Form1 Out of Sequence Registration

Form 1
Application for Out-of-Sequence
Aircraft Registration Mark(s)
This reservation will be valid for twelve calendar months from date of confirmation of receipt
Please read the Guidance Notes overleaf before completing this form.
Please complete the form electronically or in block capitals using black or dark blue ink.
1. REQUESTED MARK(S)
Manufacturer and
Manufacturer’s Designation of Aircraft:
Aircraft Serial Number:
Requested Registration
Mark(s)
MMMM2. APPLICANT
Name:
Address:
Post Code:
Telephone No:
Fax No:
Email:
3. DECLARATION
The sum of
£
in payment of the statutory charge is
*enclosed
*to be charged to my account
( *delete the words that do not apply)
Date:
Signature of applicant:
REGISTRY USE ONLY
Received:
Expiry:
Acknowledged:
Fee Paid:
£
Entered on Database:
Telephone: +44 (0)1624 682358
Email: [email protected]
3 May 2017
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Guidance Notes for the completion of this application form
Form 1
1. Before completing the form, please either telephone the Aircraft Registry on +44(0)1624 682358 or
email [email protected] requesting confirmation that your requested Mark(s) is/are available.
2. Letter combinations will not be accepted which might be confused with the five-letter combinations
used in the International Code of Signals, Part II, the three-letter combinations beginning with Q
used in the Q code, and with the distress signal SOS, or other similar urgent signals, for example
XXX, PAN and TTT.
3. After the telephone/email confirmation of availability, the registration mark(s) will be held for 7 days
pending receipt of payment.
4. Registrations can only be reserved for existing aircraft, or aircraft on order.
(Registration Marks cannot be reserved speculatively).
5. Upon confirmation of availability, please complete the form and send it to [email protected]
6. See ‘Scheme of Charges’ Part 2, Registration, on the Aircraft Registry website; www.aircraft.im for the
charges involved.
7. Upon confirmation of receipt of payment, the requested Registration Mark(s) will be reserved for
twelve calendar months. If the expected aircraft delivery is longer than twelve months, payment
should be made for the delivery period expected.
Telephone: +44 (0)1624 682358
Email: [email protected]
3 May 2017
Page 2 of 2