UNACCOMPANIED MINOR SERVICE WAIVER FORM

(For UM between 12 and under 18 years old ONLY)

To: Singapore Airlines Limited / Scoot Tigerair Pte. Ltd.

Date: ___________________________ Booking Reference: ___________________________

UNACCOMPANIED MINOR’S PERSONAL PARTICULARS

Name:

Date of Birth: Passport Number:

FLIGHT SECTORS TO BE WAIVED FOR UM ASSISTANCE & HANDLING

Flight Number Date From To

UM’S PARENT/LEGAL GUARDIAN’S PARTICULARS

Surname Given Name

Relationship to the Minor Identification Document / Passport No.

Contact Number Country of Residence

Home Address

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/Scoot 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 UM Service, assistance or handling, 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/Scoot 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 any obligations to assist the abovementioned UM.

By completing this form, I agree and acknowledge that any personal data will be processed by Singapore Airlines/Scoot (as
the case may be) for the purposes of handling my request in relation to my unaccompanied minor(s). Processing of any
personal data is made in accordance with Singapore Airlines' and Scoot’s Privacy Policy, available on www.singaporeair.com
and www.flyscoot.com respectively.

_______________________________________
Signature of Parent/Guardian*

* Delete as necessary.
**The UM shall retain a copy of this completed form as a reference for Singapore Airlines/Scoot during his/her entire
duration of travel.
CCSD/03/280821