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LIMAK KOSOVO INTERNATIONAL AIRPORT J.S.C PRISTINA INTERNATIONAL AIRPORT “ADEM JASHARI”

INCENTIVE PROGRAM 2016-2018

APPLICATION FORM

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Please check appropriate

Incentive Type

□ New Route Development Incentive □ New Frequency Incentive □ High Traffic Volume Incentive □ Fixed Base Operation Support Incentive □ Off-Peak Time Support Incentive □ Marketing Support Incentive

Company Details

Registered Company Name: Trading Name (if different): ICAO/IATA Airline Code: Registered Business Address:

Postcode/Zipcode: Postal Address: (If different to the Registered Business Address)

................................................................................................................ ................................................................................................................ ................................................................................................................ Country: ................................................................................................................ ................................................................................................................ ................................................................................................................

Postcode/Zipcode: Physical Address of your Principle Place of Business: Postcode/Zipcode:

Country: ................................................................................................................ ................................................................................................................ ................................................................................................................ Country:

Contact Person

Name & Surname: Title: E-mail: Phone:

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Aircraft Data

Manufacturer: Type/Model: MTOW Manufacturer: Type/Model: MTOW Manufacturer: Type/Model: MTOW Manufacturer: Type/Model: MTOW Manufacturer: Type/Model: MTOW

............................... Registration:

............................... Registration:

............................... Registration:

............................... Registration:

............................... Registration:

Flights Subject to Incentive

Departure Airport

Arrival Airport

Effective Date

Aircraft Type

Additional Remarks:

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Time of Arrival (UTC)

Time of Departure (UTC)

Days of Operation (1-7)

Supporting Documentation

1) Business Registration Certificate and list of shareholders. 2) Standard Ground Handling Agreement. 3) Authorization Certificate. 4) Aircraft Registration Certificates. 5) Carrier are required to report any changes of aircraft type and/or Series at least 30 days in advance during the 12/24 month incentive period.

Declaration

The undersigned applies for the incentive program pursuant to Limak Kosovo International Airport JSC published incentive program 2015, on behalf of the organization identified below. Further, the undersigned certifies that the facts in this application are complete and correct and that any attached documents are true copies.

Carrier: ______________________________

Name&Surname:_______________________

Title: __________________

Signature: ____________________________

Date: ___________________

Evaluation

Evaluated By:

Date:

Comments ....................................................................................................................................................... ........................................................................................................................................................................... ...........................................................................................................................................................................

Approved

Rejected

Signed By: Title: CEO

Date: Signature:

The application form shall be send to: [email protected] or [email protected]

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