1.

ATA-106 PART OF MATERIAL DECLARATION FORM

2. 3.
AIR MADAGASCAR REF NO: RM/PR-19-5578-HUB-DIZ

4.Organization: AIR MADAGASCAR Phone ≠: 261202244816

Address: Purchasing Department Fax≠: 011-261202233153

Int’l Ivato Airport SITA/Wire Code:

Republic of Madagascar Status: AIRLINE

5A. Sellers Contract ≠: EX-20-00051 5B:Buyers Contract: BELMAR

6.Item 7.Description 8.Part Number & Manufacturer 9.Eligibility 10.Qty 11.Serial/Batch≠ 12.Status

1 STARTER GENE 23048-004M DHC6-300 1 4074 USV

13A. Remarks:

The above referenced part(s) or material was(were) not obtained from any Government or military source and was/were not subjected to Severe stress
or heat or immersed in salt water (as in a major engine failure, accident, incident, or fire) nor was the part(s) or material itself subject to severe heat or
stress (as in a warehouse fire, etc.) while in seller’s possession.
13B. Traceable to: Air Madagascar Airlines 13C. Last Certificated Agency
Removed from aircraft type DHC6-300 5R-MGD MSN:329
14. New Parts/Material Verification: 18. Used Repaired Overhauled or Surplus Parts Verification:

The following signature attests that the part(s) or material(s) identified The following signature attest that the documentation specified above or
above was (were) manufactured by a FAA production approval holder attached is accurate with regard to the item(s) described.
(PAH), or an industry commercial standard.

15. Signature N/A 19. Signature

16. Name N/A 17. Date N/A 20. Name: 21. Date: March 19,2020

NOTICE: The above signature binds the seller and the SIGNER to the accuracy of the information provided in the FORM. Should
the information provided in this Form contain inaccuracies or misrepresentations, the signer and SELLER may be liable for damages
and be subject to criminal prosecution under state and federal law.