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80   AIR REGULATIONS, 1938 

APPLICATION FOR REGISTRATION OF AN AIRCRAFT

AIR REGULATIONS, 1938

(To be sent in duplicate)

The Controller of Civil Aviation,
Department of Transport,
Ottawa.

Application is hereby made for the registration under the Air Regulations (including Certificate of Airworthiness if required), of the aircraft described below.
There are enclosed fees as checked below:-
Registration -------------------- $ 5.00
Certificate of Airworthiness ---- $ 5.00

(See note below)

The particulars given below are true in every respect.

Signature of Applicant _____________
Date of Application _______________

OWNER, OR OWNERS OF AIRCRAFT

[3 columned table]

| Name in full (IN BLOCK CAPITALS) | Permanent Address | Nationality |
|---|---|---|         
|   |   |   |
|---|---|---| 
|   |   |   |
|---|---|---|
|   |   |   |
|---|---|---|
|   |   |   |
 
IF OWNER IS A COMPANY, NAMES OF DIRECTORS, ETC.

[4 columned table]

| Name in full (IN BLOCK CAPITALS) | State whether President, Chairman or Director | Address | Nationality |
|---|---|---|---|
|   |   |   |   |
|---|---|---|---|
|   |   |   |   |
|---|---|---|---|
|   |   |   |   |
|---|---|---|---|
|   |   |   |   |

Purpose for which aircraft is to be used (State, Commercial, Passenger, Freight or Private)
______________________

Usual Station __________________
Date of manufacture or reconstruction _________________
Crew required ______________________
Accommodation for what number of passengers _________________

Note.- The fee for original registration is $5.00. In the case of ownership, the fee for re-registration is $5.00. The fee for certificate of airworthiness is $5.00, which certificate is re-issued on change of ownership without further fee.

Form 2413