Annex A: Certificate of Airworthiness

Header: [Canadian flag] National Defence

Title: Certificate of Airworthiness

Military Designation:

Aircraft Manufacturer and Model:

Registration Mark:

Purpose/Category:

Military

Manufacturer's Serial Number:

Type Certificate:

Registered Owner:

Government of Canada, Department of National Defence and the Canadian Armed Forces

Address:

National Defence Headquarters (Attn: DGAEPM)

101 Col By Drive

Ottawa, ON K1A 0K2

Canada

Authority and Basis of Issuance:

This certificate certifies that the aircraft specified herein meets the requirements for full flight authority as described in the Technical Airworthiness Manual, Part 5, Chapter 7, in that it is in conformance with the approved type design and in a condition for safe operation. Unless surrendered, suspended or cancelled, this certificate shall remain valid as long as the approved type design remains in compliance with the applicable airworthiness certification requirements listed in the Certification Basis and the aircraft is in conformance with the approved type design.

Certificate Issue Date (DD MMM YYYY)

Signature Block:

Sylvain Lavoie, DTAES 3, for the Technical Airworthiness Authority

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