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Forms     81

DESCRIPTION OF AIRCRAFT
Heavier than, or Lighter than air ___________
Made by ______________
Type _____________
Maker's No. __________________

[3 columned table]

| [[dimensions]] | In Flight | Reduced or Folded for Storage |
|---|---|---|
| Span or breadth o/a in feet |   |   |
|---|---|---|
|Length o/a in feet|   |   | 
|---|---|---|
|Height o/a in feet|   |   |

Cubic Capacity (of Airship or Balloon) 
Weight equipped, but without load, fuel, or oil 
Total weight authorized (fully loaded) in lbs.........Air speed........miles per hour
EQUIPMENT - (Give number and type).
1. Instruments 
2. Gauges 
3. Lights 
4. Signals 
5. Fire Extinguishers 
6. Parachutes 
7. Tools 
8. Other Equipment 

[5 columned table]                         
|ENGINES-|Engine No.1|Engine No.2|Engine No.3|Engine No.4|
|---|---|---|---|---|                                              
|Name of Type|   |   |   |   |
|Pusher or Tractor|   |   |   |   |
|Right or Left Hand|   |   |   |   |
|No. of Cylinders|   |   |   |   |
|H.P.|   |   |   |   |
|Bore|   |   |   |   |
|Stroke|   |   |   |   |

REGISTRATION
(Not to be filled in by Applicant)

Aircraft inspected on 
Particulars accurate as corrected 
Modifications from type are indicated on annexed sheet 
Registration recommended with the following special conditions 


Date 
Signature
Registration approved and Registration Mark C.F.................allotted.

Registration
1. approved or 
2. not approved for reasons annexed 

Superintendent of Air Regulations