Application for approval of transportation

Enter the route *
Enter the route
Flight numbers
Flight numbers
Departure date there *
Departure date there
Return flight date
Return flight date
Passenger's full name *
Passenger's full name
The presence of an accompanying person *
Choose an answer
Name of the maintainer *
Name of the maintainer
Having your own wheelchair *
Choose an answer
Dimensions of the wheelchair folded, LxWxH, cm *
Dimensions of the wheelchair folded, LxWxH, cm
Wheelchair weight, kg *
Wheelchair weight, kg
Type of wheelchair
Choose an answer
Will the passenger be able to climb the steps of the plane independently *
Choose an answer
Telephone *
Telephone
Email address *
Email address
Additionally
Additionally
* - field is required
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