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1、無成人陪伴兒童乘機(jī)申請書(正面)無成人陪伴兒童乘機(jī)申請書UNACCOMPANIEDMINORREAIRGUILINFORCARRIAGE-HANDLINGADVICE兒童姓名NAMEOFMINOR:年齡AGE:性別SEX:(包括兒童乳名-INCLUDINGNICKNAME)與旅客關(guān)系RELATIONSHIPWITHPASSENGER:健康狀況HEALTH:航班號FLTNO日期DATE始發(fā)站ONDEPARTURE經(jīng)停/銜接站STOPOVERPOINT到達(dá)站ONARRIVAL航站STATION接送人姓名/有效證件號碼NAMEOFPERSONACCOMPANY
2、INGANDVALIDIDNO.電話、地址ADDRESSANDTEL.NO始發(fā)站ONDEPARTURE經(jīng)停/銜接站STOPOVERPOINT到達(dá)站ONARRIVAL備注REMARK:兒童父母或監(jiān)護(hù)人姓名、地址、電話號碼PARENT/GUARDIAN-NAME.ADDRESS.TELNO.:本單為一式三聯(lián):第一聯(lián)為出票聯(lián),由出票單位留存;第二聯(lián)為乘機(jī)聯(lián),交始發(fā)站值機(jī)部門留存;第三聯(lián)為到達(dá)聯(lián),交到達(dá)站服務(wù)部門留存。Thisformisintriplicate:thefirstsheetisforissuing,keptbyissuingunit;thesec
3、ondsheetisforflight,keptbycheck-indepartmentofairportofdeparture;thethirdsheetisforarriving,keptbytheservicedepartmentofairportofdestination.4無成人陪伴兒童乘機(jī)申請書(背面)聲明售票處:1、證實(shí)申請書中所述兒童在始發(fā)站、航班銜接站和到達(dá)站由我所證明的人負(fù)責(zé)接送。接送人將保證留在機(jī)場,直至航班起飛以后,以及按照航班時(shí)刻所列的航班到達(dá)時(shí)間以前抵達(dá)到達(dá)站機(jī)場。2、如果由于申請書所列接送人未按規(guī)定進(jìn)行接送,造成兒童無人接送
4、時(shí),為保證兒童的安全運(yùn)輸包括返回始發(fā)站,我授權(quán)承運(yùn)人,可以采取必要的行為,并且同意支付承運(yùn)人在采取這些行動中所墊付的必要和合理的費(fèi)用。3、我保證兒童已具備有關(guān)國家政府法令要求的全部有效旅行證件。(護(hù)照、簽證、健康證明書、戶口簿)4、我作為申請書所列兒童的父母或監(jiān)護(hù)人,同意和要求該兒童按無人陪伴兒童的規(guī)定,進(jìn)行運(yùn)輸,并證明所提供的情況正確無誤。申請人簽字:日期:DECLARATIONTooffice:1.IdeclarethatIhavearrangedfortheminormentionedonthereversesideofthissheettobea
5、ccompamedtotheairportondepartureandtobemetatstopoverpoint(a)anduponarrivalbythepersonsnamed.Thesepersonswillremainattheairportuntiltheflighthasdepartedand/orbeavailableatthescheduledtimeofthearrivaloftheflight.2.Shouldtheminornotbemetasstatedonthereversesideofthissheet,Iauthorize
6、thecarrier(s)totakewhateveractiontheyconsidernecessarytoensuretheminor’ssafecustody,includingreturnoftheminortotheairportofdeparture,andIagreetoindemnifyandreimbursethecarrier(s)forthenecessaryandreasonablecostsandexpensesincurredbytakingsuchaction.3.Icertifythattheminorisinposse
7、ssionofalltraveldocuments(passport,visa,healthcertificate,etc.)reairguiliniredbyapplicablelaws.4.Itheundersignedfather/motherorguardianoftheminormentionedonthereversesideofthissheetagreetoandreairguilinesttheunaccompaniedcarriageoftheminornamedonthereverseofthissheetandcertifytha
8、ttheinformationprovidedisaccurate.Signat