Notam Paramotor.xlsx

Kantor Pelayanan Navigasi Penerbang LPPNPI Tanjung Selor Jl. Ulin, No.118, Tanjung Selor Kalimantan Utara 77200 Telp. 0811 5919 853 Fax. 0552-22470 Email : [email protected]

AirNav Indonesia  

AERODROME REPORT FORM Notification of Change to Serviceability of a Certified Aerodrome NOTAM OFFICE PHONE

:

FAX :

AERODROME

: WAQD

Time UTC (Preferred)

(1) UTC

Purpose Of Report

( ) PROVIDE NEW INFORMATION DETAILED BELLOW

(2) WST

(3) CST

(4) EST

( ) EXTEND PREVIOUS ADVICE (NOTAM No. ....................) Date ............... ( ) EXTEND PREVIOUS ADVICE (NOTAM No. ....................) Date ............... Periode of Validity

Permanent/Temorary NOTAM (Delete one) Fr om

1704100400

To

1704100500

(Temporary NOTAM Only) Note : If time estimated, contact NOTAM OFFICE at least 2 hour before estimated duration time and advise if NOTAM is to be extended of cancelled Daily duration or time schedule (if applicable) From

: .........................................

To

: ......................................... Estimated (if finish time uncertained)

TEXT OF NOTAM Visibility at 00.00 : 2000 meters due to rain

Please send NOTAM issued to originator by AFTN addres....................or FAX to no..................... Approved and Acknowledge by :

.................................................

Requested by :

..........................................

Prepared by :

...................................................................

Kantor Pelayanan Navigasi Penerbangan Perum LPPNPI Tanjung Selor Jl. Ulin, No.118, Tanjung Selor Kalimantan Utara 77200 Telp. 0811 5919 853 Fax. 0552-22470 Email : [email protected]

rome

ore estimated duration

.........................................