AVIATION INDUSTRY ASSOCIATION OF NEW ZEALAND

About Us
Home > About Us > Join the AIA > Online Application

Online Application

AIA Membership Application Form

 AIA_1.JPG
I/We*
Of:
Company Name:*
Company Name to appear on certificate
Postal Address:*

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Physical Address:

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Name /s of Director /s (if limited Liability
Company)
 
Date Business Established:
 
Generic Email:*
Phone Number
Website

Primary Contact Details:
Name*

First
Last
Designation:
Mobile:*
DDI:*
Email*

Secondary Contact Details:
Name

First
Last
Designation:
DDI:
Mobile:
Email:

I/we, having met the criteria as stated under Rule 3 'Ordinary Members' and Rule 6 'Membership' in the Aviation Industry Association of NZ (Inc) (AIA) Rules & Bylaws, do hereby apply for membership of the AIA under the division/s indicated below:
*
 I/We agree
Date*

MM		 /
DD		 /
YYYY
Aircraft Operator Division Section 1
 NZ Agricultural Aviation Assoc. (NZAAA) 
 Air Rescue / Air Ambulance (AR/AA) 
 Air Transport (AT) 
 Flight Training (FT) 
 NZ Helicopter Association (NZHA) 
 Tourist Flight Operators (FTO)

 
Support & Logistics Divisions
 Airports (AP) Section 2, pg2 
 Education & Research (E&R) 
 Aircraft Engineers Association of NZ (AEANZ) Section 3, pg3                             Supply & Services (S&S) Section 4, pg 3 
 
Special Members - 6.2
 Associate* (AS) 
 Honorary* (H) 
 Pilot* (P)
 Individual* (I) 
If applying for a membership Under Category Rule 6.2 please indicate with an 'X' next to the
division you are affiliated to.
(Note: Student Pilots Free)
 

Section 1: AIRCRAFT OPERATOR DIVISIONS (NZAAA - AR/AA - AT - FT - NZHA - TFO)
Operating Regions:
 
 
Physical address/es of the company's operations
base/s

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Operations Base Phone No/s and Personnel
Ops Manager:

First
Last
Chief Pilot:
Phone Number:
Ops Manager:

First
Last
Chief Pilot:
Phone Number:

Operating Aircraft (owned / leased)
Number of FW aicrfat < 15 seats
 
Number of FW aircraft 15-35 seats
 
Number of FW aircraft >36 seats
 
Number of Helicopters
 
Total Number of all Aircraft
 

Section 2: AIRPORTS DIVISION

Airports / Aerodrome/s operated
Name of Airport / Aerodrome
Location
Name of Airport / Aerodrome
Location
Name of Airport / Aerodrome
Location
Number of Passengers per annum
 

Section 4: SUPPLY & SERVICES DIVISION
Do you carry stockts of aircraft spares of
materials?
 Yes 
 No 
 
Types or Rage:
What other services and/or supplies do you offer the aviation industry?
 
Total number of employees:
 

Section 5: ASSOCIATION MEMBERSHIP

All persons (except those excluded by rule 6.3), firms, companies, trusts or corporations actively engaged in the aviation industry and not covered by a division as provided in rule 3, shall be eligible for membership as associate members.

Admittance as an associate member requires a special application to the AIA council.

UNDERTAKING

NB: Applicants for NZAAA, NZHA, or AEANZ divisions will be required to supply specific information for these divisions.

To be signed by all applicants.

I/We undertake, in the event of my/our election to membership, to pay the annual subscription for the division or divisions of Membership to which I/we are elected and, if required, to join the Branch of the Association whose territory includes our address as shown in this application.

Having read and accepted the Rules and Bylaws (here) of the AIA, if elected to membership, I/we hereby agree to abide by same and further, I/we agree to adhere to any decision made, or agreement entered into, by the AIA.
Name of authorised personnel:*

First
Last
Date*

MM		 /
DD		 /
YYYY
Qualification to sign:*

IF APPLYING FOR MEMBERSHIP OF THE NZAAA DIVISION PLEASE PROVIDE THE FOLLOWING INFORMATION:

Operations carried out
Fertiliser:
 Yes 
 No 
 
Agrichemical:
 Yes 
 No 
 
VTA (Poison bait)
 Yes 
 No 
 
Other Specify:
Are you NZAAA accredited?
 Yes 
 No 
 
Certificate number:
Pt~137 certificate number:
Aircraft
How many Aircraft operating?
Fixed wing
How many Aircraft operating?
Helicopters
Make/Model:
Class (FW/H)
Turbine/Piston
HP
Payload(maximum)
Capacity (ha/hr)
Role equipment/support equipment
Solids spreading
 Yes 
 No 
 
Spreading types available
 Ram air 
 Spinning disc 
 Other 
 
Spreading types available
Other:
Liquids application
 Yes 
 No 
 
Spray equipment fitted
 Boom & Nozzle 
 TV Boom 
 ACCUFLOW 
 
Spray equipment fitted
Other:
Operational systems/instruction
Track guidance systems used:
 Yes 
 No 
 
GPS make/model
Print out available
 Yes 
 No 
 
Quality Assurance Standards
Accreditation categories
 SPREADMARK  GROWSAFE  VTA 
Other QA Standards (specify):
 
Pilots

Name

First
Last
Name

First
Last
Chemical Rating
 Yes 
 No 
 
Expiry date

MM		 /
DD		 /
YYYY
Approved handler
 Yes 
 No 
 
Expiry date

MM		 /
DD		 /
YYYY
Ground crew
Name

First
Last
Name

First
Last
Name

First
Last
GROWSAFE crew
 Yes 
 No 
Expiry date

MM		 /
DD		 /
YYYY
Approved handler
 Yes 
 No 
Expiry date

MM		 /
DD		 /
YYYY
Controlled substance licence
 Yes 
 No 
 
Expiry date

MM		 /
DD		 /
YYYY
Image Verification
captcha
Please enter the text from the image:
[Refresh Image][What's This?]