AIRLINE - ZED MIBA



| | |Applying for (please tick one) |

|Airline Legal Name |      |Full Member |

| | |Associate Member |

|Doing business as (dba) |      |

|Airline Designator (2-letter code) |      |Airline Accounting code (3-digit code) |      |

|If this is not your airline accounting code, indicate the two-character designator code of the ZMF Member ticketing on your airline’s behalf: |

|      |

|Note: For Third Party Ticketing, all ZMF members affected (i.e., the ticketing carrier and both concurring ZED or MIBA Participants) must sign the|

|Third Party Ticketing Annex E of the respective concurrence form(s). |

Member’s Authorized Representative (will be the ZED MIBA contact for your airline):

|First Name |      |Last Name |      |Mr Ms |

|Job Title |      |

|Phone Number |      |Email address |      |

|Corporate Website |      |Other |      |

Billing Address (where the invoice should be sent):

|Street |      |

| | |

|City |      |Postal Code |      |

|State |      |Country |      |

| | | | |

| | | | |

|FULL MEMBERSHIP |

|Does your airline operate scheduled air passenger transportation services under your own code? |Yes | |

| | |You must be |

| | |able to answer|

| | |“YES” |

| | |to questions 1|

| | |– 4 |

| | | |

| | |and |

| | |answer |

| | |question 5 |

|2a. Will your airline accept ID tickets in accordance with the ISTA Agreement? |Yes | |

|or | | |

|2b. Will your airline provide ID travel in accordance with the ISTA Agreement? |Yes | |

| | | |

|2c. Will your airline issue and/or authorize another ZMF Member to issue on your behalf, ID tickets in accordance |Yes | |

|with the ISTA Agreement? (third-party ticketing) | | |

|3. Do you possess a corporate e-mail address for communication with ZED-MIBA forum administration? |Yes | |

|4. Does your airline publish its schedules and availability in a GDS or is your airline schedule or services | | |

|accessible via an online tool? |Yes | |

| |

|5. How will you offer rebate travel to other airlines? (check all that apply) |

|We will accept interline eTickets (IET) |

|We will issue tickets using an industry provider (e.g., myIDTravel, ID90Travel, iFly) |

|We will issue tickets manually upon receipt of application |

|Other: ______________________________________ |

|6. Annual Available Seat Kilometres (ASK) (mandatory) |      |

|ASSOCIATE MEMBERSHIP |

|1. Does your airline operate air transportation services? |Yes |

|2. Will your airline authorize another ZMF Member to issue on your behalf, ID tickets in accordance with this Application Form |Yes |

|and the ISTA Agreement? | |

|3. Do you possess a corporate e-mail address for communication with ZED-MIBA forum administration? |Yes |

|7. Does your airline intend to include any Subsidiaries /Affiliates /Franchisees |Yes |

| |(if Yes, complete the table below) |

| |No |

|Name of S/A/F | |SAF Airline |SAF operates under |

| | |Designator |Airline Designator |

| | |Applicable for B and|Applicable to C only |

| |For definitions, refer to SAF Appendix |C only | |

| | | | | |Please indicate |

| |Category B |Category C |Category D |Category E | |

|      | | | | |   |   |

|      | | | | |   |   |

|      | | | | |   |   |

|      | | | | |   |   |

|      | | | | |   |   |

Note of Commitment

I ____________________________________ (Name of Supervisor) understand that the role of ZED MIBA Authorized Representative (Mr) (Ms) _________________________________ (Authorized Representative) is undertaking, represents a time commitment and involves some travel.

Expectations:

• Represent the airline at the ZED MIBA Workshops and Meetings

• Have voting power on behalf of the airline on matters related to Staff and Interline Travel (Full Members only)

• Be familiar with the Interline Staff Travel Agreement (ISTA) and comply with all clauses therein

• Participate actively and offer expertise

• Attend one workshop and the AGM in any two-year period at a minimum

• Take part in online surveys and votes

• Keep all online data up to date - profile and

|Signature: | |Title: |      |

|Name: |      |Date: |      |

ZED TRAVEL BENEFITS FOR IATA

In accordance with the Memorandum of Cooperation signed between IATA and ZMF in 2008 and the ISTA, and if IATA administers ZMF, Members of the ZED MIBA Forum will provide IATA serving employees, the employee’s spouse and the employee’s children under 24 years of age, access to personal standby travel economy tickets on their services at the ZH level (YZHzN2).

A – Mandatory

• Employee is a person who is employed by and salaried by IATA

• Spouse of employee (as defined by IATA in line with ISTA agreement)

• Children of employee under the age of 24

(Ticketing procedures: MyIDTravel)

|Airline Legal Name | |

|Trading as | |Airline Designator | |

|Authorized Representative | |Accounting Code | |

|Address | |

|City: | |Post Code: | |

|State: | |Country: | |

B – Optional

• Retiree and/or other travel benefits offered to IATA

|Categories |Ticket types |Restrictions |

|(Eligible persons) | | |

| |Please indicate |

| |Standard: |Other: |Other: |Unlimited number of tickets |Number of tickets per |

| |YIDZH N2 |      |      | |year |

|Retiree, Spouse, Children | | | | |      |

|under 24 | | | | | |

| | | | | |      |

| | | | | |      |

|Effective date | |

| | |

|Airline | | | |IATA |

|Signature | | |Signature | |

|Name | | |Name |Marc Chollet |

|Title | | | |IATA Travel Coordinator |

|Email | | |Email |cholletm@ |

|Date | | |Date | |

In witness whereof, the ZED-MIBA FORUM Members, hereto represented by

the current ZED-MIBA FORUM Advisory Chair

and

(Applicant Airline’s legal name)

authorize the Interline Staff Travel Agreement (ISTA) and any attachments, annexes, and appendices to be executed on their behalf by the respective duty accredited representative as of the date mentioned below.

On behalf of the Applicant Airline:

Signature Airline Manager Name (block letters)

Title Date

c For Full Membership - the Applicant Airline understands that Membership will not be activated and access to the ZED-MIBA FORUM website () will not be granted until personal travel has been extended to IATA serving employees, in line with section A.1.a.ix of the ISTA.

c For Associate Membership, the Applicant Airline has attached to this Signature Form a letter of agreement from an existing ZED-MIBA FORUM Full Member indicating the intent to implement a concurrence for ZED and/or MIBA travel.

On behalf of the ZED-MIBA FORUM:

ZED MIBA FORUM Advisory Council Chair Name (block letters)

Date

_______________________________________________________________________________________________

Before your membership becomes effective, following steps must have been completed:

1. Signed Application Form, subsequently approved by the ZED MIBA Advisory Council

2. Copy of Concurrence signed with IATA (see page 3)

3. Paid invoice

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