Overflight Landing Form

AEROGEM AVIATION - OVERFLIGHT AND LANDING CLEARANCE REQUEST

NAME OF OPERATOR:*

ADDRESS:*

PHONE:*

E-mail:*

AFTN:

FAX:

AIRCRAFT REGISTRATION:*

TYPE OF AIRCRAFT:*

CAPTAIN'S NAME:*

DATE OF FLIGHT OPEARTIONS:

AIRPORT OF DEPARTURE (ICAO CODE):*

PURPOSE OF FLIGHT:

TYPE OF CARGO ON BOARD:*

TYPE OF ARMS & AMMUNITIONS:*

ROUTE:*

REQUEST:*

CONFIRMED FLIGHT

PRICE REQUEST

ANY OTHER COMMENTS:

Captcha:

SITA:

BASE OF AIRCRAFT:

CALL SIGN:*

NO. OF SOULS ON BOARD:

ETD(Z):

:

HH

MM

DESTINATION (ICAO CODE):*