Document ID: chunk:federal_register_of_legislation:F2015L00113:front:0:p6
Version: federal_register_of_legislation:F2015L00113
Segment Type: other
Provision Reference: 
Character Range: 13112–14935

[Insert date]
To : Civil Aviation Safety Authority, Australia
         Re : Appointment of Certified Designee in relation to the Irrevocable De-Registration and Export Request Authorisation for
         [insert the airframe/helicopter manufacturer name and model number] bearing manufacturer's serial number [insert manufacturer's serial number] and registration mark [insert registration mark] (the "IDERA").
We, [insert name of authorised party] as "the authorised party" under the IDERA, hereby confirm that [insert name, designation of company to be designated] in its capacity as [insert capacity acting under for authorised party] is the certified designee (under the authority of Article XIII(3) of the Protocol to the Convention on International Interests in Mobile Equipment on matters specific to Aircraft Equipment) in accordance with the confirmations and authorisations in our favour set out in the IDERA authorisation dated [insert date] issued by [insert name of airframe/helicopter registration holder], the registration holder of the [insert the airframe/helicopter manufacturer name and model number] bearing manufacturer 's serial number [insert manufacturer's serial number] and registration mark [insert registration mark].
Please acknowledge your agreement to this request and its terms by countersigning below.

[Insert name of authorised party]

_________________________
By: [insert name of signatory]
Title: [insert title of signatory]

Agreed to and recorded this
Dated:

_________________________
Name:
Title:

Schedule 3 – Fees
Item  Request                                                                                                                                                                                                                   Reference to applicable subrule  Fee