Accreditation Agreement form
|
| Company Name * |
|
| Air Operator Certificate Number * |
|
in this document called "the Applicant"
AND
The Aviation Industry Association Incorporated
|
| Contact Phone Number * |
|
| Contact email * |
|
| Postal Address |
|
| Street Address |
|
| Address Line 2 |
|
| City |
|
| State / Province / Region |
|
| Postal / Zip Code |
|
| Country |
|
NOW THIS AGREEMENT RECORDS
1. That the applicant is applying to the Association for AIRCARE™ Accreditation under the procedures for the time being applied.
2. That the applicant is the holder of a current Air Operators Certificate.
3. This agreement is in addition to, and shall not derogate from any other agreement already executed or otherwise in force between parties.
4. The applicant consents to the AIA CEO or delegates making such enquiries as AIA believes necessary from any person or agency, for the purposes of this application and the continuing provision of accreditation status to the applicant.
5. In consideration for the grant of accreditation, the applicant hereby agrees:-
a) To be bound by the constitution and Rules for the time being of the Aviation Industry Association Incorporated;
b) To operate in accordance with the rules and standards detailed in the Part 2 of the AIRCARE™ Safety Management System Manual as amended from time to time;
c) To accept as final and binding, any decision taken in relation to accreditation by a duly convended meeting of the AIA Council;
d) To promptly pay all subscriptions and levies lawfully imposed by the AIA
|
Voluntary Withdrawal
It is hereby agreed that the applicant may voluntarily terminate this agreement at any time by providing written notice to the AIA CEO.
|
| Standards that the applicant seeks accreditation to: * |
AIRCARE™ - Environmental - Discharges - GROWSAFE
AIRCARE™ - Environmental - Discharges - SPREADMARK™ Aerial
AIRCARE™ - Environmental - Discharges - Vertebrate Toxic Agents
AIRCARE™ - Environmental - Amenity Values - Noise Abatement
AIRCARE™ - Flight Training
AIRCARE™ - Air Ambulance
AIRCARE™ - Fire Fighting
Cost:
AIA Members
AIRCARE™ (Base Fee) - $500 + GST
VTA - Included in Base fee
Fire Fighting - Included in Base Fee
Noise Abatement - Included in Base Fee
Spreadmark - $200 + GST
Growsafe - $200 + GST
Flight Training - $500 + GST
Air Ambulance - $300 + GST
Non Members
AIRCARE™ (Base Fee) - $3250 GST Included
VTA - Included in Base fee
Fire Fighting - Included in Base Fee
Noise Abatement - Included in Base Fee
Spreadmark - $200 + GST
Growsafe - $200 + GST
Flight Training - $500 + GST
Air Ambulance - $300 + GST
Note: Audit fees will be charged directly by the auditor and is not covered in these fees.
|
| Amount Payable |
|
The accreditation process will only begin once payment has been received. Payment of application fee indicates full acceptance of all terms and conditions as specified in this agreement
|
For the purposes of the Privacy Act 1993, the applicant is aware that:-
1. Information is being collected about the manner of operation of the business in order that a data base can be established and held at AIA Office, and;
2. That the applicant has the right of access to all such material (other than evaluative material) and has if necessary, the right to correct it.
|
| Physical Location of all bases shall be recorded here * |
|
| In checking this box you agree to all the terms and conditions as specified in this agreement * |
I agree
|
| Name of Person accepting this agreement * |
|
| Contact Phone Number * |
|
| Contact email * |
|
| Postal Address |
|
| Street Address |
|
| Address Line 2 |
|
| City |
|
| State / Province / Region |
|
| Postal / Zip Code |
|
| Country |
|
| Where the applicant is a company, partnership, or other legal entity, signatory to indicate in which capacity signed |
|
| Are you entitled to act as the duly authorised agent of this company, partnership, or other legal entity? |
Yes
No
|
| Witness Name * |
|
| Address * |
|
| Occupation * |
|
| WITNESS: In checking this box you confirm that you witnessed the acceptance of the terms and conditions of this agreement by the person accepting this agreement * |
I agree
|
| Date |
MM |
/ |
DD |
/ |
YYYY |
|
| FOR OFFICE USE ONLY - Do Not Complete |
Payment Received
Auditor Contacted
Audit Date Confirmed
Audit Completed
Accreditation approved by CEO
Accreditation certificate issued
|
| Name |
|
| Prefix |
|
| First |
|
| Last |
|
| Suffix |
|
| Name |
|
| Prefix |
|
| First |
|
| Last |
|
| Suffix |
|
| Name |
|
| Prefix |
|
| First |
|
| Last |
|
| Suffix |
|
| Address |
|
| Street Address |
|
| Address Line 2 |
|
| City |
|
| State / Province / Region |
|
| Postal / Zip Code |
|
| Country |
|
| Phone |
|
| Paragraph Text |
|
| Paragraph Text |
|
| Paragraph Text |
|
| Image Verification |
 |
|
|
| |