船舶抵押权登记申请书 
                海事局： 
根据《中华人民共和国船舶登记条例》的规定，现申请下述船舶办理抵押权登记，请予核准。 
抵押人名称                                                                      （盖章） 
抵押权人名称                                              （盖章） 
年    月    日 
船名                     船籍港              船舶呼号             IMO编号             
登记号码                 船舶种类            船体材料             船舶价值             
尺度总长                    米；型宽                      米；型深                    米 
吨位总吨                               ;净吨                                           
船舶所有人名称                                                                         
抵押权人名称、地址                                                                    
                                                               联系电话               
抵押人名称、地址                                                                       
                                                               联系电话               
债权数额                                  抵押金额                                    
受偿期限                                  利息率                                       
原有抵押情况： 
附送材料： 
1、2/3以上份额或约定份额的共有人同意设定抵押的证明文书（适用于多人共有情况）□ 
2、抵押人和抵押权人的合法身份证明文件  □ 
3、委托书和受委托人身份证明文件（适用于委托他人办理）；□ 
4、船舶所有权登记证书  □ 
5、抵押合同及其主合同  □ 
6、告知承租人船舶设定抵押的文书（适用于已办理光船租赁登记的船舶） □ 
7、船舶抵押权转移合同、抵押权人通知抵押人的证明文书、原抵押权登记证书（适用于船舶抵押权转移）  □ 
8、资产评估机构出具的船舶价值评估报告  □ 


联系人：                                 联系电话：