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eTicket Itinerary

This is an eTicket itinerary. To enter the airport and for check-in, you must present this itinerary receipt along with Official
Government issued photo identification such as passport. identity card or Indonesians KTP.

Booking Details
Booking Reference (PNR): LVVAZJ
Issuing Airline: Lion Air
Place Of Issue: JKTTO
Issued Date: Sunday, 05 Dec, 2021

Passenger Details
No Passenger Name Ticket Number Loyalty Number
1. Utomo/Riki Karunia Mr 9902181799895 -
2. Pelangi/Sketsa Ultra Mrs 9902181799896 -
3. Nurani/Himmah Lentera Miss 9902181799897 -
4. Nusantara/Hamas Satria Mstr 9902181799898 -

Itinerary Details
Flight Depart Arrive Stops Class Fare Basis Status Baggage
JT 973 Surabaya Medan Kuala Namu 1 Economy - N NOW Confirmed 20Kg
(SUB) (KNO)
18 Dec 2021 18 Dec 2021
11:45 hrs 17:55 hrs
Departure/Keberangkatan: Terminal 1A
Operated by Lion Air

Ancillary Item(s):
Utomo/Riki Karunia Mr JT973 Medical Rapid Test IDR 35,000 9901509744786
Medical Rapid Test IDR 35,000 9901509744787
Medical Rapid Test IDR 35,000 9901509744788
Medical Rapid Test IDR 35,000 9901509744789
Pelangi/Sketsa Ultra Mrs JT973 Medical Rapid Test IDR 35,000 9901509744786
Medical Rapid Test IDR 35,000 9901509744787
Medical Rapid Test IDR 35,000 9901509744788
Medical Rapid Test IDR 35,000 9901509744789
Nurani/Himmah Lentera Miss JT973 Medical Rapid Test IDR 35,000 9901509744786
Medical Rapid Test IDR 35,000 9901509744787
Medical Rapid Test IDR 35,000 9901509744788
Medical Rapid Test IDR 35,000 9901509744789
Nusantara/Hamas Satria Mstr JT973 Medical Rapid Test IDR 35,000 9901509744786
Medical Rapid Test IDR 35,000 9901509744787
Medical Rapid Test IDR 35,000 9901509744788
Medical Rapid Test IDR 35,000 9901509744789

Fare Details (Includes Base Fare, Taxes, Fees and Surcharges)


Published Fare: IDR 3,940,000
Total Taxes: IDR 818,000
TOTAL TICKET IDR 4,758,000
Others:
Medical Kit: IDR 140,000
Total Amount: IDR 4,898,000

Fare Rules
Booking Class N: Ticket Refund and Exchanges are permitted with payment of fee and fare difference (if any) and within a defined
deadline. Name Change is not permitted.

Do not put valuable items (cameras, laptops, phones, jewelleries, documents and cash) in checked baggage.

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Any loss of valuables will be the responsibility of the passengers themselves.

Dilarang memasukkan barang-barang berharga (kamera, laptop, ponsel, perhiasan, dokumen berharga dan uang) ke dalam
bagasi yang diserahkan.
Bila terjadi kehilangan barang-barang berharga, menjadi tanggung jawab penumpang sendiri.

Additional Collections

Form Of Payment
CASH
DATE OF ISSUE-05DEC21 ISSUED AT-JKTTO JKT GIX

Endorsement
NONEND/NONRER/NONEXTEND

Tour Code
IT1880139069534

Important Notes
* Please arrive at the airport for check-in 4 hours prior to departure.
* For Lion Air/Batik Air/Wings Air domestic flights check-in closes 30 minutes and for international flights check-in closes 45 minutes
before departure time.
For Thai Lion Air domestic and international flights check-in closes 45 minutes before departure time. (For Thai Lion Air flights
from China, check-in closes 1 hour and 30 minutes before departure time. Except Chongqing (CKG) and Chengdu (CTU), check-in
closes 2 hours before departure time).
* Please be at the gate 30 minutes before departure time.
* If paid by credit card please note that the credit card used must be presented by the card holder for verification at check-in or you
may be denied boarding.
* Economy Class Passengers are allowed to bring up to 7kg of hand luggage onboard Lion Air Flights. Please refer to our terms and
condition for more information.
* Wheelchair services Lion Air Group:
1. Wheelchair is additional service that provide by airline for departure and arrival time with company asset.
2. That service provide for all domestic and international route of Lion Air-JT, Wings Air-IW and Batik Air-ID.
3. a. Service fee special wheelchair from and to Singapore (SIN) will be charged SGD 30.00
b. Handling fee for UM (Un-accompanied Minor) from and to Singapore (SIN) will be charged SGD 30
c. Service fee wheelchair paid outside Indonesia will be follow amount stated on system
* Passengers agree with Terms and Conditions of Carriage outlined by Carrier.
* Batik Air passengers may use personal earphone to enjoy in-flight entertainment.
* Lion Air Group shall not be responsible for any compensation or refund in any form for missed connections on two separate
tickets by airlines outside of the Lion Air Group.
* Baggage allowance Lion Air Group:

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* Prepaid baggage can be ordered through : •www.lionair.co.id •Travel Agent •Ticket Sales Office of the Lion Air Group,
at time of ticket purchase or up to 6 hours before time of departure.
* The Prepaid baggage tariff is 7% to 70% cheaper than the Excess Baggage Tariff (EBT) purchased at the airport, depending
on the flight route.

Catatan Penting
* Mohon tiba di bandara untuk check-in 4 jam sebelum keberangkatan.
* Untuk penerbangan domestik Lion Air/Batik Air/Wings Air check-in ditutup 30 menit sebelum jam keberangkatan dan untuk
penerbangan internasional check-in ditutup 45 menit sebelum jam keberangkatan.
Untuk penerbangan domestik dan internasional Thai Lion Air check-in ditutup 45 menit sebelum jam keberangkatan.
(Untuk penerbangan Thai Lion Air dari China, check-in ditutup 1 jam 30 menit sebelum jam keberangkatan. Kecuali
Chongqing (CKG) dan Chengdu (CTU), check-in ditutup 2 jam sebelum jam keberangkatan).
* Mohon tiba di gerbang keberangkatan 30 menit sebelum keberangkatan.
* Bila anda melakukan pembayaran menggunakan kartu kredit mohon menunjukan kartu tersebut berserta pemegang kartu untuk
verifikasi pada konter cek in atau proses boarding anda dapat dibatalkan.
* Penumpang kelas Economi diperbolehkan membawa barang bawaan maksimum seberat 7Kg ke dalam kabin. Silahkan membaca
persyaratan dan ketentuan yang berlaku untuk informasi lebih lanjut.
* Jasa kursi roda Lion Air Group:
1. Kursi roda adalah layanan tambahan yang disediakan oleh maskapai pada saat keberangkatan dan kedatangan dengan
menggunakan asset perusahaan
2. Layanan tersebut disediakan untuk semua rute domestik dan internasional Lion Air-JT, Wings Air-IW dan Batik Air-ID.
3. a. Biaya layanan kursi roda khusus dari dan ke Singapura (SIN) sebesar SGD 30.00
b. Biaya penanganan UM (Un-accompanied Minor) dari dan ke Singapura (SIN) sebesar SGD 30
c. Biaya layanan kursi roda yang dibayarkan di luar Indonesia mengikuti nominal harga yang tertera pada sistem
* Penumpang/Pemegang tiket ini tunduk kepada Syarat & Ketentuan Penerbangan yang ditetapkan oleh Maskapai
Penerbangan/Pengangkut.
* Penumpang Batik Air dapat menggunakan earphone pribadi untuk menikmati hiburan selama penerbangan.
* Lion Air Group tidak akan memberikan kompensasi atau penggantian dalam bentuk apapun jika penumpang ketinggalan
koneksi pesawat transit dari dua tiket airline yang berbeda/yang diluar Lion Air Group.
* Bagasi cuma-cuma Lion Air Group:

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* Pembelian bagasi dapat dipesan melalui : •www.lionair.co.id •Agen Perjalanan •Kantor Penjualan Tiket Resmi Lion Air Group,
pada saat pembelian tiket atau paling lambat 6 jam sebelum keberangkatan.
* Tarif pembelian bagasi tersebut lebih murah 7% hingga 70% dari pembelian bagasi di airport berdasarkan rute penerbangan.

For any assistance you may contact us on the following numbers

Reservation:
Lion Air Call Center Numbers:

+62 804-1-778899 (Indonesia)


+65 6339 1922 (Singapore)
+603 7841 5388 (Malaysia)

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Electronic Miscellaneous Document
Booking Reference (PNR): LVVAZJ Place of issue: JKTTO
Issuing Airline: JT Issued date: Sunday, 05 Dec, 2021

Passenger Name Reason for Issuance Code


UTOMO/RIKI KARUNIA MR G/In-flight Services

EMD Number
9901509744786

Ancillary Details
Airline Coupon From To Qty Status Reason for Issuance Sub Code
JT 1 Surabaya Medan Kuala Namu 1 OK 0B2/RAPID TEST

Base Value: IDR 35000 Total Value: IDR 35000


Issued in connection with document: 9902181799895 / 1 Associated

Base Amount IDR 35000

Total Amount IDR 35000

Form Of Payment
Cash AMT: IDR 35000

Total amount is inclusive of service tax, wherever applicable.

*For more details on terms and conditions and locations of Rapid Test, please see this link below:

https://www.lionair.co.id/en/rapid-test-conditions

https://www.lionair.co.id/en/rapid-test-antigen-locations
Electronic Miscellaneous Document
Booking Reference (PNR): LVVAZJ Place of issue: JKTTO
Issuing Airline: JT Issued date: Sunday, 05 Dec, 2021

Passenger Name Reason for Issuance Code


PELANGI/SKETSA ULTRA MRS G/In-flight Services

EMD Number
9901509744787

Ancillary Details
Airline Coupon From To Qty Status Reason for Issuance Sub Code
JT 1 Surabaya Medan Kuala Namu 1 OK 0B2/RAPID TEST

Base Value: IDR 35000 Total Value: IDR 35000


Issued in connection with document: 9902181799896 / 1 Associated

Base Amount IDR 35000

Total Amount IDR 35000

Form Of Payment
Cash AMT: IDR 35000

Total amount is inclusive of service tax, wherever applicable.

*For more details on terms and conditions and locations of Rapid Test, please see this link below:

https://www.lionair.co.id/en/rapid-test-conditions

https://www.lionair.co.id/en/rapid-test-antigen-locations
Electronic Miscellaneous Document
Booking Reference (PNR): LVVAZJ Place of issue: JKTTO
Issuing Airline: JT Issued date: Sunday, 05 Dec, 2021

Passenger Name Reason for Issuance Code


NURANI/HIMMAH LENTERA MISS G/In-flight Services

EMD Number
9901509744788

Ancillary Details
Airline Coupon From To Qty Status Reason for Issuance Sub Code
JT 1 Surabaya Medan Kuala Namu 1 OK 0B2/RAPID TEST

Base Value: IDR 35000 Total Value: IDR 35000


Issued in connection with document: 9902181799897 / 1 Associated

Base Amount IDR 35000

Total Amount IDR 35000

Form Of Payment
Cash AMT: IDR 35000

Total amount is inclusive of service tax, wherever applicable.

*For more details on terms and conditions and locations of Rapid Test, please see this link below:

https://www.lionair.co.id/en/rapid-test-conditions

https://www.lionair.co.id/en/rapid-test-antigen-locations
Electronic Miscellaneous Document
Booking Reference (PNR): LVVAZJ Place of issue: JKTTO
Issuing Airline: JT Issued date: Sunday, 05 Dec, 2021

Passenger Name Reason for Issuance Code


NUSANTARA/HAMAS SATRIA MSTR G/In-flight Services

EMD Number
9901509744789

Ancillary Details
Airline Coupon From To Qty Status Reason for Issuance Sub Code
JT 1 Surabaya Medan Kuala Namu 1 OK 0B2/RAPID TEST

Base Value: IDR 35000 Total Value: IDR 35000


Issued in connection with document: 9902181799898 / 1 Associated

Base Amount IDR 35000

Total Amount IDR 35000

Form Of Payment
Cash AMT: IDR 35000

Total amount is inclusive of service tax, wherever applicable.

*For more details on terms and conditions and locations of Rapid Test, please see this link below:

https://www.lionair.co.id/en/rapid-test-conditions

https://www.lionair.co.id/en/rapid-test-antigen-locations

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