EK 22A

SAHİPSİZ VEYA KAYIP BAGAJ İÇİN GÜMRÜK BEYANI

……………………………………….. YOLLARI’nın …../…../20…. tarihinde …………………..sefer sayılı uçağı ile ……………….gelişimde uçaktan çıkmayan ……………………………….etiket nolu …….. adet bagajımda gümrüğe tabi eşya olduğunu / olmadığını beyan ederim. Bagajların bilahare gelişinde gümrük muayenesinin yapılıp tarafıma tesliminde ……………………………Hava Yolları / Yer Hizmetleri’ nin yetkilisini vekil tayin ederim.

İMZA

CUSTOMS DECLARATION FOR UNCLAIMED OR LOST BAGGAGE

I undersigned, arrived …………on …../…../20….. by …………………………...flight number…………….. declare that ……….. of my baggage(s) with tag number(s) …………………………………didn’t arrive by the same flight. I also declare that my lost baggage(s) contain/ does not contain goods subject to customs declaration. If every property arrives, ……………………………………..Airlines/Ground Handling representative has got my permission to perform customs clerance on my behalf.

SIGNATURE

YOLCUNUN (PASSENGER) :

Adı / Soyadı ( Name / Surname) :……………………………………………………………………………..

İkamet adresi ( Permanent address ) :……………………………………………………………………………..

Geçici adresi ( Temporary address) :……………………………………………………………………………..

Telefon ( Telephone ) :……………………………………………………………………………..

PASAPORT ( PASSPORT ) :

Pasaport No ( Passport No ) :…………………………… …