ISDR
ISDR
ISDR
190219
Submitter Information
Date of Occurrence Click or tap to enter a date.
Aircraft Registration
Submitter Type Choose an item.
Organisation Approval /
AML Number
Additional Info
If Submitter Type is CAMO Choose an item.
If Submitter Type is AMO (Part 145/ Choose an item.
Part M Subpart F)/ AML Holder
If Submitter Type is POA Choose an item.
Aircraft Details
Manufacturer
Model
Serial Number Total Time (Hours) Total Cycles
Engine Details
Manufacturer
Model
Serial Number Total Time (Hours) Total Cycles
Propeller Details
Manufacturer
Model
Serial Number Total Time (Hours) Total Cycles
Problem Description
ISDR Information
ATA Code Choose an item.
Sub ATA Code
How Discovered Choose an item.
Nature of Condition Choose an item.
Precautionary Procedures Choose an item.
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CAAM/AW/8503-01
190219
Declaration
☐I hereby declare that all the particulars given above are true and correct
Applicant’s Name
Contact Number
Email Address
Note: This report must be submitted to individual organisation’s primary inspector through email
and fax (+603-8871 4069).
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