P&WC ESP ® PROGRAM

WORK AUTHORIZATION (WA) REQUEST

EMAIL TO: esp@pwc.ca When AOG, please copy CFirst@pwc.ca

AOG Yes No Aircraft Reg. VT-AYV Aircraft Location Mumbai

PROVIDE ALL THE FOLLOWING INFORMATION * (required field)

Operator name(s) * Operator country *
Bajaj Aviation Pvt Ltd India
Contact name(s) * FBO / Service Centre name *
Devashish Bhatnagar Taj Air Ltd
Telephone and / or cellular * Email *
9999126246 cam@bajajaviation.com
ESP® contract number Next flight scheduled date Next flight time Engine serial number(s) affected *
2170-02
(dd/mm/yyyy)
Time Since New (TSN) Eng 1 * TSN Eng 2 * TSN Eng 3 * TSN date *
3568:43 3553:17 na 28-10-2022
Event date *
26-10-2022
Mobile Repair Team (MRT) requested (not covered by ESP® Silver programs)? Yes No
(dd/mm/yyyy)
Reason for troubleshooting
Troubleshooting
required? * Yes No
PARTS REQUIRED
Part Number (P/ N) Description Quantity *
30C3471-09 Ejector Fuel Waste 01
M83485-1-012 Packing 02

Reason for part replacement

Ship to address (No P.O. Boxes) *

Part shipment required by ESP®? * Yes No
BAJAJ AVIATION PVT. LTD OLD AIRPORT, GATE NO.08 KALINA
For ESP® Silver or Silver Lite – Shipping account (carrier & account number) *
FBO / Service Centre Purchase Order number (if required)

USA & CANADA 1 888-479-2377

INTERNATIONAL 1 450-468-3771
15-0651