(

) 

y 

p

g

, 

g, 

y 

j

y 

,

inclusive of legal fees and costs, except that, in case of a claim brought in a State where provision is made for 

separate award of legal fees and costs, the limit shall be the sum of US $58,000 exclusive of legal fees and costs. 

(2) The Carrier shall not, with respect to any claim arising out of the death, wounding, or other bodily injury of a 

passenger, avail itself of any defense under Article 20(1) of said Convention or said Convention as amended by said 

Protocol. 

Nothing herein shall be deemed to affect the rights and liabilities of the Carrier with regard to any claim brought by, on 

behalf of, or in respect of any person who has willfully caused damage w hich resulted in death, wounding, or other bodily injury 

of a passenger." 

2. Each Carrier shall, at the time of delivery of the ticket, furnish to each passenger whose transportation is governed by the 

Convention, or the Convention as amended by the Hague Protocol, and by the special contract described in paragraph 1, the 

following notice, which shall be printed in type at least as large as 10 point modern type and in ink contrasting with the stock on (i) 

each ticket; (ii) a piece of paper either placed in the ticket envelope with the ticket or attached to the ticket; or (iii) on the ticket 

envelope: 

"ADVICE TO INTERNATIONAL PASSENGER ON LIMITATION OF LIABILITY 

Passengers on a journey involving an ultimate destination or a stop in a country other than the country of origin are advised 

that the provisions of a treaty known as the Warsaw Convention may be applicable to the entire journey, including any portion 

entirely within the country of origin or destination. For such passengers on a journey to, from, or with an agreed stopping place 

in the United States of America, the Convention and special contracts of carriage embodied in applicable tariffs provide that the 

liability of 

[certain 1• Jetstar Japan Co., Ltd. 

[(name of carrier) and certain other] carriers parties to such special contracts for death of or personal injury to passengers is 

limited in most cases to proven damages not to exceed US $75,000 per passenger, and that this liability up to such limit shall 

not depend on negligence on the part of the carrier. For such passengers traveling by a carrier not a party to such special 

contracts or on a journey not to, from, or having an agreed stopping place in the United States of America, liability of the carrier 

for death or personal injury to passengers is limited in most cases to approximately US $10,000 or US $20,000. 

The names of Carriers parties to such special contracts are available at all ticket offices of such carriers and may be 

examined on request. 

Additional protection can usually be obtained by purchasing insurance from a private company. Such insurance is not 

affected by any limitation of the carrier's liability under the Warsaw Convention or such special contracts of carriage. For further 

information please consult your airline or insurance company representative." 

3. [This Agreement was filed with the Civil Aeronautics Board of the United States. The Board approved it by Order E23680, adopted May 13, 1966. The Agreement (Agreement 18900) became effective May 16, 1966. On January 1, 1985, this 

Agreement became the responsibility of the Department of Transportation (DOT) by operation of law.] 

4. This Agreement may be signed in any number of counterparts, all of which shall constitute one Agreement. Any Carrier 

may become a party to this Agreement by signing a counterpart hereof and depositing it with DOT. 

5. Any Carrier party hereto may withdraw from this Agreement by giving tw otice of withdraw a I to 

DOT and the other Carriers parties to the Agreement. 

*Either alternative rnay be used. 

(Printed Name and Title) ......... C!.L<:«....Jl<L' 

(Name and Address of carrier) _J_e_ts_ta_r_J_a_,p_a_n_C_o..:.., _L..:.td_. _ _______ _ 

OST Form 4523 (Formerlv CAB Form 263) 

Narita JAPAN