Republic of the Philippines CIVIL AVIATION AUTHORITY OF THE PHILIPPINES ATS FORM 0028-20170 RUNWAY SLOT REQUEST FORM for GENERAL AVIATION Flight ID | Date | Time | Dep-Arr AP Nature of Flight Passengers on Board 7 Sa oeaqoe rel 0300 Deporthure | Nee ; ne Wan | doa) WE Bru. RM yf lent — ORIGINAL FLIGHT TO BE REPLACED/RECOVERED FLTID | DATE [TIME | _ACA Approval ‘Reason for Cancellation REQUESTED BY: Cah Ot ie 19 ‘Signature abovdVame tnd Position of Requesting Personnel Date & Time MACROASIA AIR TAXI SERVICES, INC, 553-48-47 mervin.vandoc@mascom ph Company Landline No. E-mail Ad APPROVED DISAPPROVED By authority of the Director General: MARLENE I. SINGSON ‘Acting Chief, Aerodrome Division CONDITIONS OF APPROVAL: Approval must be attached to the flight plan. Strict adherence to the approved runway time slot. Subject to Calculated Take Off Time (CTOT) Request must be submitted at least 24 hours prior to flight. Inform ATS immediately in case of cancellation/revision. Only ONE (1) revision is allowed Request for revision must be filed at least 24 hours prior to flight. Request for runway slot filed less than 24 hours prior to flight shall not be processed. Replacement and recovery flight must secure ACA slot approval AVAILABLE SLOT: Date Date CONFORME: Sizmature above Name and Position ! Processed by: (ntcte weston ‘(Arcam [AB ATE [Date X Time | Recommendation: (a For Approval Disapproval: Reason: Number of General Aviation Flights approved for the hour | A