QSF/AS049

Passenger Details Flight Details

Name of Passenger: _____________________________ Flight Date: _____________________________________

Contact Number: _______________________________ Flight Number: ________ Origin: _________________

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(Please do not answer. For CEB’s Agent only)
Onboard Care and Monitoring Remarks: ______________
I have verified that the Passenger is aged 7 years to below 12 years old.
_______________________________________________
Agent’s Name & Signature: ___________________________________
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Guardian Details
Guardian at Origin: ____________________________ Guardian at Destination: __________________________

Address at Origin: Address at Destination:

_____________________________________________ ______________________________________________
_____________________________________________ ______________________________________________

Phone Number of Guardian at Origin: Phone Number of Guardian at Destination:

____________________________________________ ______________________________________________

Guardian at Origin’s Signature: Guardian at Destination’s Signature:

Privacy Statement Assisting Agent Details

Cebu Air, Inc. (CEB) is committed to respecting your privacy and Origin Agent’s Name: ____________________________________
protecting your personal information. We collect these information to
help us provide you with the service and assistance you need. Data Signature: _____________________________________________
collected in this form will be used to properly handle Unaccompanied
Minors (UMs) on the day of flight and will also be used to identify contact Gate Agent’s Name: _____________________________________
persons in case of an emergency.
Signature: _____________________________________________
The data may be shared with our third-party service providers to aid in
providing a safe and convenient travel experience. We will store the data
Cabin Crew’s Name: _____________________________________
collected for six months after service was given as documentation and
proof of proper UM handling or until request for deletion.
Signature: _____________________________________________
For more information on our privacy policy, please visit
www.cebupacificair.com/pages/privacy-policy or send an email to
Destination Agent’s Name: _______________________________
DPO@cebupacificair.com. If you wish to change how we manage your
data, you may contact CEB Customer Care at Signature: _____________________________________________
www.cebupacificair.com/pages/guest-feedback or you may reach any
CEB Office or counter near you. Terms of Handling
Please be advised that Unaccompanied Minors (UMs) may be accepted only for domestic
travel, provided they meet all of the following:

Printed Name & Signature  The UM/s is/are endorsed by parents/ guardians at check-in;
 Send-off party must not leave the airport until UM’s flight has departed;
I have read and agree to the Privacy Policy and hereby give my consent to CEB to  The Airline is furnished a copy of the applicable travel documents required
collect, store, and use the data in this form. I have been authorized by the of minors;
Guardian at Destination to provide his/her personal information and confirm that  The prescribed UM Handling Fee is paid; and
all data provided here is correct.  The required UM Form is accomplished by the parents/ guardians, and is
submitted to the Airline at check-in.
Date Issued: 15 Nov 2009
Rev. No. / Rev. Date: 4/01 Apr 2020 Destination