Please fillout this form and click submit buton for service request:

Flight Service Company :
Address:
Telephone:
Fax:
Sita:
Email:
Operator/Contact Person :
Flight Number :
Registration :
Aircraft type :
MTOW(kgs)/Seat capacity :

Schedule :

CALL/SIGN: AIRPORT(ICAO CODE) DATE TIME(UTC) PAX ----------------- ------- --------- ----- FROM: TO: FROM: TO: FROM: TO: FROM: TO:

Flight type : pax tech med cgo other:

Crew & Passenger Info :

NAME NATIONALITY DOB PASSPORT NO EXPIRY DATE ------------ ------------ ----- ----------- ----------- CREW: . . PAX: . . ---------------------------------------------------------------- Local contact person tel/fax:

Over-flight permit :Georgia Other Countries:

Landing permit: Georgia Other Countries:

Airport slots(sta/std)

Flight plan :Atc FPL Computer FPL Flight level:

Weather brief : Notam Weather charts Textual weather

Ramp services(please specify:)

Fuel(please specify:)

Flight Security: Aircraft guarding Aircraft search & access control

Baggage escort & reconciliation

Other:(please specify:)

Hotel booking(crew): Georgia Other Countries:

Hotel booking(pax): Georgia Other Countries:

City transport

Catering order:

Rent a Car:

Other Comments or Questions:

Movement messages to :

SITA:
AFTN:
FAX:
e-mail:
Tel:	)

Payment : Credit through Georgia Services