Appendix 1

United Kingdom

CERTIFICATE FOR SERVICE PROVIDER

F1...

F2THE CIVIL AVIATION AUTHORITY

SERVICE PROVIDER CERTIFICATE

[CERTIFICATE NUMBER/ISSUE No]

Pursuant to Implementing Regulation (EU) 2017/373 and subject to the conditions specified below, the [F3Civil Aviation Authority] hereby certifies

[NAME OF THE SERVICE PROVIDER]

[ADDRESS OF THE SERVICE PROVIDER]

as a service provider with the privileges, as listed in the attached service provision conditions.

CONDITIONS:

This certificate is issued subject to the conditions and the scope of providing services and functions as listed in the attached service provision conditions.

This certificate is valid whilst the certified service provider remains in compliance with Implementing Regulation (EU) 2017/373 and the other applicable regulations and, when relevant, with the procedures in the service provider's documentation.

Subject to compliance with the foregoing conditions, this certificate shall remain valid unless the certificate has been surrendered, limited, suspended or revoked.

Date of issue:

Signed:

[F4The Civil Aviation Authority]

EASA Form 157 Issue 1 — Page 1/4

SERVICE PROVIDER

CERTIFICATE

SERVICE PROVISION CONDITIONS

Attachment to service provider's certificate:

[CERTIFICATE NUMBER/ISSUE No]

[NAME OF THE SERVICE PROVIDER]

has obtained the privileges to provide the following scope of services/functions:

(Delete lines as appropriate)

Services/Functions	Type of Service/Function	Scope of Service/Function	Limitations^f1
As prescribed by the competent authority.
Where necessary.
If the competent authority considers it necessary to establish additional requirements.
ATS covers alerting service.
Air traffic services (ATS)^f2	Air traffic control (ATC)	Area control service
		Approach control service
		Aerodrome control service
	Flight information service (FIS)	Aerodrome flight information service (AFIS)
	Flight information service (FIS)	En-route flight information service (En-route FIS)
	Advisory service	n/a
Air traffic flow management (ATFM)	ATFM	Provision of the local ATFM
Airspace management (ASM)	ASM	Provision of the local ASM (tactical/ASM Level 3) service
Conditions^f3

Services/Functions	Type of Service/Function	Scope of Service/Function	Limitations
Air traffic services (ATS) for flight test^f4	Air traffic control (ATC)	Area control service
		Approach control service
		Aerodrome control service
	Flight information service (FIS)	Aerodrome flight information service (AFIS)
	Flight information service (FIS)	En-route flight information service (En-route FIS)
	Advisory service	n/a
Conditions

Services/Functions	Type of Service/Function	Scope of Service/Function	Limitations
Communication, navigation or surveillance services (CNS)	Communications (C)	Aeronautical mobile service (air-ground communication)
		Aeronautical fixed service (ground-ground communications)
		Aeronautical mobile satellite service (AMSS)
	Navigation (N)	Provision of NDB signal in space
		Provision of VOR signal in space
		Provision of DME signal in space
		Provision of ILS signal in space
		Provision of MLS signal in space
		Provision of GNSS signal in space
	Surveillance (S)	Provision of data from primary surveillance (PS)
		Provision of data from secondary surveillance (SS)
		Provision of automatic dependent surveillance (ADS) Data
Conditions

F5

Services/Functions	Type of Service/Function	Scope of Service/Function	Limitations
Data services (DAT)	Type 1	Provision of Type 1DAT authorises the supply of aeronautical databases in the following formats: [list of the generic data formats] Provision of Type 1 DAT does not authorise the supply of aeronautical databases directly to end-users/aircraft operators.
Data services (DAT)	Type 2	Provision of Type 2 DAT authorises the supply of aeronautical databases to end-users/aircraft operators for the following airborne application/ equipment, for which compatibility has been demonstrated: [Manufacturer] Certified Application/Equipment model [XXX], Part No [YYY]
Conditions

Services/Functions	Type of Service/Function	Scope of Service/Function	Limitations
Meteorological services (MET)	MET	Meteorological watch office
		Aerodrome meteorological offices
		Aeronautical meteorological stations
		VAAC
		WAFC
		TCAC
Conditions

Services/Functions	Type of Service/Functions	Scope of Service/Function	Limitations
ATM network functions	Design of ERN	n/a
	Scarce resources	Radio frequency
	Scarce resources	Transponder code
	ATFM	Provision of the central ATFM
Conditions

Date of issue:

Signed: [The Civil Aviation Authority]

F6...

EASA Form 157 Issue 1 — Page 4/4

Annotations

Textual amendments

F1: Words in Annex 2 Appendix 1 omitted (31.12.2020) by virtue of The Air Traffic Management (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/459), regs. 1(2), 363(16)(a); 2020 c. 1, Sch. 5 para. 1(1)
F2: Words in Annex 2 Appendix 1 substituted (31.12.2020) by The Air Traffic Management (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/459), regs. 1(2), 363(16)(b); 2020 c. 1, Sch. 5 para. 1(1)
F3: Words in Annex 2 Appendix 1 substituted (31.12.2020) by The Air Traffic Management (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/459), regs. 1(2), 363(16)(c); 2020 c. 1, Sch. 5 para. 1(1)
F4: Words in Annex 2 Appendix 1 substituted (31.12.2020) by The Air Traffic Management (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/459), regs. 1(2), 363(16)(d); 2020 c. 1, Sch. 5 para. 1(1)
F5: Annex 2 Appendix 1 Table substituted (20.11.2021) by The Aviation Safety (Amendment) (No. 3) Regulations 2021 (S.I. 2021/1203), regs. 1(2), 26
F6: Words in Annex 2 Appendix 1 omitted (31.12.2020) by virtue of The Air Traffic Management (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/459), regs. 1(2), 363(16)(f); 2020 c. 1, Sch. 5 para. 1(1)

Footnotes

f1: As prescribed by the competent authority.
f2: ATS covers alerting service.
f3: Where necessary.
f4: If the competent authority considers it necessary to establish additional requirements.