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UNITED NATIONS NATIONS UNIES

MONUSCO
eMOP: NON-UN Passenger
Form must be completed and authorized 48 hours prior to travel

e-MOP No.: MOP-MONUSCO-G1124735 e-MOP Status: Approved


ID Card No.: E-mail:
Name (Last, First): NDATABAYE, Abraham Passport No.(Expiry Date): 33616909435(31/12/2028)
Conseiller Ministere Provincial de
Title (Functional): Visa No.(Expiry Date):
l'Interieur Sud Kivu.
Organization/Staff Category: Congolese Government Official UNLP No. (Expiry Date):

Nationality: Democratic Republic of the Congo


Travel Details
Please specify Type of Travel : NON-DUTY

Other Passengers
Name UNLP No.
Organization ID No. E-mail
(Last, First) (Exp. Date):
Congolese Government
FERUZI,Jacques
Official
Congolese Government
KALENGA,Lucien
Official
Congolese Government
SUMAILI,Bumbu
Official
Congolese Government
KANENDELA,Raymond
Official
Congolese Government
TCHEUPE,Hilaire
Official
Congolese Government
ISHIMWINDULA,ELEWANO
Official
Travel Itinerary Requested
DATE For MOVCON use
FROM TO
Travel Purpose Priority Travel Mode only (Travelled
(Departure Point) (Final Destination) FROM TO dd/mm/yyyy)

Congolese
16/Apr/24 16/Apr/24
Bukavu Uvira Government 6 UN Regular Flight
08:30 AM 09:20 AM
Official
Congolese
16/Apr/24 16/Apr/24
Uvira Mikenge Government 6 UN Regular Flight
11:20 AM 12:10 PM
Official
Congolese
23/Apr/24 23/Apr/24
Mikenge Uvira Government 6 UN Regular Flight
09:30 AM 10:20 AM
Official
Congolese
23/Apr/24 23/Apr/24
Uvira Bukavu Government 6 UN Regular Flight
12:20 PM 01:10 PM
Official

Approvers

Masonga CHIRHALWIRWA (Travel Authorizer) (11/Apr/2024 11:29 AM)


Godfrey SEIDI (Approval for NON UN) (12/Apr/2024 10:17 AM)
Traveller's Signature: Request Submitted:
By Prosper SAFARI
On 11/Apr/2024 11:19 AM

Check-in/Exit Stamps:

- Authorizers and Approvers bear sole responsibility for the verification of travel details -
Authorization:
Chief Civil Affairs Section and Heads of Office for all UN passengers
Approval:
Non-UN Entities passengers- RAO/FOM
Amendment to travel date when the flight is cancelled, overbooked, re-routed or as required-MovCon Officers or FOMs in Regions

_________________________________________________ _________________________________________________ _________________________________________________


(Print Name of Passenger) (ID Number) (Signature of Passenger)
_________________________________________________ _________________________________________________ _________________________________________________
(Print Name of Witness) (ID Number) (Signature of Witness)
NOTE:
• All MONUSCO check in counters will close 1 hour prior to flight departure time.
• A maximum of 5 kgs hand luggage + 1 working lap top and 20 kgs of checked luggage can accompany each passenger. Final acceptance of any extra luggage is
dependent on space/weight capacity of the air craft.
• Passengers have to confirm their flight by calling MOVCON Passenger Booking Office a working day prior to date of travel between 16:00 and 18:00 hours and bet
ween 14:00 to 16:00 hours on Sunday for those travelling on Monday. PBO duty mobile 0997068664 or Extensions: 195-3010, 5343, 5692, 8457, 5664, 5657.
• The traveler is responsible for arranging his/her own accommodation at the destination.
• In the event final destination or technical stop over is outside DRC it is mandatory for every passenger to have in their possession a valid travel document (Nation
al Passport/Lasser Passez) , Health card and recommend to have US$300/- to sustain themselves in the event of flight cancellations.
• Passengers name appearing on load list does not guarantee a seat on the aircraft.
UNITED NATIONS NATIONS UNIES

MONUSCO
GENERAL RELEASE FROM LIABILITY IN CONNECTION WITH TRAVEL BY
THIRD PARTIES ON UN PROVIDED AIRCRAFT

ALL NON-UN PERSONS AND THOSE IN UN BODIES NOT PARTICIPATING IN THE


INSURANCE POLICY MUST COMPLETE THIS FORM
1. Traveller’s Details:
Name (Last, First): NDATABAYE,Abraham E-mail:
UN Agency /NGO /Government
Congolese Government Official Passport/ID Card No.: 33616909435/
Ministry /Contractor:
Conseiller Ministere Provincial de
Title/Occupation/Rank: Date of Birth:
l'Interieur Sud Kivu.
Nationality: Democratic Republic of the Congo Contact number:
2. Passenger’s Requested Itinerary
FROM TO DATE
Travel Purpose Priority Travel Mode
(Departure Point) (Final Destination) (DD/MM/YYYY)
Congolese Government
Bukavu Uvira 6 UN Regular Flight 16/04/2024
Official
Congolese Government
Uvira Mikenge 6 UN Regular Flight 16/04/2024
Official
Congolese Government
Mikenge Uvira 6 UN Regular Flight 23/04/2024
Official
Congolese Government
Uvira Bukavu 6 UN Regular Flight 23/04/2024
Official
I, the undersigned, Abraham NDATABAYE here by recognize that my travel on the aircraft provided by the United Nations, in keeping with the itinerary above, is solely
for my own convenience and benefit or that of my employer and may take place in areas or under conditions of special risk. In consideration of being permitted to travel on
such means of transport, I hereby:

• Acknowledge that:
◦ This flight is operated by an independent operator for the official business and purposes of the United Nations, and is not commercial service or as a
service for the general public;
◦ This flight is operated in area of possibly hazardous conditions, including hostilities;
◦ The operating conditions and facilities for this flight may not meet ICAO or other international or national standards, which could pose special risks for the
flight;
◦ No charge has been imposed or paid in relation to my travel on this flight and no "ticket" as understood under the terms of the Warsaw Convention or
related authorities has been issued; and
◦ My travel on this flight is not covered by the Warsaw Convention or related authorities.
• Recognize that the officials, employees and agents of the United Nations shall not responsible for any loss, damage, injury or death that may be sustained by me
during such travel;
• Assume all risks and liabilities during such travel arising out of the conditions under which the flight is operated referred to in subparagraphs (a) (i), (ii) and (iii)
above, and recognize that the United Nations shall not be responsible for any loss, damage, injury or death that may be sustained by me due to such conditions;
• Agree, for myself as well as for my dependants, heirs and estate, that, in the event that I sustain any loss, damage, injury or death during such travel for which
the United Nations may be found to be liable, such liability, if any, shall be subject to the terms of paragraphs 8 and 9 of the General Assembly resolution 52/247
of 17th July 1998, whether or not the flight is operated in the context of peacekeeping operations and whether or not such terms are otherwise directly applicable
by virtue of that resolution.

(Print Name of Passenger) (Signature of Passenger) (Date)

(Print Name of UN Staff Member acting as a (Signature of UN Staff Member acting as a (Date)
witness) witness)

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