1、民用航空器抵押权登记申请书APPLICATION FOR REGISTRATION OF MORTGAGE RIGHT IN CIVIL AIRCRAFT1国籍标志和登记标志_Nationality Mark and Registration Mark 2航空器型号_Aircraft Model 制造地点_Place of Manufacture3航空器制造者名称_Name of Aircraft Manufacturer4航空器出厂序号_Serial Number出厂日期_Date of Manufacture5零备件和航材情况（包括类别、数量及存放地点）Details of Spare P
2、arts and Manufacturing Materials (Including Categories, Quantity and Places of Storage)_6抵押权人姓名或名称_Name of Mortgagee抵押权人地址_Address of Mortgagee _法定代表人姓名_- 2 -Name of Legal Representative7抵押人姓名或名称_Name of Mortgagor抵押人地址_Address of Mortgagor_法定代表人姓名_Name of Legal Representative8所有人姓名或名称_Name of Owner所
3、有人地址_Address of Owner _法定代表人姓名_Name of Legal Representative9占有人不同于所有人时填写以下项目:Fill in the Following Items Only if Possessor is not Owner:(1)占有人姓名或名称_Name of Possessor(2)占有人地址 _Address of Possessor_法定代表人姓名_Name of Legal Representative- 3 -10抵押所担保的债权Obligation Secured by Mortgage数额和利息率_Amount and Inter
4、est Rate _受偿期限_Reimbursement Period11抵押人是否要求抵押权人进一步之贷款？ 是 否Is Additional Loan from the Mortgagee Reqrred Yes No如有，请填写抵押进一步担保的债权If Yes, Additional obligation Secured by the Mortgage数额和利息率_Amount and Interest Rate _受偿期限_Reimbursement Period 12抵押权取得日期_Date of Acquisition of Mortgage13备注_Remarks_- 4 -14
5、证明文件清单Li 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 beresponsible for all liabilities for any irregularity, incorrectness, falseness or invalidity thereof.抵押权人（签章)_ 抵押人(签章)_Seal or Signature of Mortgagee Seal or Signature of Mortgagor姓名_ 姓名 _Name Name职位_ 职位_Title Title经办人_Name of Contact Person联系电话_ 联系传真_Telephone No. Facsimile No.申请日期及时间(由登记部门填写 )_Date and Time（To be completed by CAAC ）
