Foreign Registered aircraft leased to a Haitian Air Operator

Aircraft Leasing Form OFNAC/DSACH/101A

APPLICATION FOR AUTHORISING A LEASING OPERATION INVOLVING A FOREIGN AIR OPERATOR (LESSOR) TO A HAITIAN AIR
OPERATOR (LESSEE)
To be completed by the Haitian Air Operator
Note: Complete Job Aid(s) for Airworthiness Assessment and Operations Assessment and submit along with this application.
A. Identification of the aircraft and ownership
Aircraft Manufacturer: BOEING Model Designation: B737-48E

Serial Number:27630 Nationality and Registration Mark: OB2079P Maximum Take-Off Weight: 64637KGS

Name and address of registered owner of aircraft: STAR UP Certificate of Airworthiness No. and Validity: Maintenance Programme approval:
a/k/a STAR PERU/ AVENIDAD COMANDANTE ESPINAR 331, 20-005 & 22MAR20 PERUVIAN CIVIL AVIATION.
MIRAFLORES, LIMA PERU
B. Lessor/ Lessee
Name and Address of the Foreign Air Operator / Lessor : Telephone: Email:cco@starperu.com
STAR UP a/k/a STAR PERU/ AVENIDAD COMANDANTE ESPINAR 331, MIRAFLORES, LIMA +5117166006
PERU Air Operator Certificate No. and Validity: 008 / indeff

Name and Address of the Haitian Air Operator / Lessee: SUNRISE AIRWAYS, AEROGARE Telephone: Email:
GUY MALARE, AEROPORT INT’L TOUSSAINT LOUVERTURE +509 2811 2222 occ@sunriseairways.net
Air Operator Certificate No. and Validity:
001-2018-2019 19DEC20
C. Maintenance
Name and address of person / approved maintenance organization who will Telephone: +5112138813 Location of aircraft main maintenance base:
maintain the aircraft -Edson Guerrero Peltroche / Aeropuerto Internacional STAR UP a/k/a STAR PERU / AEROPUERTO
Email: INTERNACIONAL JORGE CHAVEZ GROUP #8.
Jorge Chávez Rampa Norte - Grupo 8- Callao - Perú
Edson.guerrero@starper CALLAO, PERU OMA 045
u.com
What maintenance certification authority does the foreign air operator Indicate the Maintenance organization approval (if applicable)
have for this type of aircraft? PERUVIAN CIVIL AVIATION. (DGAC) N/A

D. Type of Lease: (Lease in - Wet, Damp, Dry): WET LEASE E. Whether the aircraft's registration will change during the lease YES

F. Lease Agreement G. Authorization Dates requested - Date

Commencement Date: Termination Date: Commencement Date: Termination Date:

DD MM YY DD MM YY
DD MM YY DD MM YY
H. Certification of Applicant - Attestation
I certify that :
1. The responsibility for legal custody and control of the aircraft is clearly vested in the lessee during the term of the lease
2. All of the information and statements contained in this application are true and complete to the best of my knowledge and belief

Name and signature of person authorized to sign on

behalf of the Haitian Air Operator Lessor Date (DD-MM-YYYY)

FOR OFNAC USE ONLY

Lessee File Number: Leasing File Number:
APPLICATION ROUTING COORDINATION Signatures Additional Conditions Attached

1. Operations Office ⃝
2. Maintenance Office ⃝