RPA Flight Permit

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Acknowledgement Required

An approved Permit and a copy of the Flight Authorisation Form must be presented if requested by an Authorised Person while on-site at Curtin University.
I confirm that this request to obtain a Permit to Fly is for the nominated pilot only and will not be used by any other person, including other employees within my company/organisation.
I am aware of my responsibilities in relation to, and will operate in accordance with, Civil Aviation Safety Regulations 1998 Part 101.
I have downloaded, read and understood the contents of:
Contactor Safety Handbook
RPA Flight Permit Guide

I accept and acknowledge all of the above.

Documents Required

Only standard document types accepted. Please name files appropriately.
Combined document file size limit of 14MB.

1. Attach a copy of the Risk Assessment

2. Attach a copy of the Flight Authorisation Form

3. Attach a copy of the pilot's Remote Pilot License

RPA Use - Description

Brief description of intended use and flight details (include take-off and landing location):

The Curtin project number or project name
(if applicable)

RPA Use - Date and Duration

1 day flight permit

Multi-day flight permit

Your Details Your Company's Name

Your Name

Your email address. We send important administration notices to this address

Your Contact Number

RPA Pilots Details (person flying the RPA on the day) RPA pilot's name

RPA pilot's Aviation Reference Number (ARN)

RPA pilot's contact number

Person at Curtin who has engaged your services Your Curtin Contact's name

The information gathered from this form will be sent to this Curtin email address

Your Curtin Contact's phone number

Your Curtin Contact's cost centre number OR alternative sub-ledger number

I confirm that all of the supporting documentation and information contained in this permit request is complete and accurate.