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Rectification Interval Extension (RIE

)
Application Form

Rectification Interval Extension (RIE) Form
Section 1 – MEL Defect
1. Operator 2. Date of 3. Aircraft 4. Aircraft Type 5. RIE Number
Defect Registration

6. Detail of Defect 7. Reason for not rectifying

8. Rectification Interval 9. Expiry date of Rectification 10. MEL Reference No.
Category Interval

Section 2 – RIE Application

11. Name and Signature of Applicant: 12. Position (i.e., LM Mgr, BM Mgr)

13. Why an RIE is required

14. Supporting Documents Attached (Details):

Section 3 – Authorization
15. Duration of RIE Authorized 16. Latest date that defect is due for rectification

17. Comments of Authorizing MGR (To include history of previous RIE use for this item where
appropriate)

18. Approved by: 19. Noted by Quality Mgr

Name: Name:
Signature: Signature:
Date:
Date:

Section 4 – Competent Authority
(Note: Applicable only for 2nd RIE application)
Name: Extended until ___ / ___ / ____
Signature: Remark:
Date:
Form No: IRM-159 Initial Issue Date: Sept. 2011