IS 10.8.1.

1 APPLICATION FOR APPROVAL TO OPERATE

REMOTELY PILOTED AIRCRAFT (RPA) IN THE TERRITORY OF
THE DRTL
ICAO Annex 2, Appendix 4: 3.1; 3.2; 3.3

(a) The following application shall be used by a foreign air operator that intends
to apply for approval to operate RPA in the territory of the DRTL.

REPÚBLICA DEMOCRÁTICA DE TIMOR-LESTE

Ministerio dos Transportes e Comunicações

Autoridade da Aviação Civil de Timor-Leste–AACTL

Application Form for Remotely Piloted Aircraft Operations by a Foreign Operator

(To be completed by a foreign operator for an approval to conduct operations in the RDTL)

Sections 1, 2, 3 and 4 – to be completed by applicant

Section 1. Applicant information
1. Operator, or if applicable, Company registered name and 2. Pilot(s) of remote aircraft. Address: mailing address;
trading name if different. Address: mailing address; telephone; telephone; fax; and e-mail.
fax; and e-mail.
Alfin Desmi
PT Wijaya Karya (Persero) Email:
Jl. DI. Panjaitan No.Kav. 9-10, RT.1/RW.11, Cipinang Cempedak, Kecamatan alfin.dr@wikamail.id

Phone : +6221 8067 9200, Fax: +6221 2289 3830, Email:

3. Insurance Information: Name of Insurer and address, including telephone: fax and e-mail.
Section 2: Aircraft identification
1. Aircraft registration number: _163CG7H00104TZ
2. Aircraft identification to be used in radiotelephony, if applicable:
3. Aircraft type: not

4. DJI Mavic 2
Aircraft description (e.g., Engines, propellers, wingspan):
5. Aircraft controlled via weight 907 g, unfolded dimensions 322x242x84 mm, Max Speed (near sea level,
no wind): 72 kph (S-mode), Max Flight Time (no wind): 31 minutes, quadcopter
Line of sight
✓ Satellite

Computer program
Other Remote Controller + Smartphone (Monitoring)

6. Aircraft equipment (eg. Sprayers, -camera, type, live feed or photographs):

internal

7. If camera equipped, aircraft camera transmission

destination: Operator/Company home base

✓ Other (identify):

8. Frequency band to be used:

2.400 - 2.483 GHz, 5.725 - 5.850

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Section 3. Description of intended operation
1. Proposed type(s) of operation: check applicable boxes
a. ✓
Aerial mapping j. Overflight only of the l. Cargo, indicate type: Other:
b. Aerial surveying RDTL
✓
c. Aerial photography k. Overflight and a. Is cargo classified as
d. Aerial advertising technical stop in the dangerous goods:
e. Aerial surveillance RDTL yes
and inspection ✓no
f. Forest fire b. Is payload:
management ✓internal
g. Meteorological external
service
h. Search and rescue
i. Accident/incident
investigation

2. Flight Rules: check applicable boxes

a. VFR
b. IFR
c. IMC
d. ✓ VLOS (Visual Line of Sight)

3. Dates/Geographic areas/description of intended operations and proposed route structure:

a. Date(s) of intended flight (dd/mm/yyyy):
b. Point of departure: Presidente Nicolau Lobato International Airport (see attached
c. Destination: Presidente Nicolau Lobato International Airport (see attached
d. Route to be followed: Pix4D flight mission (see attached
e. Cruising speeds(s): 10
f. Cruising level(s)/altitude: 150 meters (492 feet)
g. Duration/frequency of flight: approximately 15 minutes per mission, there are six missions in
h. Emergency set down sites along proposed route: clear areas away from obstacles, property, or
i. For emergency landings:
1. responsible person for aircraft recovery: opera
2. responsible person for clean up if impact occurs: opera
j. Emergency contact telephone numbers: Alfin Desmi Rizky (+62 812-8222-

Section 4. RPA Characteristics

2.
1. Performance characteristics:
RPA Characteristics:
a.
a. Operating speeds:DJI Mavic 2 Pro
Type of aircraft:
b. Typical and maximum take-off
b. Maximum certificated climb rates: _3907
mass: m/s

c. Number of engines: four

d. Take-off and landing requirements: 10
e. Detect and avoid capabilities: Obstacle Avoidance System
f. Number and location of remote pilot stations as well as handover procedures between remote pilot stations, if applicable:
N
g. payload information/description: N
h. Visual control for takeoff and/or landing or takeoff and landing handled through camera on board: y

10

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 c. Typical and maximum descent rates: 3 m/s
d. Typical and maximum turn rates: 5 m/s
e. Maximum aircraft endurance: 31
f. Other, such as limitations for wind, icing, precipitation: limitations for wind: 29-38

4. Communications, Navigation and Surveillance capabilities

a. Aeronautical safety communications frequencies and equipment:
er
i. ATC communications, including any alternate means of communication: Using 2 Handy-Talkie (Primary and Backup) & ATC emergency P_hone Numb
ii. Command and control links (C2) including performance parameters and designated operational coverage area;
Handy-Talkie

iii. Communications between remote pilot and RPA observer, if applicable;

b. Navigation equipment; and
c. Surveillance equipment (e.g. SSR transponder, ADS-B out).

5. Emergency procedures:
a. Communications failure with ATC: Use secondary Handy-Talkie or Calling ATC Phone Number
b. C2 failure: Use secondary Handy-Talkie or Calling Emergency Phone Number
c. Remote pilot RPA observer communications failure, if applicable:
d. Satellite failure, if applicable:
e. Recovery during unplanned landings: _Switch to Manual mode then landing to safely place
f. Communication procedure with local law enforcement in case of impact: Contact with Airport Authority
Attach copies of the following, in English translation if original documents are not in the English language:

• Certificate of registration;
• Certificate of airworthiness;
• Insurance certificate;
• RPAS operator certificate (certified true copy);
• Remote pilot(s) license, showing English Language Proficiency to at least ICAO Level 4,
• Aircraft radio station license, if applicable;
• Noise certification document issued in accordance with ICAO Annex 16,if applicable;
• Operator security programme; and
• Proposed flight plan to be filed with ATC

Signature of Date (dd/mm/yyyy): Name and title:

Applicant:

Section 5 to be completed by the AACTL

Evaluated by (name and office): AACTL decision:
Approval granted Not approved
Remarks:

Signature of President of AACTL/ representative: Date (dd/mm/yyyy):

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