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Aeronautical Information Services


Air Traffic Services

NOTAM PROMULGATION REQUEST FORM

ް‫ނޮޓޭމް ފޮނުވުމަށް އެދޭ ފޯރމ‬

Location of Activity Commencement Expiry Work Schedule In case of Airspace activity


ޭ‫ފެށ‬ ޭ‫ނިމ‬ ި‫މަސައްކަތް ހިނގާ ގަޑ‬ ަ‫ވައިގެ ސަރަޙައްދުގެ ޙަރަކާތެއްނަމ‬ Remarks
ު‫މަސައްކަތް ހިނގާ ސަރަޙައްދ‬
Date Time Date Time From To Lower Limit Upper Limit Radius/distance ް‫އިތުރު ބަޔާނ‬
ް‫ތާރީޙ‬ ި‫ގަޑ‬ ް‫ތާރީޙ‬ ި‫ގަޑ‬ ި‫ފެށޭ ގަޑ‬ ި‫ނިމޭ ގަޑ‬ ް‫ތިރިމިނ‬ ް‫އުސްމިނ‬ ް‫ދުރުމިނ‬

Details of Activity:
:ް‫މަސައްކަތުގެ ތަފްސީލ‬

Name of Organization /Unit Name Contact Number Signature


ް‫ ޔުނިޓ‬/ ް‫އޮފީސ‬ ް‫ނަނ‬ ު‫ގުޅޭ ނަމްބަރ‬ ި‫ސޮއ‬

For official use /ް‫އޮފީސް ބޭނުމަށ‬


Authorized by /ި‫ހުއްދަ ދެއްވ‬
Name/ް‫ނަނ‬ Designation/ް‫މަގާމ‬ Signature/ި‫ސޮއ‬

Note: * This information should reach AIS at least 24 hours prior to the commencement date. /ެ‫އެސް އަށް ހުށަހަޅަން ވާނެއެވ‬.ި‫އައ‬.ޭ‫ ގަޑިއިރު ކުރިން މިފޯރމް އ‬42 ެ‫މަސައްކަތް ފެށުމުގ‬

*Any extra information including Charts/Drawings/Maps may be attached to this form. / .ެ‫ކުރެހުން ފަދަ އިތުރު ތަފްސީލް މިފޯމާއި އެކު ހުށަހެޅި ދާނެއެވ‬/ް‫ޗާޓ‬

*All timings in local. /.ެ‫ގަޑި ޖައްސަވާނީ ރާއްޖޭ ގަޑިން މަސައްކަތް ހިނގާ ގަޑިއެވ‬ AMENDED ON: 08th March 2010

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