Aircraft Certification Offices listed should be contacted if the responsible FAA project office is not otherwise known.
U.S. companies should forward applications and coordinate activities with other countries through their local Aircraft Certification Office. Inquiries can also be directed to FAA headquarters, International Airworthiness Programs Staff, (202) 267-7008.
Appendix 3 APPENDIX 3. FAA AIRCRAFT CERTIFICATION OFFICE AND FAA INTERNATIONAL
FLIGHT STANDARDS FIELD OFFICE CONTACTS FOR OTHER COUNTRIES (CONTINUED)
e. Europe, Africa, Middle East west of Myanmar, Iceland, Greenland, and Bermuda Federal Aviation Administration Brussels Aircraft Certification Staff 15 Rue de la Loi B-1040 Brussels, Belgium Federal Aviation Administration (Mailing Address) c/o American Embassy PSC 82 Box 002 APO AE, New York 09724-1011 Commercial: (32) 2 513 3830 FAX: (32) 2 230 3333
FAA INTERNATIONAL FLIGHT STANDARDS FIELD OFFICES Country or Geographic Area International Mailing Address
a. Belgium, Israel, Jordan, Luxembourg, Netherlands, Oman, Saudia Arabia, United Arab Emirates, and Yeman Federal Aviation Administration Flight Standards International Field Office-Brussels 27 Blvd. du Regent B-1000 Brussels, Belgium c/o American Embassy (Mailing Address) PSC 82 Box 002 APO, AE, New York 09724-1011 Commercial: (32) 2 513 3830, ext. 2721 FAX:
b. African Continent, European areas not covered by other IFO's, Russia and states formerly in the USSR, and Middle Eastern areas not covered by Brussels going to and including Iran Federal Aviation Administration Flight Standards International Field Office-Frankfurt Rhein Main Air Base, Unit 7580 60549 Frankfurt/Main 75 FAA Frankfurt IFO, EA33 (Mailing Address) Unit 7580 APO, AE 09050
Appendix 3 APPENDIX 3. FAA AIRCRAFT CERTIFICATION OFFICE AND FAA INTERNATIONAL
FLIGHT STANDARDS FIELD OFFICE CONTACTS FOR OTHER COUNTRIES (CONTINUED) Commercial: (49-69) 69-705-110 FAX: (49-69) 69-705-150
c. England Federal Aviation Administration London International Field Office Sipson Court West Drayton, Middlesex UB7 OJD England, U.K.
c/o American Embassy (Mailing Address) PSC 801 Box 63 FPO, AE 09498 Commercial: (44) 1293.573938 FAX: (44) 1293.573992
d. Afghanistan, Bangladesh, Bhutan, Brunei, Cambodia, China, Hong Kong, India, Indonesia, Korea, Laos, Malaysia, Maldives, Mongolia, Mayanmar, Nepal, Pakistan, Papua New Guinea, Singapore, Solomon Islands, Sri Lanka, Thailand, Tibet, and Vietnam FAA/Singapore Flight Standards International Field Office No. 33 American Embassy 30 Hill Street Singapore 06176 c/o American Embassy (Mailing Address) PSC 470 FAA IFO FPO, AP 96543-0001 Commercial: (65) 545-5822 FAX: (65) 545-9772
e. Australia, Cook Islands, Fiji, French Polynesia, Japan, Kiribati, New Caledonia, New Zealand, Philippines, Tahiti, Tonga Islands, Taiwan, Solomon Islands, Vanuatu, Western Samoa and all other territories and international overwater air space described as the Asia-Pacific Area, except for the areas under FSDO and SIN IFO Federal Aviation Administration Flight Standards International Office No. 3 831 Mitten Road Room 105 Burlingame, CA 94010-1303 Commercial: (650) 876-2771 FAX: (650) 697-7231
AC 21-2H APPENDIX 3. FAA AIRCRAFT CERTIFICATION OFFICE AND FAA INTERNATIONAL
FLIGHT STANDARDS FIELD OFFICE CONTACTS FOR OTHER COUNTRIES (CONTINUED)
f. Mexico Federal Aviation Administration DFW Flight Standards District Office International Unit P.O. Box 619020 DFW Airport, TX 75261 Federal Aviation Administration (Mailing Address) DFW FSDO-International Unit DFW Business Center, Suite 400 DFW Airport, TX 75261 Commercial: (972) 574-2150 FAX: (972) 574-1699
Appendix 4 APPENDIX 4. ICAO MEMBER STATES Number of ICAO Member States: 185 * Countries with which the United States has a Bilateral Airworthiness Agreement or a Bilateral Aviation Safety Agreement with Implementation Procedures for Airworthiness.
Afghanistan Albania Algeria Angola Antigua and Barbuda *Argentina Armenia *Australia *Austria Azerbeijan Bahamas Bahrain Bangladesh Barbados Belarus *Belgium Belize Benin Bhutan Bolivia Bosnia & Herzegovina Botswana *Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon *Canada Cape Verde Central African Republic Chad Chile *China, Peoples Republic of Columbia Comoros Congo Congo, Democratic Republic of (Zaire) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus *Czech Republic *Denmark Djibouti Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji *Finland *France Gabon Gambia Georgia *Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India *Indonesia Iran Iraq Ireland *Israel *Italy Jamaica *Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of (North) Korea, Republic of (South) Kuwait Kyrghystan Laos Latvia Lebanon Lesotho Liberia Libya Lithuania Luxembourg
Appendix 4 APPENDIX 4. ICAO MEMBER STATES (CONTINUED) Macedonia Madagascar Malawi *Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar Nambia Nauru Nepal *Netherlands *New Zealand Nicaragua Niger Nigeria *Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines *Poland Portugal Qatar *Romania *Russia Rwanda Saint Lucia Saint Vincent and The Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone *Singapore Slovakia Slovenia Solomon Islands Somalia *South Africa *Spain Sri Lanka Sudan Suriname Swaziland *Sweden *Switzerland Syria Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates *United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Samoa Yemen Zambia Zimbabwe