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:

I declare that the above-named unaccompanied minor (“UM”) is my son/daughter/a child under
my guardianship*. I 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.

I 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).

I hereby declare that the details furnished and information provided are true, complete and correct. I
understand that Singapore Airlines/SilkAir is under no obligation to carry out any steps to validate the
authenticity of this waiver and the contents of this document, and that it is entitled to rely on this
document to waive its obligations to assist the abovementioned UM.

Name & Signature of Parent/Guardian Name & Signature of Witness

Passport/NRIC Number Passport/NRIC Number

Telephone/Mobile Contact of Parent/Guardian

Address of Parent/Guardian Address of Witness

* Delete as necessary.
** Please complete this form and submit it at the check-in for each journey/flight.

Singapore Company Registration. Numbers: Singapore Airlines Limited – 197200078R/ SilkAir (Singapore) Private
Limited – 197500236D