无成人陪伴儿童乘机申请书.doc

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1、无成人陪伴儿童乘机申请书UNACCOMPANIED MINOR REQUESTEDFOR CARRIAGE-HANDLING ADVICE至(To) 中国东方航空股份有限公司 日期（DATE）: 儿童姓名（NAME OF MINOR） 年龄（AGE） : （包括儿童乳名-INCLUDING NICKNAME） 性别（GENDER） : 航程(ROUTING) 航班号 FLT NO 日期 DATE 自 FROM 至 TO 航站 STATION 接送人姓名/证件号 NAME OF PERSON ACCOMPANYING/ID No. 地址电话号码 ADDRESS AND TEL NO 始发站 ON

2、 DEPARTURE 到达站 ON ARRIVAL儿童父母或监护人姓名地址电话号码 PARENT/GUARDIAN-NAME,ADDRESS AND TEL No 声明(DECLARATION)1. I declare that I have arranged for the minor mentioned on the upper side of this sheet to be accompanied to the airport on departure and to be met upon arrival by the person named. These persons will

3、remain at the airport until the flight has departed and/or be available at the airport at the scheduled time of the arrival of the flight.2. Should the minor not be met as stated on the upper side of this sheet, I authorize the carrier(s) to take whatever action they consider necessary to ensure the

4、 minors safe custody including return of the minor to the airport of departure, and I agree to indemnify and reimburse the carrier(s) for the necessary and reasonable costs and expenses incurred by taking such action.3. I certify that the minor is in possession of all travel documents (passport, vis

5、a, health certificate, etc.) required by applicable laws.4. I, the undersigned father/mother or guardian of the minor mentioned on the upper side of this sheet agree to and request the unaccompanied carriage of the minor named onthe upper side of this sheet and certify that the information provided

6、is accurate. I agree to the processing of the personal data of the minor by the carrier and have obtained the consent from the accompanying persons to provide their personal data.1. 我证实申请书中所述儿童在始发站和到达站由我所列明的人负责接送。接送人将保证留在机场，直到航班起飞以后，以及按照班期时刻表所列的航班到达时间以前抵达到达站机场。2. 如果由于上表所列接送人未按规定进行接送，造成儿童无人接送时，为保证儿童的安全运输包括返回始发站，我授权承运人，可以采取必要的行动，并且同意支付承运人在采取这些行动中所垫付的必要的和合理的费用。3. 我保证该儿童已具备有关国家政府法令要求的全部旅行证件(护照、签证、健康证明书等)。4. 我作为上表所列儿童的父母或监护人，同意并要求该儿童按无成人陪伴儿童的规定进行运输，并证明所提供的情况, 正确无误。我同意承运人处理上表所列儿童的个人信息并承诺在提供接送人个人信息前已获得其同意。申请人签字(Signature)： 接机人签字（Pick-up person Signature)：