UNMANNED AIRCRAFT UNIT

REGULATORY DIVISION
DEPARTMENT OF CIVIL AVIATION
NEGARA BRUNEI DARUSSALAM
[Please attach a Copy of colour IC/ passport and specification of
DCA FORM 21
aeromodel and AITI certificate ]

REGISTRATION FORM FOR AEROMODELS

[Model Aeroplanes/ Helicopters Including SMALL UAV/ ROAV/ UAS/ RPAS/ UA/DRONES]

Registration No | No Pendaftaran [Office Use Only}

Our Ref: CAD/1662/UA- Date :
CAD/1662: ____________________
Name Applicant/ Owner | Nama Pemohon/ Pemilik 22 October 1983
Date of Birth /Tarikh lahir………………………
37
Age /Umur ………………
Joel Valdez Sulit
IC No/ Passport No | No KP/ No Passport Contact No | No Telefon
+673-7118318
☐ Home | Rumah : ________________________
51-1941196 +673-7118318
☐ Mobile | Bimbit : ________________________

Home Address | Alamat Rumah Postcode | Poskod

Lot 1065, Spg. 239-11, Kg. Kuala Balai, Kuala Belait KD1132

Type of Device | Jenis Alat Aeromodel Serial No | No Serial

DJI Mavic Mini 1WGDGCA312R44K

Purpose | Tujuan Signature | Tandatangan
Hobby, Recreational, Personal Use
[For Office Use Only ]
Date | Tarikh Registration No | No Pendaftaran

CAD/1662 : ____________________
Note | Nota:
The aeromodel devices registered herein is category: ☐ Toys ☐ Recreational ☐ Pro ☐ Commercial
and the Owner shall be fully aware of its risks to Air Safety and shall comply with the Civil Aviation Regulations 2006 [CAR 2006].
☐ Allowed | Dibenarkan ☐ Not allowed | Tidak dibenarkan
Remarks | Kenyataan: ____________________________________________________________________________________

Registered aeromodels or Drones/ UA are valid only for the owner as named herein. This is not an
approval for any aeromodels/ drones activities. Any commercial use, must obtain an approval from
DCA prior to operations. No UA/Drones shall be flown into Brunei Airspace for Commercial purpose
by a Non-Skilled and Non-CAA certified operator. Modifications other than the original technical
parts of the UAV device are strictly not allowed. To keep well clear at a range of 5kms or more
away from the airport vicinity (including heliport/ helipad) or Military Airbases and activities shall
only be during broad daylight hours. Owners/ Operators are strictly to comply with the terms as stated
OFFICIAL STAMP
in the Exemptions and Conditions of Authorisations on aeromodels/ drones or other similar equipment
SETEM RASMI
and must be well-conversant of the Rules of the Air Regulations
[Section 72 of CAR 2006] and Brunei Airspace Structures.

Any violation of the rules as mentioned above is an offence in accordance to

Civil Aviation Order 2006 Part X, General, Offences and Penal Provision, Para 51 (1)
the offender shall be guilty of an offence and liable on conviction to a fine not exceeding $50,000
or imprisonments for a term not exceeding 5 years or both.

DCA FORM 21
*This registration form shall be null and void if the UA/drone is damaged, non-functional or lost and is non-transferrable.
Owner is to fill up DE-REG Form to cancel the Registration Certificate.