1、民用航空器抵押權(quán)登記申請(qǐng)書application for registration ofmortgage right in civil aircraft1國籍標(biāo)志和登記標(biāo)志nationality mark and registration mark2航空器型號(hào)aircraft model制造地點(diǎn) place of manufacture3航空器制造者名稱name of aircraft manufacturer4航空器出廠序號(hào)serial number出廠日期 date of manufacture5零備件和航材情況(包括類別、數(shù)量及存放地點(diǎn))details of spare parts an

2、d manufacturing materials (including categories, quantity and places of storage)6抵押權(quán)人姓名或名稱 name of mortgagee抵押權(quán)人地址address of mortgagee法定代表人姓名name of legal representative7抵押人姓名或名稱name of mortgagor抵押人地址address of mortgagor法定代表人姓名 name of legal representative8所有人姓名或名稱name of owner所有人地址address of owner法

3、定代表人姓名 name of legal representative9占有人不同于所有人時(shí)填寫以下項(xiàng)目:fill in the following items only if possessor is not owner:(1) 占有人姓名或名稱name of possessor(2) 占有人地址address of possessor法定代表人姓名 name of legal representative- 4 -10抵押所擔(dān)保的債權(quán)obligation secured by mortgage數(shù)額和利息率 amount and interest rate受償期限 reimbursement

4、 period11抵押人是否要求抵押權(quán)人進(jìn)一步之貸款？ 是否is additional loan from the mortgagee reqrredyesno如有，請(qǐng)?zhí)顚懙盅哼M(jìn)一步擔(dān)保的債權(quán)if yes, additional obligation secured by the mortgage數(shù)額和利息率 amount and interest rate受償期限 reimbursement period12抵押權(quán)取得日期 date of acquisition of mortgage13備注 remarks14證明文件清單li of supporting documents(1) (2)

5、(3) (4) (5) 聲明：茲證明，上述所填各項(xiàng)及所提供的文件完全真實(shí)、合法、有效，填寫人對(duì)其合法性和真實(shí)性承擔(dān)一切責(zé)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.抵押權(quán)人(簽章)seal or signature of mortgagee姓名 name職位 title經(jīng)辦人 name of contact person聯(lián)系電話 telephone no.抵押人(簽章 )seal or signature of mortgagor姓名