Authorization letter from Credit/Debit Cardholder

I …………… …………… …………… ………….. ………….. , holder of ………… ………… ………… (name of issuing bank)
credit/debit card bearing no ………….. ………… ………… expiring on ……….. ………….. do hereby
authorize Biman Bangladesh Airlines to process the payment for an amount of
…………………… against tickets issued on booking (PNR) ………………….. & Ticket number ……………….
……….... …………..

I acknowledge the purchase of tickets against the PNR reference as mentioned and/or
coupons for related charges described above and I am aware of applicable and/or
penalties as shown on such tickets and/or coupons.

Signature of Card Holder : _____ _____ _____ _____

Date : _____ _____ _____ _____

Contact Number : _____ _____ _____ _____

Address : _____ _____ _____ _____

Note: Requirement for card payment verification

1. A clear copy of both sides of the credit/debit card (blank out the CVC number).
2. Passport copy/Photo ID of the cardholder.
3. Above authorization letter duly signed by cardholder.

** This Authorization Letter along with above documents has to carry by passenger to show at Check-in
Point.

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