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中 华 人 民 共 和 国 民 用 航 空 器 登 记 - 中国民

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民用航空器所有权登记申请书

APPLICATION FOR REGISTRATION OF OWNERSHIP IN CIVIL AIRCRAFT

1.中华人民共和国国籍标志和登记标志 ______________________________________

Nationality Mark and Registration Mark of PRC

2.航空器型号_________________________________ Aircraft Model

制造地点___________________________________ Place of Manufacture

3.航空器制造者名称_______________________________________________________ Name of Aircraft Manufacturer

4.航空器出厂序号_____________________________ Serial Number

出厂日期___________________________________ Date of Manufacture

5.(1) 所有人姓名或名称____________________________________________________ Name of Owner

所有人地址__________________________________________________________ Address of Owner

____________________________________________________________________ _______________________________________________________________________ 法定代表人姓名________________________ Name of Legal Representative

(以下各栏在航空器为数人共有时填)

(Fill in the Following Items Only in Case of Co-Ownership)

(2) 共有性质(请在方框内划X) Nature of Co-Ownership (Please Tick Box) □共同共有 □ 按份共有

Joint Tenancy Tenancy in Common

(A)共有人姓名或名称______________________________________________________ Name of Co-Owner

共有人地址__________________________________________________________ Address of Co-Owner

____________________________________________________________________ 法定代表人姓名________________________ Name of Legal Representative

所有权比例(仅在按份共有时填)___________________________ Percentage in Co-Ownership (Only in Case of Tenancy in Common)

(B)共有人姓名或名称_______________________________________________________ Name of Co-Owner

共有人地址__________________________________________________________ Address of Co-Owner

____________________________________________________________________ 法定代表人姓名________________________ Name of Legal Representative

所有权比例(仅在按份共有时填)___________________________ Percentage in Joint Ownership (Only in Case of Tenancy in Common)

(C)共有人姓名或名称____________________________________________________ Name of Co-Owner

共有人地址__________________________________________________________ Address of Co-Owner

____________________________________________________________________ 法定代表人姓名________________________ Name of Legal Representative

所有权比例(仅在按份共有时填)___________________________ Percentage in Co-Ownership (Only in Case of Tenancy in Common)

(D)共有人姓名或名称____________________________________________________ Name of Co-Owner

共有人地址___________________________________________________________ Address of Co-Owner

____________________________________________________________________ 法定代表人姓名________________________ Name of Legal Representative

所有权比例(仅在按份共有时填)___________________________ Percentage in Co-Ownership (Only in Case of Tenancy in Common)

(E)共有人姓名或名称____________________________________________________ Name of Co-Owner

共有人地址__________________________________________________________ Address of Co-Owner

____________________________________________________________________ 法定代表人姓名__________________________ Name of Legal Representative

所有权比例(仅在按份共有时填)____________________________ Percentage in Co-Ownership (Only in Case of Tenancy in Common)

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6.所有权取得方式(请在方框内划X)

Mode of Acquisition of the Ownership(Please Tick Box)

□ 制造 □ 购买 □ 以物易物 □投资 □ 继承 □ 赠与 Manufacture Purchase Barter Investment Inheritance Donation

□ 其他方式 (请指明)_______________________ Other Mode (Please Specify)

7.航空器价值 _____________________________________________________________ Value of Aircraft

8.制造材料_______________________________________________________________ Manufacturing Materials

9.航空器主要技术状况

Main Technical Status of Aircraft

______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

10.航空器实际占有人(如不同于所有人)的姓名或者名称、地址 Name and Address of Actual Possessor (if Different from Owner)

______________________________________________________________________

______________________________________________________________________ ______________________________________________________________________

11.航空器抵押权人(如有)的姓名或者名称、地址 Name and Address of Mortgagee (if any)

_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 抵押权设定的时间______________________ Creation Date of Mortgage

担保的债权数额________________________________________________________ Amount of Secured

______________________________________________________________________ ______________________________________________________________________ 抵押权的其他情况_____________________________________________________ Other Details of Mortgage

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12.所有权取得日期________________________________________________________ Date of Acquisition of Ownership

13.备注__________________________________________________________________ Remarks

_____________________________________________________________________

14.证明文件清单

List of Supporting Documents

(1)___________________________________________________________________

(2)___________________________________________________________________ (3)___________________________________________________________________ (4)___________________________________________________________________ (5)___________________________________________________________________

声明:兹证明,上述所填各项及所提供的文件完全真实、合法、有效,填写人对其合法性和真实性承担一切责任。

Declaration: We/I hereby declare that all information above and the documents furnished are completely lawful, correct, true and valid. The applicant shall be

responsible for all liabilities for any irregularity, incorrectness, falseness or invalidity thereof.

申请人(签章)__________________ Seal or Signature of Applicant

代办人(签字)____________________ Name of Contact Person

姓名___________________________ 联系电话__________________________ Name Telephone No.

职位___________________________ 联系传真___________________________ Title Facsimile No. 申请日期及时间(由登记部门填

写)_____________________________________________ Date and Time(To be completed by CAAC)

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