Page 2 of 3
DECLARATION
I/We hereby declare that the foregoing particulars and answers are true in every respect, and I/We apply for the
aircraft to be registered in Bermuda. (See Note v page 3)
Name(s):
Date:
7 Is the Body or person named in 4 the owner of the aircraft?
Yes No
If YES answer questions (a) and (b) below
If NO continue to item 8
a) When did the Body or person(s) shown in 4 become the owner of the aircraft?
b) Is the aircraft wholly owned by the Body or person(s) named in 4? If jointly
a)
owned state the percentage shareholding of each person or body entitled as
owner to a legal interest in the aircraft or a share therein
b)
8 Is the Body or person named in 5 the charterer by demise, i.e. by loan, lease, hire
or hire purchase agreement (but not a mortgage). If YES, answer questions (a), (b)
and (c) below (Not applicable if the aircraft is to be registered to the owner and all
questions in section 7 are completed).
Yes No N/A
a) State the name and permanent address of the owner of the
aircraft and of intermediate lessors in order to detail the full
lease structure (if necessary please continue on a separate
sheet)
b) When did the charter commence?
c) What is the expiry date of the charter?
a)
b)
c)
9
In what capacity is the person, Body Corporate or Undertaking in whose name the aircraft is to be registered
entitled to have an aircraft registered in his name in Bermuda? (Tick appropriate heading)
a)
b)
c)
d)
e)
f)
g)
10
Yes No
Does any unqualified person or Body (other than 9 (a)-(g) above) hold a legal or
beneficial interest by way of ownership in the aircraft or any share therein?
If YES, give particulars (name, address, nationality)
11
If the aircraft is to be registered in the name of a person as defined in 9(c), (d), or
(e) above, state the nationality of such person
12 a) Intended use of the aircraft
b) Location of main operational base of the aircraft
a)
b)
Signature(s):
(of all parties named above - See Note iii page 3)
(Block letters)
Position(s) held:
(See Note iii page 3)
13
Form 100(B) Issue 3
The Crown in the right of Her Majesty's
Government in the United Kingdom
British citizen
Commonwealth citizen (See Note iv page 3)
Nationals of any European Economic Area
State
British protected person
Body incorporated in the United Kingdom, or in
some other part of the Commonwealth and
having its registered office or principle place of
business in the United Kingdom or any other part
of the Commonwealth
Undertaking formed in accordance with the law of
a European Economic Area State and having its
registered office, central administration or
principal place of business within the European
Economic Area
c)c) Operator
