DASR Form 53—Military Certificate of Release to Service

Sponsor: DAVREG

Directorate General Technical Airworthiness

Australian Defence Force

MILITARY CERTIFICATE OF RELEASE TO SERVICE

[NAME OF APPROVED PRODUCTION ORGANISATION]

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POA reference: …………………………………….

T
Certificate of release to service in accordance with DASR 21.A.163(d).
F
Aircraft: Type: Constructor No./Registration:
A

……………………………………… ……………………………………… ………………………………………

has been maintained as specified in Work Order: ……………………………………………………………………

R

Brief description of work performed: [Should reference to the approved data used to perform the work]

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D

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Certifies that the work specified was carried out in accordance with DASR 21.A.163(d) and in respect to
that work the aircraft is considered ready for release to service and therefore is in a condition for safe
operation.

Name of Certifier: Signed *Location: Date:

(dd/mmm/yyyy)

………………………………........ …………………………………… ……………...…… ……………………..

*Location where maintenance has been performed, not the location of the facilities of the organisation (if different)
DASR Form 53 (DASR Part 21 edition 1.0)