FLYING RETURNS AWARD REQUEST FORM To avail Award Tickets on Air India, complete this form and submit

at our Members Service Centre / Airport Extension Counter. Before applying for an Award Ticket request, please ensure that you have crossed the minimum threshold limit of 10,000 Mileage Points (inclusive of Add On Mileage Points). If requesting for an Award Ticket for a child below 12 years, please specify age in the space provided along with supporting proof of age. Member's Details Membership Number ..Title Mr / Mrs /Ms Name..... Date of Birth (dd /mm/ yy) Telephone Number ..Mobile Number . Email Id Pooling: If you and your spouse are Flying Returns Members, and wish to pool your mileage points together to claim free tickets, please fill in the relevant portions of this Form in Block letters. (Please strike out the portions not applicable) Membership Number .Title Spouse Name.. Reservation Details: Each passenger's name must be the same as it appears on his / her passport .It is mandatory to quote the PNR No. in the eligible class of travel on Air India AI and IC designated flight. Award/s may be redeemed as follows:

Title Mr/Mrs/Ms

Name of Passenger

Sector of Travel

Airline (IC/AI) Flt No

Date of Travel

Class of Travel

Age

PNR

Top Up Mileage Points are payable at a conversion rate of Rupee One / USD 0.025 per mileage point (payable in equivalent local currency).

I/We have crossed the threshold limit but do not have sufficient Flying Returns mileage points to redeem an Award Ticket. I/We would like to top up the account by purchasing Top Up Mileage Points (TUMPs). I /We, hereby authorize Flying Returns to issue the Award authority subject to the terms and conditions of the programme. Members Signature Spouses Signature Date Ticketing to be done at City /Airport

Terms and Conditions: Please submit this Award Request Form at least two working days in advance to the Member Service Centre with confirmed provisional PNR. Redemptions at the Airport Extension Counter are applicable to outbound members subject to security clearance. Class of travel on Air India AI designated flights to be:(First Class = O, Executive Class = I and Economy Class = X) and on Air India IC designated flights to be: (Executive Class = D and Economy Class = X). In the case multiple sector journeys debit of mileage points (during redemptions) would be the sum of mileage points of each sector. Redemptions are not permitted on code-share flights and Award Tickets may be subject to capacity control and embargo / blackout dates. Add on Mileage Points would be redeemed before mileage points. Kindly present the duly signed original membership card while availing Award Ticket. Your representative would need to present the authorization letter signed by you and original membership card signed on the reverse. All expiring mileage points earned by you will automatically lapse and get deleted from your account balance if not redeemed / ticketed by stipulated date and will not be recredited. No credits of lapsed mileage points and partially utilized tickets is permitted. During cancellation only applicable active mileage points will be recredited less applicable mileage points. In case the Award Authority is not ticketed the same to be returned to the nearest Member Service Centre / AI Office. Applicable taxes are be payable by you at the time of ticketing. Use of these awards must be made in accordance with conditions of carriage, procedures and terms and conditions detailed on www.flyingreturns.co.in Please mail this form with supporting documents to: The Programme Coordinator, Flying Returns, Member Service Centre, P.O. Box 11757, Nariman Point, Mumbai 400 021.E-mail: flying-returns@imrbint.com or contact: Ahmedabad: Telefax : +91-79-2658 1913 Bangalore: Phone: 91-80-2210 6793 Fax: 91-80-2210 6794 Chennai: Phone: 91-44-2345 3388, 2852 9163 Fax: 91-44-2859 4715 Hyderabad: Phone: 91-40-2343 0351, 2343 0352 Fax: 91-40-2323 6904 Kolkata: Phone: 91-33-22112548 Fax: 91-33-2211 9890 Mumbai: Phone: 91-22-2202 4040 Fax: 91-22-2202 8361, 2202 8363 New Delhi: Phone: 91-11-2460 3142, 2469 9753, 2465 2805 Fax: 91-11-2460 3143 Pune: Telefax: 91-20-2605 9646 Singapore: Phone: 65-62214909 Fax: 65-62257636 Dubai: Phone: 97-14-4290926 Fax: 97-14-4290918