DISPLAY PILOT REGISTRATION PAGE – GENERAL

Thanks for taking the time to complete our electronic Display Pilot Registration Form.

The information provided in this application forms part of the Airshow Approval process and is forwarded to the Civil Aviation Safety Authority (CASA) IAW the Australian Airdisplays Pty Ltd (AA) Exposition.

Completion of the registration process is straight forward PROVIDED you have electronic (PDF) copies of the following documents ready for up-load BEFORE commencing the form :

Air Display Approval/ Instrument,

Proposed Display Sequence,

Pilots Licence,

Medical Certificate,

Aircraft Certificate of Airworthiness,

Aircraft Noise Certificate, and

Aircraft Insurance Coverage (Refer Note Below).

If you intend to conduct Commercial or Aerial Work activities at the Airshow (eg Joy Flights, Banner Towing, TIF's, Adventure Flights etc), you will be require to up-load copies of your CASA AOC and other Approval Documents.

NOTE : AA requires all Display Aircraft carry hull loss insurance as well as a minimum of $5,000,000 in public liability coverage, listing Australian AIrdisplays Pty Ltd as an "Interested Party".

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YOUR DETAILS

Please provide your contact details.

Name*
First Middle Last

Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Mobile Phone*

Email*

HISTORY & EXPERIENCE

"your aviation background and experience"

Professional History*
Please select those items which best describe your flying experience and history
Airline
Military
Charter
Instructor
Aerial Display
Aerial Work
Other

If other, please list below:*

Please provide a brief written summary of your flying experience. Be sure to cover the items you selected above.*

Total Flight Hours*

Total Command Hours*

PILOT LICENCING

"your licences and approvals"

Pilots Licence (Type)*
Please select the types of Pilots Licenses you hold:
RPL (A)
PPL (A)
CPL (A)
ATPL (A)
RPL (H)
PPL (H)
CPL (H)
ATPL (H)
Other

If other, please list below:*

Pilots Licence (ARN)*
What is your Aircrew Reference Number (ARN)?

Are you subject to annual licence Proficiency Checks/ Flight Reviews under an approved Part 141/ 142 training and checking organisation?*

Yes

No

With which organisation?*

Biennial Flight Review (BFR)*
When is your BFR due for renewal.
DD slash MM slash YYYY

Do you hold an Aerobatic Endorsement / Licence?*

Yes

No

Aerobatics/ Low Level Aerobatic Limit (AERO/ LLAERO)*
Please select your lowest approved Aerobatic altitude limit.

A300 - Aerobatics > 3000 ft

A150 - Aerobatics > 1500 ft

A100 - Aerobatics > 1000 ft

A050 - Aerobatics > 500 ft

AULT - Aerobatics unlimited

Other Aerobatic Alt

If other AERO/ LLAERO altitude limit*
Please annotate your Low Level Aerobatic altitude limit.

When did you last conduct Aerobatics*
DD slash MM slash YYYY

Do you hold a Formation Endorsement / Licence?*

Yes

No

When did you last participate in formation flying?*
DD slash MM slash YYYY

Do you hold a Formation Aerobatic Endorsement / Licence?*

Yes

No

Form/ Low Level Form Aeros (FAERO/ LLFAERO)*
Please select your lowest approved Formation Aerobatic altitude limit.

A300 - Form Aeros > 3000 ft

A150 - Form Aeros > 1500 ft

A100 - Form Aeros > 1000 ft

A050 - Form Aeros > 500 ft

AULT - Form Aeros unlimited

Other Form Aeros Alt Limit

If other FAERO/ LLFAERO altitude limit*
Please annotate your approved Formation Aerobatics altitude limit.

When did you last conduct Formation Aerobatics*
DD slash MM slash YYYY

Please attach an PDF copy of your Part 61 Pilots Licence.*
Please upload all pages of your licence, ensuring your name, licence number, and any expiry date or limit is clearly displayed. (Max File Size 5MB)

Drop files here or

Max. file size: 5 MB.

DISPLAY APPROVAL/ INSTRUMENT

'your CASA Display Approval and Display Sequence"

Do you hold a current Display Approval?*

Yes

No

Display Approval/ Instrument Number*
Please list your Display Approval/ Instrument Number here.

Expiry Date*
Please list your Display Approval/ Instrument Expiry Date here.
DD slash MM slash YYYY

Please attach a PDF copy of your Air Display Approval/ Instrument & Proposed Display Sequence. (Max File Size 5MB).*

Drop files here or

Max. file size: 5 MB.

CASA FORM 697 REQUIRED

To be part of a Flying Display you will need to complete a CASA Form 697 and send it to CASA for a Display Approval/ Instrument. Please continue to complete this form. Details on completing a CASA Form 697 will automatically email to you after submission of this form.

COMMERCIAL FLIGHT OPERATIONS

'Charter, Aerial Work, Flight School or Adventure Flight Activities'

Will you be conducting any Commercial Flights at the Airshow?*
Joy Flights, Banner Towing, Trial Instructional Flights, or Adventure Flights.

Yes

No

What is the Company or Business name conducting the commercial flights?*

CASA Approval/ Instrument Number*
Please list your CASA AOC Approval/ Instrument or Other Approval No here.

Expiry Date
Please list your AOC Approval/ Instrument or other approval type expiry date here. If perpetual leave blank.
DD slash MM slash YYYY

Please attach a PDF copy of your CASA AOC Approval/ Instrument or Other Approval document. (Max File Size 5MB).*

Drop files here or

Max. file size: 5 MB.

MEDICAL LICENCE

"feelin and being fit'

What class of Medical Licence do you hold?*
Please list your 'highest' Medical Class Licence you hold.

Class 1 Medical

Class 2 Medical

Other

Medical Licence Expiry*
Please list when your Class 2 Medical Licence is due for renewal.
DD slash MM slash YYYY

If other type of Medical Licence:*
Please explain your type of Medical Clearance to fly aircraft.

Medical Expirey*
Please enter your medical expiry date or Nil if not applicable.

Please attach an PDF copy of your Aviation Medical Licence.*
Please upload all pages of your Medical licence, ensuring your name, licence number, and any expiry date or limit is clearly displayed. (Max File Size 5MB).

Drop files here or

Max. file size: 5 MB.

DISPLAY AIRCRAFT DETAILS

"what you will be flying at the airshow"

Aircraft types you will be flying at the Airshow.*
Please list the aircraft types, registration, and number of hours you have on each type, below:
Aircraft Type Registration Hours on Type

Date of Arrival:*
What date do you intend on arriving for the proposed Display? To ensure proper rest, Display pilots are encouraged to fly-in the day before their Airshow. Note that the Australian Airdisplays Pty Ltd (AA) Air-Boss may require you to conduct a practise and or proving display flight on a day before the proposed Airshow day. If no date is currently planned please select any date.
DD slash MM slash YYYY

Certificate of Airworthiness*
Please attach a PDF copy of your Certificate of Airworthiness (including all annexures) for each aircraft you will operate. (Max File Size 5MB).

Drop files here or

Max. file size: 5 MB.

NOISE CERTIFICATE

'keepin it neighbourly'

Does your aircraft type require a Noise Certificate Exemption under CASA regulations? (Warbirds select 'Yes').*

Yes

No

Please select*

I have a Noise Certificate

I don’t have a Noise Certificate

Exemption Number*
Located at the top of your Noise Exemption letter.

Expiry Date (if any)
DD slash MM slash YYYY

Please attach a PDF copy of the Noise Certificate for each of your aircraft.*
Please ensure the Exemption Number and expiration date (if any) are clearly visible for each aircraft. (Max File Size 5MB).

Drop files here or

Max. file size: 5 MB.

NOISE CERTICATE REQUIRED

Warbirds and historical aircraft need a Noise Certificates to operate. If you do not have a current Noise Certificate, please continue to complete this form. Details on how to obtain a noise certificate will automatically email to you after submission of this form.

AIRCRAFT & PUBLIC LIABILITY INSURANCE

"keeping us all insured"

Please attach a PDF copy of your Aircraft Insurance / Public Liability coverage for each aircraft.*
AA requires all Display Aircraft carry hull loss insurance as well as a minimum of $5,000,000 in public liability coverage, listing Australian AIrdisplays Pty Ltd as an "Interested Party". Please also ensure that the policy expiration date and aircraft registration is clearly visible for each aircraft. (Max File Size 5MB)

Drop files here or

Max. file size: 5 MB.

EMERGENCY CONTACT

Please provide details for the person you would like notified in the event of an emergency.

Emergency Contact Name*
First Last

Emergency Contact Mobile Phone:*

Emergency Contact Email Address:*

Emergency Contact Address*
Street Address City State / Province / Region Post Code Country

TERMS AND CONDITIONS

Your participation in an Australian Airdisplays Pty Ltd Airshow is conditional upon our Terms and Conditions.

AUSTRALIAN AIRDISPLAYS PTY LTD AIRCREW TERMS AND CONDITIONS

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Do you agree to these terms and conditions?*

Yes

No

Thanks ! We’re glad your ‘on-board’ !! Only one step to go...

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GENERAL DISPLAY PILOT REGISTRATION

Australian AirDisplays General Display Pilot Registration

YOUR DETAILS