Service request form

This form allows new and existing customers to apply for initial or additional access/es to NM Services.

Fields marked with the * sign are mandatory.
When a mandatory field is not applicable to your activity, please type in 'N.A.' (not applicable) to be able to submit the form.

This request will undergo a validation process, if the information submitted is incomplete or inaccurate, your request will be rejected.

I. ORGANISATION DETAILS

CCID

Required. Organisation CCID N°, if known

Organisation Name*

A value is required.

Type*

Please select an item.

Sub-type

Business Type*

AFTN Address*

SITA Address*

ICAO Code*

ICAO Area Code*

IATA Code*

Aircraft registration(s)* (max 5)

Address Line 1*
A value is required.

Address Line 2

Address Line 3

Postcode*
A value is required.

City*
A value is required.

Country*
Please select an item.

Organisation Phone*
A value is required.

Organisation Fax

Organisation E-Mail*
Invalid format.
A value is required.

Website

National Registration Number

II. CONTACT DETAILS

Title

Last Name*
A value is required.

First Name*
A value is required.

Phone*
A value is required.

Mobile

Business E-Mail*
Invalid format.
A value is required.

Job Title*
A value is required.

Unit*
A value is required.

III. PURPOSE OF REQUEST

Purpose of Request *

Please detail your operational requirements of the application(s) requested

A value is required.

IV. SERVICE/TOOL REQUESTED

Service Type*

- Surveillance Tools

ARTAS
SASS-C
SDDS

- ASMT

ASMT

- Communication Tools

VOTER
ETIC

V. CONFIRMATION

Please confirm to send your request

I hereby confirm that the above information is correct and complete. I hereby acknowledge that when this service request is validated by EUROCONTROL, I will be requested to accept the EUROCONTROL terms and conditions by signing an Agreement.

Please review your submission - some fields are not correctly completed yet.

Privacy Policy

Your personal data is processed and stored for the purposes of this request and the related services that may be provided to you. Your data will be communicated only to the extent strictly necessary to the departments or third parties involved in the provision of the service. It is kept only for the time necessary to fulfil the purposes mentioned. EUROCONTROL will not sell, distribute or lease your personal information to third parties. EUROCONTROL will not use your personal information to send you promotional information about third parties which we think you may find interesting. If you believe that any information we are holding on you is incorrect or incomplete, please contact us under: nm.customersupport@eurocontrol.int. Your personal data is processed and protected in accordance with the EUROCONTROL Regulation on Personal Data Protection (http://www.eurocontrol.int/publications/eurocontrol-regulation-personal-data-protection).