无成人陪伴儿童乘机申请书.DOCVIP

PAGE 9 无成人陪伴儿童乘机申请书（正面） 无 成 人 陪 伴 儿 童 乘 机 申 请 书 UNACCOMPANIED MINOR RE AIRGUILIN FOR CARRIAGE-HANDLING ADVICE 儿童姓名NAME OF MINOR： 年龄AGE： 性别SEX： （包括儿童乳名-INCLUDING NICKNAME） 与旅客关系RELATIONSHIP WITH PASSENGER： 健康状况HEALTH： 航班号 FLT NO 日期 DATE 始发站 ON DEPARTURE 经停/衔接站 STOPOVER POINT 到达站 ON ARRIVAL 航站 STATION 接送人姓名/有效证件号码 NAME OF PERSON ACCOMPANYING AND VALID ID NO. 电话、地址 ADDRESS AND TEL.NO 始发站 ON DEPARTURE 经停/衔接站 STOPOVER POINT 到达站 ON ARRIVAL 备注REMARK： 儿童父母或监护人姓名、地址、电话号码 PARENT/GUARDIAN-NAME. ADDRESS. TEL NO.： 本单为一式三联：第一联为出票联，由出票单位留存；第二联为乘机联，交始发站值机部门留存；第三联为到达联，交到达站服务部门留存。 This form is in triplicate: the first sheet is for issuing, kept by issuing unit; the second sheet is for flight, kept by check-in department of airport of departure; the third sheet is for arriving, kept by the service department of airport of destination.无成人陪伴儿童乘机申请书（背面） 声 明 售票处： 1、证实申请书中所述儿童在始发站、航班衔接站和到达站由我所证明的人负责接送。接送人将保证留在机场，直至航班起飞以后，以及按照航班时刻所列的航班到达时间以前抵达到达站机场。 2、如果由于申请书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，可以采取必要的行为，并且同意支付承运人在采取这些行动中所垫付的必要和合理的费用。 3、我保证儿童已具备有关国家政府法令要求的全部有效旅行证件。（护照、签证、健康证明书、户口簿） 4、我作为申请书所列儿童的父母或监护人，同意和要求该儿童按无人陪伴儿童的规定，进行运输，并证明所提供的情况正确无误。 申请人签字： 日期： DECLARATION To office: I declare that I have arranged for the minor mentioned on the reverse side of this sheet to be accompamed to the airport on departure and to be met at stopover point (a) and upon arrival by the persons named. These persons will remain at the airport until the flight has departed and / or be available at the scheduled time of the arrival of the flight. Should the minor not be met as stated on the reverse side of this sheet, I authorize the carrier(s) to take whatever action they consider necessary to ensure the minor’s 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. I certify that the m