Section No.
6 (O - 2)
Issue: 1 Date: 01.08.2014
Rev No. Rev Date:
SUPPORTING DOCUMENTS: Page No. 1 of 1
AVIATION OPS. FORMATS Issued By P.K. Jain
GM Aviation Services HQ & QCM
Approved By: Akash Tiwari
Chief Executive Officer.
FDN NO. DATE MONTH YEAR
BHARAT STARS SERVICES PRIVATE LIMITED LOCATION CODE
AVIATION SERVICE AIRFIELD
FUEL DELIVERY NOTE
FLIGHT NO IATA CODE
Scheduled Airline’s Aircraft
CUSTOMER NAME AIRCRAFT TYPE with MTOW<40T {
REG.
YES NO
ARRIVED FROM PROCEEDING TO
}
ON ACCOUNT OF READY TO FUEL FUELLING STARTED
BSSPL AUTH. NO. REF. NO. FUELLING COMPLETED FINAL CLEARANCE AT
CARNET NO. EXPIRES ON DENSITY & TEMP DUTY PAID BONDED
OFF -LOADING RECEIPT
CASH MEMO NO. DATE BAY NO. PIT NO
AVIATION TURBINE FUEL : JET A –1
BATCH NO.
METER EQUIPMENT NO. EQUIPMENT NO. EQUIPMENT NO. EQUIPMENT NO.
READING
This fuel is supplied from above Batch No. which has passed all tests of IS:1571-2008-
AFTER (DEFSTAN 91-91 (Latest issue)
BEFORE
DIFFERENCE TOTAL (IN LITRES)
TOTAL (in words) DELIVERED BY
Fuel Sample RECEIVED BY
Pre Flight Fuel Sample Bright, Clear & Free of Water. Checked with Water Detecting Device by Airlines Representative
SIGNATURE
Mid Flight
Post Flight Name (in Block Letters)
SIGNATURE
Name (in Block Letters)
CUSTOMER COMMENTS DGCA Approval no: