FLIGHT CLEARANCE

FOR
INDONESIAN TERRITORY
Republic of Indonesia Number : 08691/2808/NONSCHED-INT/2021 INT-21010000

Penerbangan Pesawat Udara Asing ini telah diizinkan oleh Pemerintah Republik Indonesia:
The following Foreign Aircraft Flight has been approved by the Government of the Republic of Indonesia:

1. Pesawat Udara
Aircraft
a) Operator (Pemilik/Penyewa)
: HELI SKY Inc
Operator (Owner/Charterer)
b) Tipe
: MI-8MTV-1
Type
c) Tanda Pendaftaran/Negara
: Kyrgyzstan
Registration/Country
d) Nama Panggilan
: EX08023
Call Sign
e) Nomor Registrasi
: EX-08023
Registration Number
2. Penerbangan
Flight
a) Rute
: PLM AREA
Routes
b) Tanggal masuk ke Indonesia a.1) Penerbangan Langsung
: 29/08/2021 : PLM AREA
Date entering Indonesia Direct Flight
c) Tanggal keluar dari Indonesia a.2) Pendaratan Teknis di
: 02/09/2021 : PLM AREA
Date leaving Indonesia Technical Landing at
d) Nama Pilot : Capt.Adil D, Azmat a.3) Menginap
: PLM AREA
Name of Pilot in Command I,Kairatbek J,Ramiz M Remain Overnight at
e) Awak pesawat udara lainnya *1)
: Sherkul Z,Bakyt Z,Evgeny S,Igor S,Sergei B,Aleksandr T
Other crew member(s)
f) Penumpang/barang *2)
: Water And Fire Reterdant For Fighting By BNPB
Passenger(s)/cargo
3. Keterangan
Remarks
: Water Bombing Mission by BNPB

4. Catatan Teknis : 1. Subject to airport slot availability; 2. Ref surat :

Technical Note AU.410/1/10/DRJU.DKPPU-2021; 3. Only for BNPB firefighting mission at
PLM Area.

Note: Berlaku untuk 1 (satu) kali penerbangan PEMOHON

1) and 2) Name(s)/cargo should be written/attached Valid for one flight
Aircraft, crew, passengers and load are subject to the APPLICANT
terms of Chicago Convention and have to comply with the
Indonesian Regulations as for entry clearance,
immigration, customs, and quarantine. Possesion of this
flight clearance does not exempt an operator from PT.GENESA
compliance with any of the technical operations ruler or
airworthiness requirements of the Directorate General of DIRGANTARA
Civil Aviation This flight clearance can be withdrawn
without previous notice. Should delay exceed the date as
prescribed in point 2b) and 2c) this fight will be regarded
as cancelled. (Signature and Name)

DISETUJUI OLEH
APPROVED BY

Kementerian Luar Negeri Djoko Sulastomo

Ministry of Foreign Affairs
Markas Besar TNI
INDF - Headquarter
Kementerian Perhubungan
Ministry of Transportation
No M.F.A : 09829/Kons.-28/VIII/2021
Kol. Pnb. Donald Kasenda S.T., S.I.P., M.M.
No I.N.D.F : UD/10231/SIN.-28/VIII/2021
M. KRISTI ENDAH MURNI, SH., MH.
No M.o.T : 08691/2808/NONSCHED-INT/2021