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LISTA SADRAJA PRTLJAGA / BAGGAGE INVENTORY FORM

Potovani putnie

Dear Passenger

Molimo Vas da prihvatite nae iskreno izvinjenje zbog

Please accept our sincere apologies for the delay in

kanjenja u isporuci Vaeg prtljaga i neprijatnosti time


uzrokovanih.

delivering of your baggage and for any inconvenience


caused.

Ukoliko se Va prtljag ne pronae u roku od pet dana,


molimo da popunite obe strane ovog obrasca i

If your property cannot be located within five days,


please complete both sides of this form and send it

poaljete potom ili putem E-maila na adresu

USLUGE PRTALJGA
BAGGAGE SERVICES

immediately to the address or Email address shown

naznaenu na desnoj strani ovog obrasca.

on the right side of this form.

Ove dopunske informacije su nam neophodne radi


dodatnih akcija traganja.

This additional information will help us in our


extended tracing action.

Zahvaljujemo se na razumevanju.

Thank you for understanding.

AERODROM NIKOLA TESLA


TERMINAL 2
11180 BEOGRAD, SRBIJA
email:baggageservices@airserbia.com

Molimo da popunite poseban obrazac za svaki komad prtljaga


Please complete one separate list per missing bag

MOLIMO PIITE TAMPANIM SLOVIMA / PLEASE USE BLOCK LETTERS

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?


Did you already report the loss of your baggage at other airport?

Da
Yes

Ne
No

Broj prtljaznog privezka/


Bag tag number

Aerodrom
Airport

Datum
Date

Na kom aerodromu je prtljag poslednji put vien?


On which airport was the baggage last seen?
Tip
Type

Datum
Date
Proizvoa
Brand Name

Boja
Colour

Materijal
Material

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)

Teina
Weight
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?
Is your baggage insured?

Da
Yes

Ne
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

kg

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

Primer: 1 par

Muke kone cipele, crne boje, Baldinini

Example: 1 pair

Men leather shoes, black, Baldinini

Datum kupovine
Purchase date

Vrednost
Price paid

2007

EUR 85

Ukupno
Total
Ovim potvrujem da je prethodna lista istinita i kompletna.
I hereby certify that above information is true and complete.

Prijem ove liste ne predstavlja priznanje odgovornosti.


Acceptance of this form is not an acknowledgement of liability.
FORM Z.O. 3.12.15. JAN `14

Datum
Date

Potpis
Signature

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