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AIRCRAFT ON GROUND

NAM AIR
DECLARATION

DATE : __________________
TIME: TIME : _________ A/C
A/CREG
REG: __________ FLT : _________
STA:STA : __________
THIS IS TO DECLARE THAT THE AIRCRAFT FROM PRESENT TIME HAVE STATUS :

AIRCRAFT ON GROUND
FROM THE REASON OF : _________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

RECTIFICATION PLAN : ___________________________________________________________________

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

ESTIMATION TIME / REMARKS : ___________________________________________________________

_______________________________________________________________________________________
_______________________________________________________________________________________

Declared by : Acknowledge by :
Signature Signature

_______________________ ________________________
_________________________

Name : ________________ Name : __________________

NOTE : PLEASE SEND THIS REPORT BY FAX TO NAM AIR LM No. : 021-55913987

Distributed to :
1. Technical Director
2. Maintenance Manager
3. Quality Ass. Manager
4. Engineering & PPC Manager

NAM Fom NA-Q-005.R1 (Aug. 2015)

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