You are on page 1of 1

PT Garuda Indonesia (persero) Tbk

Letter of Indemnity (LOI)


FOR Domestic INTERNET BOOKINGS
(Passenger must present the SIGNED LOI, and PHOTOCOPY OF CARDHOLDER Pass Port /driver license (preferred) / ID )
BOOKING CODE (GA):
Passenger 1 Name
Passenger 2 Name
Passenger 3 Name
Passenger 4 Name
Passenger 5 Name
Passenger 6 Name
Passenger 7Name
Passenger 8 Name
Passenger 9 Name
First Departure Flight/Date

GA

/ Date

Route
Credit Card Number
First 1 digit and last 4 digit (only)

Cardholder Name
Cardholder Telephone

I hereby confirm that the above details are correct and that I have purchased the tickets for the passengers specified.
(Name as appear on credit card must match name on passport / Driver License /ID of Credit Cardholder)
rd

Terms and Conditions for 3 Party booking


1.

2.
3.

Cardholder authorizing the use of the credit card for the purchase of Garuda tickets must:

Complete & sign the Letter of Indemnity

Produce a clear photocopy of his/her Passport or Driver license(Preferred) or ID

Fax or scan all the above information to Garuda Verification Centre. Fax no: 021- 57956880 or
email to verficationcenter@garuda-indonesia.com
After the documents have been verified and approved, Garuda Indonesia shall continue with the check in process
rd
Garuda Indonesia reserves the right to refuse carriage to the travelling passengers in case of non-compliance to the 3 Party booking
terms and conditions.

Cardholder Signature

(NAME AS APPEAR ON CREDIT CARD)

For Official Use only


Remarks:

Garuda Indonesia Validation Stamp and


Staff Signature

Date

You might also like