seatmap : A／D／E

PASSENGER LIST

【Notice】

Heli - Taxi

window seat

✦ Please fill in this form after reading the following content carefully.

According to our conditions of carriage, We, EXCEL AIR SERVICE INC. reserve the right toDeparture Date ：2018 / 08 / 01

Reservation No. ：T - 301866

Destination ：Check-in ：refuse service to all the passengers who seem to interrupt our safety operation.
Please be aware that we might have to change the flight courses due to sudden weather

KERAMA Airport → NAHA Airport

12:00

Boarding ：12:40

change or the instructions from Air Traffic Control.

Boarding Gate

Personal information obtained from customers will be used for purposes of issuing ticket based

James Smith

on Conditions of Carriage, passenger listing and management, and conclusion of insurance.

Representative TEL ：000-0000-0000

We shall appropriately manage personal information and passenger can demand to disclose,

Health condition ：✔ GoodBad

We accepted that safety brefing
and understood it.

□Representative ：Sign：collect, and delete a Personal information.

JamesSmith

We need to know these information to check the balance of aircraft and make application of insurance in case of an emergency.

AdultChildNameAgeWeight(kg)A Back row right window
B Back row right middle
C Back row left middle
D Back row left window
E Front row left window

James Smith

30

Maria Smith28

Address

TEL for emergency

701600 Pennsylvania Avenue, NW, Washington, DC

000-0000-0000

50

〃

〃20

a big suitcase (80cm×50cm×30cm)

One infant under 3 years can board to the aircraft for free with one adult who is over 16 years.(Maximum 3 infants)

Infants(0～2)

Customers Fill Column

Seat selection

A Back row right window
B Back row right middle
C Back row left middle
D Back row left window※Suitcase Boston bag(Not more than 115cm ) can be equipped in te cargo spasce.Please fill in the following luggage entry field.
※If your baggage is oversized or unable to be appropriately stowed in the cargo space due to the stowage limitations, it may need to be equipped ofusing the seat. In that case, please fill out the size and weight of baggage to name entry field.

1
2

suitcase

Width50

Depthｃｍｃｍ

30

Heightｃｍｃｍ

20

Weightｃｍｃｍ

5ｋｇｋｇ

Luggage

Luggage
受付担当者：

Luggage type

Luggage type34

WidthDepth

HeightWeightｃｍｃｍｃｍｋｇｃｍｃｍｃｍｋｇ

EXCEL AIR SERVICE INC. TEL ： 098 - 857 - 7563

FAX ： 098 - 857 - 7564

seatmap : A／D／E

PASSENGER LIST

【Notice】

Heli - Taxi

window seat

✦ Please fill in this form after reading the following content carefully.

According to our conditions of carriage, We, EXCEL AIR SERVICE INC. reserve the right toDeparture Date ：/Reservation No. ：T-Destination ：（/）

refuse service to all the passengers who seem to interrupt our safety operation.
Please be aware that we might have to change the flight courses due to sudden weather→Check-in ：change or the instructions from Air Traffic Control.

Boarding ：Boarding Gate

Personal information obtained from customers will be used for purposes of issuing ticket based□

Representative ：on Conditions of Carriage, passenger listing and management, and conclusion of insurance.

Representative TEL ：We shall appropriately manage personal information and passenger can demand to disclose,

Health condition ：GoodBad

We accepted that safety brefing
and understood it.

Sign：collect, and delete a Personal information.

.

We need to know these information to check the balance of aircraft and make application of insurance in case of an emergency.
Seat selection

NameAgeWeight(kg)Address

TEL for emergency

AdultChildOne infant under 3 years can board to the aircraft for free with one adult who is over 16 years.(Maximum 3 infants)

Infants(0～2)

Customers Fill Column

A Back row right window
B Back row right middle
C Back row left middle
D Back row left window
E Front row left window
A Back row right window
B Back row right middle
C Back row left middle
D Back row left window※Suitcase Boston bag(Not more than 115cm ) can be equipped in te cargo spasce.Please fill in the following luggage entry field.
※If your baggage is oversized or unable to be appropriately stowed in the cargo space due to the stowage limitations, it may need to be equipped ofusing the seat. In that case, please fill out the size and weight of baggage to name entry field.

12WidthDepthHeightWeightｃｍｃｍｃｍｋｇｃｍｃｍｃｍｋｇ

Luggage

Luggage
受付担当者：Luggage type

Luggage type

34

Width

Depth

HeightWeightｃｍｃｍｃｍｋｇｃｍｃｍｃｍｋｇ

EXCEL AIR SERVICE INC. TEL ： 098 - 857 - 7563

FAX ： 098 - 857 - 7564