DECLARATION

pursuant to Commission Regulation (EU) No 1178/2011

☐ Initial declaration

☐ Notification of changes ( ³⁵ ) – DTO reference number:

1. Declared training organisation (DTO)
   • Name:

2. Place(s) of business
   • Contact details (address, phone, email) of the DTO's principal place of business:

3. Personnel
   • Name and contact details (address, phone, email) of the DTO's representative:
   • Name and contact details (address, phone, email) of the DTO's head of training and, if applicable, of the DTO's deputy head(s) of training:

4. Training scope
   • List of all training provided:
   • List of all training programmes used to provide the training (documents to be attached to this declaration) or, in the case referred to in point DTO.GEN.230(d) of Annex VIII (Part-DTO) to Regulation (EU) No 1178/2011, the reference to all approved training manuals used to provide the training:

5. Training aircraft and FSTDs
   • List of aircraft used for the training:
   • List of qualified FSTDs used for the training (if applicable, including letter code as indicated on the qualification certificate):

6. Aerodrome(s) and the operating site(s)
   • Contact details (address, phone, email) of all aerodromes and operating sites used by the DTO to provide the training:

7. Date of intended commencement of training:
   • Date:

8. Application for approval of examiner standardisation courses and refresher seminars (if applicable)
   • ☐ The DTO hereby applies for approval of the above-mentioned training programme(s) for examiner courses for sailplanes or balloons in accordance with points DTO.GEN.110(b) and DTO.GEN.230(c) of Annex VIII (Part-DTO) to Regulation (EU) No 1178/2011.

9. Statement
   • The DTO has developed a safety policy in accordance with Annex VIII (Part-DTO) to Commission Regulation (EU) No 1178/2011, and in particular with point DTO.GEN.210(a)(1)(ii) thereof, and will apply that policy during all training activities covered by the declaration.
     The DTO complies and will, during all training activities covered by the declaration, continue to comply with the essential requirements set out in Annex IV to Regulation (EU) 2018/1139, with the requirements of Annex I (Part-FCL) and Annex VIII (Part-DTO) to Commission Regulation (EU) No 1178/2011, and with the requirements of Annex III (Part-BFCL) to Commission Regulation (EU) 2018/395 and Annex III (Part-SFCL) to Commission Implementing Regulation (EU) 2018/1976.
     We confirm that all information contained in this declaration, including its annexes (if applicable), is complete and correct.
   • Name, date and signature of the representative of the DTO
   • Name, date and signature of the head of training of the DTO