E-Commerce

PIA Web Ticketing

INDEMNITY FORM

This is to certify that I ______________________________ Passport / Official Photo ID#:

__________________, resident of ___________________________________________
that Web Ticket(s)# _____________________________________ have been purchased
through my credit / debit card# __________________________ Expiry Date: _________.

_______________________________________________________________________
______________________________________________________________________.
Due to this credit / debit card will not be able to present it for verification. I request PIA to
allow my family members travelling through above mention tickets to proceed for travel
without the original credit / debit card used for purchase.

I guarantee that incase there is any credit / debit card chargeback claim to PIA on credit /
debit card#: _____________________________ Expiry Date: ___________ pertaining to
Web Ticket(s) # _________________________________________________________,
I will be liable for settlement of value for the above ticket.

Furthermore, if required I will also cooperate with PIA Staff to provide required
information/details.

Signature: ____________________________________
Name: ________________________________________
Address: ______________________________________
Passport / Official Photo ID #: _____________________
Date: ________________________________________