Passenger Manifest Information for U.S. Citizens Departing the U.S.







PASSENGER MANIFEST INFORMATNION
(49 U.S.C., RULE 243. 14 CFR, DEPARTMENT OF TRANSPORTATION)

According to the U.S. Department of Transportation(DOT), all air carriers operating flights to/from the United States of America have to provied the following information from U.S. Citizens:

mandatory:
FULL NAME OF PASSENGER
Last Name:


First Name:


Middle Name:


(middle initial and/or whole middle name)

Optional:
NAME AND TELEPHOME NUMBER OF A CONTACT PERSON NOT TRAVELING WITH YOU ON THIS FLIGHT
Last Name:


First Name:


Telephone number:




Country Code

Area Code

Telephone Number
If you do not know the telephone number of you contact person, pleae provide a place (incl. country, city, or state) where the person can be reached (ex: name of a hotel of business inl. city)

Passport number:



Flight Number/Date:

AF




(Passenger's Signature)

This information will be kept strictly confidential, and will not be sold, not forwarded to any entity for marketing purposes.