SEYCHELLES CIVIL AVIATION AUTHORITY
APPLICATION FOR AUTHORISATION TO CARRY DANGEROUS GOODS IN NORMAL
CIRCUMSTANCES
Note - This form applies to requests to carry dangerous goods where they do not comply with the
normal requirements of the Technical Instructions. If there is insufficient space to list all items, they can be
listed on a separate sheet. Application should be made at least 10 days before the date of the flight
on which the dangerous goods are to be carried and should be submitted to the [Authority].
1. APPLICANT DETAILS
Name:…………………………………………………. Telephone:…………………………………..
Company:…………………………………………….. Fax:…………………………………………...
2.
OPERATIONAL DETAILS
Operator:……………………………………………
Date of flight:…………………………………
Airport of departure:………………………………… ……..AWB No:………………………………….
Flight No: Airport of destination:…………………………… Shipper:…………………………………
Consignee: ………………………………………………………………………………………………..
3. DETAILS OF THE DANGEROUS GOODS
Proper shipping name:………………………………………………………………………………………
UN No:……………………………, Class/Division and Compatibility: …………………………………
Group:………………………………………………….
Packing
Instruction No:…………………………, Net quantity (total):…………………………………………….
Number of
packages:…………………………………………, Gross weight (total):…………………………………
Packing Additional Information:…………………………………………………………………………..
Form:
SR/DGO 51 (2804)