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ESP WA - Req - Form

The document is a work authorization request form for an engine service program. It requests troubleshooting and replacement of specific parts for an aircraft in Mumbai, India and provides aircraft and operator details like registration number, contact names, and engine serial numbers and times. Shipping information is also requested if needed.

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Devashish Bhatnagar
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62 views1 page

ESP WA - Req - Form

The document is a work authorization request form for an engine service program. It requests troubleshooting and replacement of specific parts for an aircraft in Mumbai, India and provides aircraft and operator details like registration number, contact names, and engine serial numbers and times. Shipping information is also requested if needed.

Uploaded by

Devashish Bhatnagar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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P&WC ESP ® PROGRAM

WORK AUTHORIZATION (WA) REQUEST


EMAIL TO: [email protected] When AOG, please copy [email protected]

AOG Yes No Aircraft Reg. VT-AYV Aircraft Location Mumbai

PROVIDE ALL THE FOLLOWING INFORMATION * (required field)


Operator name(s) * Operator country *
Bajaj Aviation Pvt Ltd India
Contact name(s) * FBO / Service Centre name *
Devashish Bhatnagar Taj Air Ltd
Telephone and / or cellular * Email *
9999126246 [email protected]
ESP® contract number Next flight scheduled date Next flight time Engine serial number(s) affected *
2170-02
(dd/mm/yyyy)
Time Since New (TSN) Eng 1 * TSN Eng 2 * TSN Eng 3 * TSN date *
3568:43 3553:17 na 28-10-2022
Event date *
26-10-2022
Mobile Repair Team (MRT) requested (not covered by ESP® Silver programs)? Yes No
(dd/mm/yyyy)
Reason for troubleshooting
Troubleshooting
required? * Yes No
PARTS REQUIRED
Part Number (P/ N) Description Quantity *
30C3471-09 Ejector Fuel Waste 01
M83485-1-012 Packing 02

Reason for part replacement

Ship to address (No P.O. Boxes) *


Part shipment required by ESP®? * Yes No
BAJAJ AVIATION PVT. LTD OLD AIRPORT, GATE NO.08 KALINA
For ESP® Silver or Silver Lite – Shipping account (carrier & account number) *
FBO / Service Centre Purchase Order number (if required)

USA & CANADA 1 888-479-2377


INTERNATIONAL 1 450-468-3771
15-0651

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