無成人陪伴兒童乘機申請表

1、無成人陪伴兒童乘機申請書 無成人陪伴兒童乘機申請書UNACCOMPANIED MINOR REQUESTEDFOR CARRIAGE-HANDLING ADVICE日期(DATE):至(To) 中國東方航空股份有限公司兒童姓名(NAME OF MINOR) 年齡(AGE): 11 (包括兒童乳名-INCLUDING NICKNAME)

2、 性別(SEX): 女 航程(ROUTING) 上?！獮o州航班號 FLT NO日期 DATE自FROM至 TOMU5445 2016．6．27 上海浦東瀘州航站STATION接送人姓名 NAME OFPERSON ACCOMPANYING地址電話號碼ADDRESS AND TEL NO始發(fā)站ON DEPARTURE經(jīng)停站VIA POINT中轉站TRANSFER POINT到達站

3、ON ARRIVAL兒童父母或監(jiān)護人姓名地址電話號碼PARENT/GUARDIAN-NAME,ADDRESS AND TEL No:聲明 聲明(DECLARATION)1. 我證實申請書中所述兒童在始發(fā)站、航 1.I declare that I have arranged for the minor mentioned on the班銜接站和到達站由我所列明的人負責 upper side of this sheet to be acc

4、ompanied to the airport on接送。接送人將保證留在機場，直到航 departure and to be met at stopover point(s) and upon arrival班起飛以后，以及按照班期時刻表所列 by the person named. These person will remain at the 的航班到達時間以前抵達到達站機場。 airport until the flight

5、has departed and/or be available at the airport at the scheduled time of the arrival of the flight.2. 如果由于上表所列接送人未按規(guī)定進行 2.Should the minor not be met as stated on the upper side of this接送，造成兒童無人接送時，為保證兒 sheet, I authori

6、ze the carrier(s) to take whatever action they 童的安全運輸包括返回始發(fā)站，我授權 consider necessary to ensure the minor’s safe custody承運人，可以采取必要的行動，并且同 including return of the minor to the airport of departure, an I意支付承運人在采取這些行動中所墊付 ag

7、ree to indemnify and reimburse the carrier(s) for the的必要的和合理的費用。 necessary and reasonable costs and expenses incurred by taking such action.3. 我保證該兒童已具備有關國家政府法令 3.I certify that the minor is in possession of all travel要求

8、的全部旅行證件(護照、簽證、健 documents( passport, visa, health certificate, etc.)required by康證明書等)。 applicable laws.4. 我作為上表所列兒童的父母或監(jiān)護人。 4.I,the undersigned father/mother or guardian of the minor同意和要求該兒童按無成人陪伴兒童的 mentioned on the upp

9、er side of this sheet agree to and規(guī)定，進行運輸，并證明所提供的情況, request the unaccompanied carriage of the minor named on正確無誤。 the upper side of this sheet and certify that the information provided is accurete..申請人簽字(Signature)：

10、 史應舉 無成人陪伴兒童乘機申請書 無成人陪伴兒童乘機申請書UNACCOMPANIED MINOR REQUESTEDFOR CARRIAGE-HANDLING ADVICE日期(DATE):至(To) 中國東方航空股份有限公司兒童姓名(NAME OF MINOR) 年齡(AGE): 11 (包括兒童乳名-INCLUDIN

11、G NICKNAME) 性別(SEX): 女 航程(ROUTING) 上海—瀘州航班號 FLT NO日期 DATE自FROM至 TOMU5445 2016．6．27 上海浦東瀘州航站STATION接送人姓名 NAME OFPERSON ACCOMPANYING地址電話號碼ADDRESS AND TEL NO始發(fā)站ON DEPARTURE經(jīng)停站VIA POINT中轉站

12、TRANSFER POINT到達站ON ARRIVAL兒童父母或監(jiān)護人姓名地址電話號碼PARENT/GUARDIAN-NAME,ADDRESS AND TEL No:聲明 聲明(DECLARATION)1. 我證實申請書中所述兒童在始發(fā)站、航 1.I declare that I have arranged for the minor mentioned on the班銜接站和到達站由我所列明的人負責 upper side of thi

13、s sheet to be accompanied to the airport on接送。接送人將保證留在機場，直到航 departure and to be met at stopover point(s) and upon arrival班起飛以后，以及按照班期時刻表所列 by the person named. These person will remain at the 的航班到達時間以前抵達到達站機場。 airport

14、until the flight has departed and/or be available at the airport at the scheduled time of the arrival of the flight.2. 如果由于上表所列接送人未按規(guī)定進行 2.Should the minor not be met as stated on the upper side of this接送，造成兒童無人接送時，為保證兒

15、 sheet, I authorize the carrier(s) to take whatever action they 童的安全運輸包括返回始發(fā)站，我授權 consider necessary to ensure the minor’s safe custody承運人，可以采取必要的行動，并且同 including return of the minor to the airport of departure, an I意支付

16、承運人在采取這些行動中所墊付 agree to indemnify and reimburse the carrier(s) for the的必要的和合理的費用。 necessary and reasonable costs and expenses incurred by taking such action.3. 我保證該兒童已具備有關國家政府法令 3.I certify that the minor is in possessio

17、n of all travel要求的全部旅行證件(護照、簽證、健 documents( passport, visa, health certificate, etc.)required by康證明書等)。 applicable laws.4. 我作為上表所列兒童的父母或監(jiān)護人。 4.I,the undersigned father/mother or guardian of the minor同意和要求該兒童按無成人陪伴兒童的 men

18、tioned on the upper side of this sheet agree to and規(guī)定，進行運輸，并證明所提供的情況, request the unaccompanied carriage of the minor named on正確無誤。 the upper side of this sheet and certify that the information provided is accurete..申請