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This document contains a request for carriage and handling advice for an unaccompanied minor. It collects information such as the minor's name, age, gender, languages spoken, permanent address, flight details, and contact information for those seeing the minor off and meeting the minor at departure, stopovers, and arrival points. The parent or guardian declares that they have arranged escort and agrees to indemnify the carrier if the minor is not met as arranged. Airline staff details are also included for those responsible for the minor at different points of the journey.

Uploaded by

Estu Weningsari
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© © All Rights Reserved
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30 views1 page

Profil PKK

This document contains a request for carriage and handling advice for an unaccompanied minor. It collects information such as the minor's name, age, gender, languages spoken, permanent address, flight details, and contact information for those seeing the minor off and meeting the minor at departure, stopovers, and arrival points. The parent or guardian declares that they have arranged escort and agrees to indemnify the carrier if the minor is not met as arranged. Airline staff details are also included for those responsible for the minor at different points of the journey.

Uploaded by

Estu Weningsari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNACCOMPANIED MINOR

Request for Carriage - Handling Advice Original - To be retained


(Please complete this form in sixfold) by issuing office
and use blockletters throughout Copies - To be attached
to minor’s ticket

FULL NAME AGE SEX LANGUAGES SPOKEN


OF MINOR Given name (s) Nick Name Family or surname

PERMANENT ADDRESS
AND TELEPHONE
OF MINOR

FLIGHT DETAILS
FLIGHT NO. DATE FROM TO
FLIGHT NO. DATE FROM TO
FLIGHT NO. DATE FROM TO
PERSON SEEING OFF ON DEPARTURE - Name, Address and Telephone No.

PERSON MEETING AND SEEING OFF AT STOPOVER - Name, Address and Telephone No.

PERSON MEETING ON ARRIVAL - Name, Address and Telephone No. SIGNATURE FOR RELEASE OF MINOR
FROM AIRLINES CUSTODY

DECLARATION OF PARENT GUARDIAN


1. I confirm that I have arranged for the above mentioned minor to be accompanied to the airport on the departure and to be met at stop-over point and on
arrival by the person named. These person will remain at the airport until the flight has departed and / or be available at the airport at the scheduled time
to arrival of the flight.
2. Should the minor not be met at stop-over points or destinations, I authorize the carrier(s) to take whatever action they consider necessary to ensure the
minor’s safe custody including return of minor to the airport of departure, and I agree idemnity and reimburse the carrier(s) for the necessary and
reasonable cost and expenses incured by them in taking such action.
3. I certify that the minor is in possession of all travel documents (passport, visa, health certificate, etc.) required by applicable laws.
4. I the undersigned parent or guardian of the above mentioned minor agree to and request the unaccompanied carriage of the minor named above and
certify that information provided is accurate.

Name, Address and Telephone No. SIGNATURE

Date

AIRLINE STAFF IN CHARGE OF MINOR WHILST IN THEIR CUSTODY


ESCORT AT THE DEPARTURE AIRPORT ESCORT AT TRANSFER POINT No. 1
Name Name
Department / Airline Code Department / Airline Code
ESCORT IN FLIGHT ESCORT IN FLIGHT
Name Name
From/to From/to
Department / Airline Code Department / Airline Code
ESCORT AT ARRIVAL AIRPORT ESCORT AT TRANSFER POINT No. 2
Name Name
Department / Airline Code Department / Airline Code
SPECIAL INSTRUCTIONS, IF ANY ESCORT IN FLIGHT
(to be completed by issuing office) Name
From/to
Department / Airline Code
ESCORT AT TRANSFER POINT No. 2
Name
Department / Airline Code
ESCORT AT TRANSFER POINT No. 2
Name
Department / Airline Code
WB-13 FO1S

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