MEDICAL CERTIFICATE OF FITNESS FOR AIR TRAVEL
This Medical Certificate must be completed in full, and produced while booking and at check-in and while boarding at each
embarkation by any passenger who has a medical condition.
Name of Patient
Nature of Treatment
Departure flight number and date
Return flight number and date
MEDICAL PRACTITIONER’S DECLARATION
The patient is able to walk unaided.
The patient is able to sit upright unassisted.
The flying is not likely to cause the patient to require emergency medical attention.
The patient’s condition is not contagious/infectious.
The patient does not require oxygen support.
Travel Companion required.
Wheel chair required.
Note: If the passenger has an infectious, contagious or communicable disease, Spicejet may in its absolute discretion disallow
boarding in the best interest of the passengers and crew. In case of oxygen/ stretcher requirement please fill MEDA form.
Medical Practitioner’s Signature:
Indemnity Bond by Passenger
I the undersigned _________________________________________ hereby indemnify the hold harmless SpiceJet from and
against any liability arising out of any bodily injury and / or death, damage or loss that may suffer/experience and also from any
damages, payments, expenses, face and cost which SpiceJet may incur directly as a result of accepting me on its Flight
No._________________ from _________________________ to _________________________ on ____________________
I hereby further indemnify SpiceJet for any payments that SpiceJet makes to meet any of my expenses towards damages, loss etc
for said purpose.
Signature: _____________________________________________________ (Passenger)
Tel. No. ______________________________________________________________________