1、 丢 失 行 李 内 物 调 查 表 MISSING PROPERTY QUESTIONNAIRE 查询编号( Reference No. ) We would like to offer our apologies for not being able to deliver your baggage on your arrival .Would you please complete both sides of this form and forward to the address given above if you do not receive baggage within 72 ho
2、urs after your report .Thanks. 对您的行李未能与您同机到达深表歉意。如果阁下在报失后 72 小时内尚未寻回遗失的行李,请将此表正反两面填妥,并尽快发送至我处。谢谢。 护照 /身份证号码 Passport or other identification No. 姓名 Name 永久地址和电话 Permanent residence address Tel: E-mail: 临时地址和电话 Temporary address&Tel: 邮政编码 Post Code: 乘搭航线 Flight Itinerary 航空公司 Airline 航班号 Flight No. 日
3、期 Date 起始地 From 目的地 To 托运行李件数 Number of bags check-in 总重量 Total Weight 遗失行李件数 Number of bags missing 大约重量 Approximate weight 行李有否于途中重新交运或更换行李牌? Was baggage rechecked and new tags issued? Yes No 如果是,在哪个机场 ? If yes, at which airport? 阁下有否向其他航空公司报失? Has lost been reported to any other airline? Yes No 如
4、果是,哪家航空公司? If yes, at which airline? 行李种类及颜色 Type and Colour 牌子 Brand name 购买日期及价值 Date bought and Cost 请写下行李上的姓名或其他特别的标志 Please write down the name or any other special label on your baggage. NONE 遗 失 行 李 细 节 DESCRIPTION OF MISSING BAGGAGE 请阁下按行李内物内容认真填写下表。谢谢合作。 Please complete the form. Thanks. 物件
5、种类 Description 数量 Quantity 详述或品牌 Description 购买日期 Date Purchased 买价 Purchase Value 总价值 Total Value: 如果您为上述行李买保险,请说明保险公司名称和地址 If you insure your baggage, please write down company address 提示内容 Remark: 此表仅用于为旅客查找行李提供线索,实际赔偿仍按相关规定办理。 For locating missing bags only. Compensation will be subject to according regulations. 本人证实上列提供之详情完整确实。 I do hereby certify that the foregoing statement is accurate, complete and true。 日期 Date 签名 Signature