Application Form to attend a training programme - Irish Aviation ...

Irish Aviation Authority
FORM A – Application for Aviation Security
Programme approval
Procedure to submit an Aviation Security Programme for approval
1. You must be an aviation entity operating in Ireland.
2. You should submit this form with a copy of your Aviation Security
Programme together with any relevant documentation.
3. The name of the applicant should be the designated Security
Officer with whom the Authority will liaise in regard to aviation
security matters.
4. The form shall be signed by the legal representative of the entity
(e.g. Company Secretary).
Section 1: Applicant’s Details
Name
Title
Telephone/ Mobile
Number
Email address
Site RA or KC number
Site address
Section 2: Please tick the box that best describes your entity.
Air carrier (AOC holder carrying passengers or cargo for hire and reward)
Airport Operator
Regulated Agent (Implements security controls on air cargo and brings air cargo
directly to the aircraft or another regulated agent)
Known consignor (Implements security controls on air cargo and delivers air cargo
to a regulated agent)
Regulated supplier of in-flight supplies
Aviation security training institution/organisation/individual
Section 3: Please confirm the nature of the application by ticking the appropriate box.
Initial approval required
Renewal approval required
Update of an approved Security Programme
1

Section 4: I confirm that the details provided in and with this application form are an
accurate and up to date reflection of the policies and procedures being implemented
and to my knowledge are in accordance with the provisions of the National Civil
Aviation Security Programme.
Please print your name and sign.
Security Officer: _____________________________ Date: _________________
Signature:
_____________________________
Legal representative
of the entity: ____________________________ Date: _________________
Signature:
_____________________________
FOR OFFICIAL USE ONLY
Entity reference number:
Reviewed by:
Approved by:
Date of approval:
Not approved:
2