编 号：AP-276-TR-2024-01签字/Signature • May 17th, 2024
Application Form for Dangerous Goods Air Transport Permit of Domestic Operator签字/Signature • August 12th, 2016
第一部分 经营人基本信息 Part One Basic information of the operator 1.经营人法定全名 Full legal name of the operator 2.经营人基地机场 Base airport of the operator 3.航空公司 ICAO 三字/二字代码 ICAO Code of the operator 4.经营人公共运输企业经营许可（依据：《民用航空危险品运输管理规定》第二条、第十八 条、第十九条（二））Public Air Transport Operator’s Certificate (Article 2,18,19(2) of Regulation on Transport of Dangerous Goods by Air) 经营人是否持有公共航空运输企业经营许可 Whether the applicant has the Public Air Transport Operator’s Certificate□ 是（若是，请附上公共运输企业经营许可复印件）□ Yes (if yes, please attach the copy of the Public Air Transport Operator’s Certificate□ 否（若否，不具备申请危险品航空运输许可资格，请停止申请）□ No (if no, stop applying) 5.经营人联系方式 Contact information of the operator 电话号码 Tel 传真号码 Fax 电子邮箱 E-mail 通讯地址 Post address 6.许可申请工作联系人信息 Contact information of person responsible for the application 联系人姓名 职务