Company Name

Company Address

E-mail

Phone #

Fax#     

SITA

AFTN     

Services Required

Landing Permission     Over Flight Permission   Handling Request

Operator Name

Flight #

Reg #

Purpose of Flight  #

PAX Details

Cargo Details

CNEE/CNOR Details

Itinerary

Entry Point

              Exit Point

Catering Number Of Meals                    Type Select HOT COLD

Fuel Quantity  Select  US Gallons  Liters  Metric Tons   Fuel Type   Select  JET-A1  AV.GAS      Fuel Cards      Select  Shell CarNet  BP  Air Total  UV  World Fuel Svc  Others  

Hotel Accommodation  Single Room   0  1  2  3  4  5  6  7  8  9   Double Room   0  1  2  3  4  5  6  7  8  9   Hotel Name   Select  Sheraton  Avari  Pearl Continental  Marriott  Regent Plaza  Day`s Inn  Carlton Hotel  

Remarks