APPLICATION FOR INSTRUCTIONS

Print or type. Do not write in shaded areas, these are for

FOREIGN AIR OPERATOR CERTIFICATE CAAV use only. Submit original only to the Flight Safety
Standards Department or a CAAV Authorized Person. If
OPERATIONS SPECIFICATIONS additional space is required, use an attachment

A. APPLICANT INFORMATION
APPLICANT’S NAME (as described in applicant’s AOC): ADDRESS (as described in applicant’s AOC):
SUBIC AIR, Inc. ANDREWS AVENUE, DOMESTIC AIRPORT, PASAY CITY, PHILIPPINES 1300

TELEPHONE: E-MAIL: FAX:

+63 2 8851 8957 subicair1@gmail.com +63 2 8851 4979

ICAO 3-LETTER DESIGNATOR: PROPOSED OPERATION DATE & FIRST AERODROME OF ENTRY:
N/A APRIL 12, 2021 – VVCR/CXR

B. APPLICANT’S RESPONSIBLE PERSON/ENTITY AND POST HOLDERS (PH)

Position Name Telephone Email
Accountable Manager ROBERTO P. LOZADA +63 2 8851 8957 subicair1@gmail.com
PH of Quality Assurance CHESTER S. JIMENEZ +63 2 8851 8957 subicair1@gmail.com
PH of Ground Operations ED VINCENT NIKOLAI R. MARFA +63 2 8851 8957 edvincent_2004@yahoo.com
PH of Crew Training MARLOU V. BELVIS +63 2 8851 8957 mvbelvis@gmail.com
PH of Maintenance ED VINCENT NIKOLAI R. MARFA +63 2 8851 8957 edvincent_2004@yahoo.com
PH of Flight Operations KYLE MARCUS C. CANOY +63 2 8851 8957 kylemarcuscanoy@yahoo.com
PH of Flight Safety GENEROSO P. MAGBANUA +63 2 8851 8957 gene.subicair@gmail.com
Applicant’s representative person/entity in Viet Nam DHT AVIATION +84 24 6269 8425 operation@dhtaviation.com

C. AUTHORITY OF THE STATE OF OPERATOR RESPONSIBLE FOR CIVIL AVIATION OVERSIGHT

NAME: COUNTRY:
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES PHILIPPINES
ADDRESS: TELEPHONE:
OLD NAIA ROAD, PASAY CITY, PHILIPPINES 1300 +63 2 7944 2172
PERSON RESPONSIBLE FOR MAINTENANCE (Name/e-mail/telephone) E-MAIL (OPTIONAL):
MICHAEL MANUEL/mhike_manuel@yahoo.com.ph/+63 2 7944 2165/2374 N/A
PERSON RESPONSIBLE FOR OPERATION (Name/e-mail/telephone) FAX:
CHRISTIAN ESPINO/capt.espino@gmail.com/+63 2 7944 2172 N/A

D. REQUEST FOR APPROVAL (GENERAL)

NUMBER REQUEST FOR APPROVAL YES? NUMBER REQUEST FOR APPROVAL YES?

C1 Initial Certification C7 Passengers & Cargo

C2 Extension C8 Passenger only
C3 Revision: Add/remove aircraft type to be operated C9 Cargo Only
C4 Revision: Add/remove airport(s) to be operated C10 Dangerous Good Operation
C5 Other C11 Scheduled Operations
C6 C12 Charter Operations

E. REQUEST FOR APPROVAL (AERODROME)

Do NOT list alternate aerodromes
NAME ICAO IATA NAME ICAO IATA
1. CAM RANH INTERNATIONAL AIRPORT VVCR CXR 11.
2. 12.
3. 13.
4. 14.
5. 15.
6. 16.
7. 17.
8. 18.
9. 19.
10. 20.

1
 APPLICATION FOR INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for
FOREIGN AIR OPERATOR CERTIFICATE CAAV use only. Submit original only to the Flight Safety
Standards Department or a CAAV Authorized Person. If
OPERATIONS SPECIFICATIONS additional space is required, use an attachment

F. REQUEST FOR APPROVAL (AIRCRAFT TYPE)

Additional aircraft may be listed on a separate attachment. Do NOT list wet-leased aircraft for approval.
# Aircraft type Registration # LVO LVTO RVSM ETOP/ Noise MNPS EFB PBN ADSB
Make/Model/Serial CATI/II/III (Y/N) (Y/N) EDTO (Y/N) (Y/N) (Y/N) (Y/N) -OUT
(Y/N) (Y/N) (Y/N)
1 KODIAK 100 RP-C186 CAT I Y N/A N/A N N N/A N N

2 KODIAK 100 RP-C296 CAT I Y N/A N/A N N N/A N N

3
4
5
6
7
8
9
10
11
Separate attachment used Yes No

G. DOCUMENTS ATTACHED
Only PDF digital copies are accepted
Name Format When required?
(According to each request number selected in Section C)

Air Operator Certificate Hard copy C1, C2, C3, C4, C10
Operations Specifications Hard copy or Digital copy C1, C2, C3, C4, C10
Aircraft Airworthiness Certificate Digital copy C1, C2, C3
Aircraft Registration Certificate Digital copy C1, C3
Aircraft Insurance Certificate Digital copy C1, C3
Leasing Arrangements Digital copy C1, C3
MEL (Approval Page) Digital copy C1, C3
Letter of attorney (if applicable) Hard copy C1, C2, C3, C4, C10
Ground Handling Arrangements, contracts, agreements Digital copy C1, C2, C3, C4
Maintenance Arrangements, contracts, agreements Digital copy C1, C2, C3, C4
Dangerous Goods Handling Arrangements, contracts, agreements (if applicable) Digital copy C1, C2, C3, C4, C10
Pilot training arrangement Digital copy C1, C3, C4
VARs part 22 compliance checklist Digital copy C1
ICAO standards compliance checklist Digital copy C1
Others (…) Hard copy or Digital copy

H. APPLICANT’S TECHNICAL AND OPERATIONAL DOCUMENTS

Name of documents may be difference
Name Revision/date of last revision Approved/Accepted by Notes
Operational Manual OPS. MANUAL A – R1 – 03/04/2021 CAAP
General OPS. MANUAL A – R1 – 03/04/2021 CAAP
Aircraft Operating Information OPS. MANUAL B – R0 – 08/26/2016 CAAP ON-GOING REVISION
Minimum Equipment List KODIAK 100 MEL – R1 – 03/04/2021 CAAP
Areas, Routes and Aerodromes OPS. MANUAL C – R0 – 08/26/2016. CAAP ON-GOING REVISION
Aerodrome Operating Minima OPS. MANUAL C – R0 – 08/26/2016 CAAP ON-GOING REVISION
Training OPS. MANUAL D – R0 – 08/26/2016 CAAP ON-GOING REVISION
Ground/Flight Training Program OPS. MANUAL D – R0 – 08/26/2016 CAAP ON-GOING REVISION
Cabin Crew Training N/A N/A
Security Training Program OPS. MANUAL A – R1 – 03/04/2021 CAAP
Operational Flight Plan OPS. MANUAL A – R1 – 03/04/2021 CAAP
Mass and Balance Sheet OPS. MANUAL B – R0 – 08/26/2016 CAAP ON-GOING REVISION
Operator’s Maintenance Control Manual MCM – R1 – 03/04/2021 CAAP
Maintenance Program MPM – R0 – 08/26/2016 CAAP ON-GOING REVISION
Other

2
 APPLICATION FOR INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for
FOREIGN AIR OPERATOR CERTIFICATE CAAV use only. Submit original only to the Flight Safety
Standards Department or a CAAV Authorized Person. If
OPERATIONS SPECIFICATIONS additional space is required, use an attachment

I. ADDITIONAL INFORMATION (OPTIONAL)

I.1 Result of EASA Inspection whether listed on EU Ban list during the last 3 years?
Date: N/A
Details: N/A

I.2 Result of IASA (USA-FAA) inspections during the last 3 years whether included below CAT/Grade 2?
Date: N/A
Details: N/A

I.3 Details of ICAO USOAP assessment result?

Date: N/A
Details: N/A

I.4 Accidents or serious incidents experienced during the last five years (Place/Date/Aircraft involved/Description/Cause/Measure taken)
Details: N/A

I.5 Other information/proposal from applicant

N/A

J. APPLICANT’S STATEMENT
The undersigned person, who in charge of the applicant’s Air Operator Certificate, ensures that the information and materials provided in this form are true
and that copies of any documents attached are the original
Name Signature, date and stamp

CHESTER S. JIMENEZ
Position
QUALITY MANAGER APRIL 06, 2021

K. APPLICANT’S STATE CIVIL AVIATION AUTHORITY STATEMENT

The undersigned person, who in charge of the Civil Aviation Authority of PHILIPPINES hereby certifies that the information and material provided by the
SUBIC AIR, Inc. are accurate and valid
Name Signature, date and stamp
CHRISTIAN ESPINO

Position
PRINCIPAL OPERATIONS INSPECTOR APRIL 08, 2021

L. FOR CIVIL AVIATION AUTHORITY OF VIET NAM ONLY

Approved Disapproved Reason for disapproval:

Signature Position Date

CAAV Form 519 2019 Control Number: