【正文】
航空公司因本人持有非正規(guī)旅客證件旅行或者其它上述情況而遭受的一切損失。Hainan Airlines and their agent own to do all obligations to remind to me, if the problem takes place in one39。s own health status , travel document or other indispensable files in my travel once here, have nothing to do with airline and agent of Hainan. I agree to bear all consequences , guarantee not to put forward the legal lawsuit and any pensation to airline and agent of Hainan because of this , and would like to pensate for all losses that the airline suffers because of holding the informal passenger39。s certificate travelling or other situations described above in person.在見(jiàn)證下,本人于 年 月 日簽署此文件。Get off witness it is here, I sign this file on Date Month Year .旅客聯(lián)系地址及聯(lián)系方式Passenger39。s and Contact: 旅客或其監(jiān)護(hù)人簽名Signature of Passenger /Guardian: 地面服務(wù)經(jīng)辦人簽名Signature of Ground Service Handler: 航空公司代表簽名Signature of HNA Representative: 說(shuō)明:1.用途:用于特殊旅客自身狀況不穩(wěn)定或者自身原因乘機(jī)條件不充分,旅客認(rèn)識(shí)到存在的風(fēng)險(xiǎn),堅(jiān)持成行下填寫(xiě);或者需要旅客證實(shí)其旅行及有關(guān)證件或者其他情況符合始發(fā)地、經(jīng)停地、目的地所在國(guó)家的法律及其他有關(guān)規(guī)定時(shí)填寫(xiě)。Purpose: This form should be filled by the special passenger who apply the special care, whose healthiness condition is not steady or fall short of transport qualification. Or the passenger should approve whose certificate is2.填寫(xiě)人和填寫(xiě)要求:由旅客或其監(jiān)護(hù)人填寫(xiě),航空公司代表(海航基地地面服務(wù)值班人員,或者海航駐場(chǎng)代表,或者機(jī)長(zhǎng))及地面服務(wù)經(jīng)辦人員(值機(jī)人員,或者特殊旅客服務(wù)人員,或者登機(jī)口控制人員)簽字確認(rèn)。內(nèi)容要詳細(xì)、完整、屬實(shí),不能有漏項(xiàng),字跡工整、頁(yè)面清潔,不能隨意涂改。Filling requirement: Filled in by the passenger or his guardian, cosigned for confirmation with the representative of airline pany (Ground Service Watch of HNA Base, Resident Representative of HNA Base, or Captain) and Ground Service Handler( checkin staff ,special passenger service staff. or boarding gate control )witness. Detailed, intact, true and without skip for contents to fill, writing carefully and neatly, keep page cleaned and not altered at will.3.保管要求:由簽字人員所在部門專人負(fù)責(zé)保管,定點(diǎn)存放,保存期1年。Keep requirement : Kept by special messenger, preserved by fixed position, one year of shelf life .4.本申明書(shū)一式三聯(lián),第一聯(lián)為航空公司代表聯(lián);第二聯(lián)為始發(fā)站地面服務(wù)聯(lián);第三聯(lián)為旅客聯(lián)。This form is in triplicate: the first sheet is for airlines representative。 the second sheet is for ground service department of airport of departure。 the third sheet is for passenger.136b附表 旅客運(yùn)輸申明書(shū)(背面)參考資料下述內(nèi)容僅供航空旅行時(shí)參考: