Form B.6.

1 Appendix - 1
CIVIL AVIATION AUTHORITY OF NEPAL

APPLICATION FOR REGISTRATION OF HOT AIR BALLOON

1. Type of Hot Air Balloon :-

Manufacture of Hot Air Balloon :-
Date of Manufacture :-
Serial Number of Hot Air Balloon :-

2. Burner Make :-
Model :-
Date of Manufacture :-
Serial Number :-

3. Maximum Number of Crew :-

Maximum Passenger Capacity :-

4. Number of Hours Flown Since New :-

5. History of Accidents (if any). Indicate incidents/accidents met by the hot air balloon, the
nature and extent of damage sustained by the hot air balloon, details of any major repairs
carried out. If required a separate page may be used for providing the above details.

6. Is the hot air balloon already registered in any country outside Nepal ? Yes o No o
If yes, give full perticulars

7. Is the hot air balloon been previously registered in Nepal ? Yes o No o

If yes, state Registration Mark:-

8. Name of Owner :-
Address :-
Nationality :-

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NCAR, Chapter B.6 Issue 2, March 2002
9. Is the hot air bolloon wholly owned:

o (a) by the citizens of Nepal

o (b) by an organization or enterprise registered and having its principle place
of business in Nepal. The Chairman and at least 2/3rd of the Board
of Directors are citizens of Nepal
o (c) by the person resident of Nepal or is carrying business in Nepal who
is not the citizen of Nepal
o (d) by an organization or enterprise registered elsewhere than in Nepal but
carrying business in Nepal

For applicants who come under (c) and (d) state how long the applicants have been
resident of Nepal have been in business in Nepal ?

Nature of Business :-

10. Name of Operator :-

Nationality :-
Address :-

11. Base Station of Hot Air Balloon :-

12. Category of Hot Air Balloon :-

Transport Category (Passenger) o
Transport Category (Cargo) o
Private Category o
Aerial Work Category o
Special Category o

13. A copy of voucher against the payment of required fee for the registration of hot air
balloon.

I hereby declare that the above particulars are true in every respect and that nothing has
been cancelled or withheld by me. I have studied the relevant Rules and Nepal Civil
Airworthiness Requirements currently in force and shall abide by them.

Name of Applicant :-
Address :-
Tel/Fax :-

.................................
Date :- Signature of Applicant

Note : In case the applicant is not the owner, he/she should provide evidence in writing that they have been
duly authorized by the owner to furnish the foregoing information and to sign this document on his
behalf.

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NCAR, Chapter B.6 Issue 2, March 2002
Form B.6.2 Appendix-2

CIVIL AVIATION AUTHORITY OF NEPAL

CERTIFICATE OF FLIGHT RELEASE

Operator's Name
Balloon type Registration Mark 9N-

I hereby certify that the above balloon including its instruments and equipment has been inspected
and is safe in every way for flight, till provided the
conditions of loading as specified by the Director General are complied with.

Signature
Name Place of Issue
License/Approval No. Time and Date of Issue

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NCAR, Chapter B.6 Issue 2, March 2002