Division ATTACHMENT 11-A INDEPENDENCE DECLARATION — ... AVIATION SECURITY VALIDATORF1F2

1. (a)

   I confirm that I have established the level of compliance of the validated entity in an impartial and objective way.

2. (b)

   I confirm that I am not, and have not in the preceding two years, been employed by the validated entity.

3. (c)

   I confirm that I have no economic or other direct or indirect interest in the outcome of the validation activity, the validated entity or its affiliates.

4. (d)

   I confirm that I have, and have had in the preceding 12 months no business relations such as training and consultancy beyond the validation process with the validated entity in areas related to aviation security.

5. (e)

   I confirm that the ... aviation security validation report is based on a thorough fact finding evaluation of relevant security documentation, consisting of:

   • the validated entities' security programme or equivalent, and

   • an on- site verification of the implementation thereof.

6. (f)

   I confirm that the ... aviation security validation report is based on an assessment of all security relevant areas on which the validator is required to give an opinion based on the relevant ... checklist.

7. (g)

   I confirm that I have applied a methodology that allows for separate ... aviation security validation reports in respect of each entity validated and ensures objectivity and impartiality of the fact finding and evaluation, where several entities are being validated in a joint action.

8. (h)

   I confirm that I accepted no financial or other benefits, other than a reasonable fee for the validation and a compensation of travel and accommodation costs.

I accept full responsibility for the ... aviation security validation report.

Name of the validated entity:

Name of the ... aviation security validator:

Date:

Signature: