FORM Z.O. 3.12.15.

JAN `14


LISTA SADRAJA PRTLJAGA / BAGGAGE INVENTORY FORM

Potovani putnie

Molimo Vas da prihvatite nae iskreno izvinjenje zbog
kanjenja u isporuci Vaeg prtljaga i neprijatnosti time
uzrokovanih.

Ukoliko se Va prtljag ne pronae u roku od pet dana,
molimo da popunite obe strane ovog obrasca i
poaljete potom ili putem E-maila na adresu
naznaenu na desnoj strani ovog obrasca.
Ove dopunske informacije su nam neophodne radi
dodatnih akcija traganja.

Zahvaljujemo se na razumevanju.
Dear Passenger

Please accept our sincere apologies for the delay in
delivering of your baggage and for any inconvenience
caused.

If your property cannot be located within five days,
please complete both sides of this form and send it
immediately to the address or Email address shown
on the right side of this form.
This additional information will help us in our
extended tracing action.

Thank you for understanding.


CENTRALNA SLUBA
TRAGANJA ZA PRTLJAGOM
CENTRAL BAGGAGE
TRACING OFFICE
Air SERBIA
AERODROM NIKOLA
TESLA TERMINAL 1
11180 BEOGRAD, SRBIJA
tel: +381 11 2097839
E-mail:ground.lz@airserbia.com

MOLIMO PIITE TAMPANIM SLOVIMA / PLEASE USE BLOCK LETTERS

Molimo da popunite poseban obrazac za svaki komad prtljaga
Please complete one separate list per missing bag

Informacije o putniku / Passenger information

Prezime
Family name
Ime
First name

Stalna adresa / Permanent address

Adresa na poslu / Business address

Grad, Drava / City, Country

Grad, Drava / City, Country

Broj telefona / Telephone number

Broj telefona / Telephone number

Broj mobilnog telefona / Cell phone no.

E-mail adresa / E-mail

Privremena adresa / Temporary address

do / until

Grad, Drava / City, Country

Broj telefona / Telephone number

Informacije o letu / Flight information

Broj putnike karte ili karata
Passenger ticket number(s)
Broj karte za viak prtljaga
Excess baggage ticket number
Prevozilac / Broj leta
Airline / Flight number
Datum
Date
Od
From
Do
To




Informacije o prtljagu / Baggage information

Broj zapisnika / File reference number Ako niste prijavili gubitak po dolasku, navedite razlog. / If you did not report the loss on arrival, please state the reason.
Da li ste ve prijavili gubitak prtljaga na nekom drugom aerodromu? Da Ne
Did you already report the loss of your baggage at other airport? Yes No
Aerodrom
Airport
Datum
Date
Na kom aerodromu je prtljag poslednji put vien?
On which airport was the baggage last seen?
Datum
Date
Tip
Type
Boja
Colour
Proizvoa
Brand Name
Materijal
Material
Teina
Weight kg
Posebne oznake na prtljagu (molimo da upiete ako prtljag poseduje tokove, depove, ruke, brave itd)
Special markings on the baggage (please specify if baggage has weels, pockets, handles, locks etc)
Kombinacija koda zakljuavanja prtljaga
Combination lock code
Ako postoji ime i adresa na Vaem prtljagu, molimo upiite te podatke. / If your baggage is labeled by name and address, please insert that information.
Da li je prtljag osiguran? Da Ne
Is your baggage insured? Yes No
Osiguravajue drutvo (adresa) / Insurance company (address) Broj polise / Policy number

Napomene:
Remarks:

Molimo popunite i sledeu stranu!
Please fill in the other page too!
FORM Z.O. 3.12.15. JAN `14



LISTA SADRAJA / INVENTORY LIST

Molimo da popunite poseban obrazac za svaki komad prtljaga.
Potpun opis svakog artikla u Vaem prtljagu e biti
od velike pomoi u daljoj akciji traganja.
Please complete one separate list per missing bag.
A fully detailed description of each item
will greatly help our tracing action.


MOLIMO PIITE TAMPANIM SLOVIMA / PLEASE USE BLOCK LETTERS

Broj artikala
Number of
items

Opis artikla: boja / proizvoa / materijal
Description of items: colour / brand / material

Datum kupovine
Purchase date

Vrednost
Price paid
Primer: 1 par
Example: 1 pair
Muke kone cipele, crne boje, Baldinini
Men leather shoes, black, Baldinini

2007

EUR 85


























Ukupno
Total


Ovim potvrujem da je prethodna lista istinita i kompletna.
I hereby certify that above information is true and complete.
Datum Potpis
Date Signature


Prijem ove liste ne predstavlja priznanje odgovornosti.
Acceptance of this form is not an acknowledgement of liability.