Professional Aviation Services

2152 Astoria Circle # 104
Herndon, VA 20170
Fax 703 657-0340

e-APIS INFORMATION - AFTER SELECTING DEPARTURE OR ARRIVAL NOTIFICATION AS APPROPRIATE, ALL FIELDS ON THIS FORM ARE MANDATORY FOR U.S. CUSTOMS CLEARANCE - ANY FIELDS LEFT BLANK CONSTITUTES DENIAL OF THE CLEARANCE
Customer Name
Primary Contact Name
Contact's e-mail
Contact's Business Phone Number
Contact's Cell Phone Number
Contact's Fax Number
Billing Address


Delivery Address


Name on A/C Registration
AIRCRAFT DETAILS
A/C Make and Model
A/C Year of Manufacture
A/C Registration Number
A/C Serial Number
A/C Base Color and Trim Color
A/C Location (City & ICAO ident)
Engine Type and Dash Number
MTOGW (lbs.)
Zero Fuel Weight (lbs.)
Basic Empty Weight BEW/BOW (lbs.)
Service Ceiling
Maximum Fuel in Pounds
RVSM/MNPS EQUIPMENT INFORMATION and LONG RANGE NAVIGATION AND COMMUNICATIONS SYSTEMS
Qty.	Type of Equipment
	Autopilot
	Transponder
	TCAS
	EGPWS/GPWS
	GPS
	INS
	IRU/IRS
	LORAN
	VHF 8.33 KhzYesNo
	HF
	SATCOM
	SELCAL CODE:
MAINTENANCE
Airworthiness Directive's (AD's) *Not* Complied With


Inspections Out of Date


Inspections Due


Ferry Permit Applied For		YesNo
Ferry Tanks Installed		YesNo
Import/Export Permits Applied For		YesNo
TRIP DETAILS
Departure Airport (City, Airport Name, ICAO ident)
Destination Airport (City, Airport Name, ICAO ident)
Requested Departure Date
Do You Currently Have Insurance		YesNo
Comments: