PASSENGER LIST
Helicopter Cruising

seatmap : A／D／E【Notice】

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. ：S - 300866

Ｃourse ：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 Ialands National Park

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

Representative ：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□collect, and delete a Personal information.

We accepted that safety brefing
and understood it.

Sign：

JamesSmith

We need to know these information to check the balance of aircraft and make application of insurance in case of an emergency.
NameAgeWeight(kg)ABack row right window

James Smith

30

B

Back row right middle

Maria Smith28

Address

TEL for emergency

701600 Pennsylvania Avenue, NW, Washington, DC

000-0000-0000

50〃〃C Back row left middle
D Back row left window
EFront row left window

One infant under 3 years can board to the aircraft for free with one adult who is over 16 years.(Maximum 3 infants)
Inf0a～n2ts(Customers Fill ColumnC Ah di ul ld tSeat selection)

受付担当者：A

Back row right window

B

Back row right middle

C Back row left middle
D Back row left window

EXCEL AIR SERVICE INC.

TEL: 098-857-7563

FAX: 098-857-7564

seatmap : A／D／E

PASSENGER LIST

【Notice】

Helicopter Cruising

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. ：S-（/）

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

Ｃourse ：→Check-in ：Boarding ：change or the instructions from Air Traffic Control.

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□collect, and delete a Personal information.

We accepted that safety brefing
and understood it.

Sign：.

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

C Ah di ul ld t

A

Back row right window

BBack row right middle

NameAgeWeight(kg)Address

TEL for emergency

C Back row left middle
D Back row left window
EFront row left window

One infant under 3 years can board to the aircraft for free with one adult who is over 16 years.(Maximum 3 infants)
Inf0a～n2ts(Customers Fill Column

Seat selection)

受付担当者：A

Back row right window

B

Back row right middle

C Back row left middle
D Back row left window

EXCEL AIR SERVICE INC.

TEL: 098-857-7563

FAX: 098-857-7564