A. REFUND APPLICATION

							                                                                                               Print                    Reset
                  REFUND APPLICATION / AUTHORITY
                  (Airline Copy)
                                                                                      Document No.                                       0


Agent Name                                           Agency Code                     Airline Code          Date of issue
                                                     13-3         0000      0                  000         23/08/2005 (dd/mm/yyyy)

Agent's Contact Person Contact Tel No Contact Email                                                Year Month          No: (Period)
                                                                                                     2005 Aug              2


A. REFUND APPLICATION
Passenger Name                                                        Reasons for refund                Stat
                                                                  Used / Voluntary                        Used / Involuntary
Used Transportation (Date/ Flight No/ Routing)                    Unused / Voluntary                      Unused / Involuntary
                                                                  Other

Agt Remarks
A/L Remarks



DOCUMENTS ENCLOSED FOR REFUND                                          ORIGINAL DOCUMENT

                                     Cpn. No(s)       Rpt Period       Airline (3 letter code)                 000
 Airline     Form & Serial No
                                    1 2 3 4            (YYMMP)         Serial No
  000                                                                  Date (dd/mm/yyyy)
  CNJ                                                                  Place (alpha city code)
  CNJ                                                                  Issuing Agency                          13-3        0000      0
  CNJ                                                                  Credit Amount
Copies of all conjunction documents must be submitted.                 Tour code or CAR value Code
If ticket covers are unavailable or illegible, please                  Credit Card Code/Account No
enclose photocopies of the issuing office coupons
                                                                       Entity
which will be returned with the authority to refund.
                                                                       Credit Card Expiry Day




B. REFUND AUTHORITY (FOR AIRLINE USE)
FARE CONSTRUCTION REASSESSED AS FOLLOWS:

                                               Passenger Name                                              Credit Amount
           Fare Paid               Fare Used


                                               A/L  Refund Ticket/MCO                      Cpn. No(s)      Credit Card Code /
FARE=Total Full Refund Value                                                    CK                         Account No
                                               Code No. Form & Serial                  1    2 3 4
                                                    No(s)
Commission Amount                                                               0
                                                                                                           Entity
Tax                                            CNJ                              0
                                               CNJ                              0
                                                                                                           Credit Card Expiry Date
                                               CNJ                              0
Handling Fee                                   Airline Validation /                                        Tour Code or CAR value
                                                                                                           Code
Penalty Charge

REFUND TO PASSENGER
                                         0.00 Date
Amount Approved                                                                                            Agency     1330000 0
                   REFUND APPLICATION / AUTHORITY
                   (Agent Copy)
                                                                                     Document No.                                    0


Agent Name                                          Agency Code                     Airline Code       Date of issue
                                                    13-3         0000      0                000        23/08/2005 (dd/mm/yyyy)

Agent's Contact Person Contact Tel No Contact Email                                             Year Month         No: (Period)
                                                                                                   2005 Aug            2


A. REFUND APPLICATION
Passenger Name                                                       Reasons for refund             Stat
                                                                 Used / Voluntary                     Used / Involuntary
Used Transportation (Date/ Flight No/ Routing)                   Unused / Voluntary                   Unused / Involuntary
                                                                 Other

Agt Remarks
A/L Remarks



DOCUMENTS ENCLOSED FOR REFUND                                         ORIGINAL DOCUMENT

                                    Cpn. No(s)       Rpt Period       Airline (3 letter code)              000
 Airline     Form & Serial No
                                   1 2 3 4            (YYMMP)         Serial No
  000                                                                 Date (dd/mm/yyyy)
  CNJ                                                                 Place (alpha city code)
  CNJ                                                                 Issuing Agency                       13-3        0000      0
  CNJ                                                                 Credit Amount
Copies of all conjunction documents must be submitted.                Tour code or CAR value Code
If ticket covers are unavailable or illegible, please                 Credit Card Code/Account No
enclose photocopies of the issuing office coupons
                                                                      Entity
which will be returned with the authority to refund.
                                                                      Credit Card Expiry Day




B. REFUND AUTHORITY (FOR AIRLINE USE)
FARE CONSTRUCTION REASSESSED AS FOLLOWS:

                                              Passenger Name                                           Credit Amount
           Fare Paid              Fare Used


                                              A/L  Refund Ticket/MCO                   Cpn. No(s)      Credit Card Code /
FARE=Total Full Refund Value                                                   CK                      Account No
                                              Code No. Form & Serial                  1 2 3 4
                                                   No(s)
Commission Amount                                                              0
                                                                                                       Entity
Tax                                           CNJ                              0
                                              CNJ                              0
                                                                                                       Credit Card Expiry Date
                                              CNJ                              0
Handling Fee                                  Airline Validation /                                     Tour Code or CAR value
                                                                                                       Code
Penalty Charge

REFUND TO PASSENGER
                                        0.00 Date
Amount Approved                                                                                        Agency     1330000 0