UNACCOMPANIED MINOR ASSISTANCE & HANDLING WAIVER (For UM between 12 and below 18 years old ONLY) TO : Singapore Airlines Limited/SilkAir (Singapore) Private Limited DATE ‘Name of Customer Date of Birth: ‘Age: Gender :M/F, Flight Number Date Departure “Arrival 1 declare that the above-named unaccompanied minor (“UM”) is my son/daughter/a child under my guardianship*. 1 hereby instruct you that (1) you do not have to assist the abovementioned UM on the ground and during the entire journey on the above flight/sector(s) operated by Singapore Airlines/SilkAir and that (2) you do not have to Provide the abovementioned UM with any special seating arrangements; because he/she is fully and entirely capable of handling his/her own needs. | hereby revoke and nullify any previous request for special assistance for the UM, made at the time of reservations or prior to this change of instruction and this instruction shall prevail for the ‘above stated duration on the ground and during the flights (as the case may be). Gerruoine YEO N@O_ POEN WANG Name ature of Parent/Guardian STATS D STATE Passport/NRIC Number PassporNRIC Number {ZA9140 Telephone/Mobile Contact of Parent/Guardian & Atousoy cane 41-0 STHomgon LANE #210] Address of Parent/Guardian 91 uy Ades of Wines UT OSF, * Delete as necessary. **Please complete this form and submit it at th sheck-in for each journey ight, ‘Singapore Company Registration, Numbers: Singapore Limited - 197500236D ies Limited ~197200078R/ SikAit (Singapore) Private Scanned with CamScanner