# Commission Regulation (EU) No 965/2012 of 5 October 2012 laying down technical requirements and administrative procedures related to air operations pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council, Appendix III

Extent: E+W+S+N.I.

List of specific approvals
Non-commercial operations
Specialised operations
(subject to the conditions specified in the approval and contained in the operations manual or pilot's operating handbook)
Insertion of name and contact details.
Insertion of the associated number.
Issue date of the specific approvals (dd-mm-yyyy) and signature of the CAA representative.
Insertion of the Commercial Aviation Safety Team (CAST)/ICAO designation of the aircraft make, model and series, or master series, if a series has been designated (e.g. Boeing-737-3K2 or Boeing-777-232). The CAST/ICAO taxonomy is available at: http://www.intlaviationstandards.org/
The registration marks shall be either listed in the list of specific approvals or in the operations manual. In the latter case the list of specific approvals shall refer to the related page in the operation manual.
Specify the type of operation, e.g., agriculture, construction, photography, surveying, observation and patrol, aerial advertisement, maintenance check flights.
List in this column any approved operations, e.g., dangerous goods, LVO, RVSM, PBN, MNPS, HOFO.
List in this column the most permissive criteria for each approval, e.g. the decision height and RVR minima for CAT II.
Civil Aviation Authority :
List of specific approvals # :
Name of operator:
Date :
Signature:
Aircraft model and registration marks :
Types of specialised operation (SPO), if applicable:
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Specific approvals :
Specification
Remarks
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CAA Form 140 Issue 1

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Source: https://www.legislation.gov.uk/eur/2012/965/annex/II/appendix/III (the official version)
Page: https://openlegislation.uk/eu-regulation-2012-965/annex-II/appendix-III
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.