Fillable Iatan Travel Professional Profile Form printable pdf download

IATAN Travel Professional Profile Form

This form should be completed by all Travel Professionals participating in the IATAN Registration Program and for those applying for an

IATA/IATAN ID card. Make copies of this form as necessary for all owners, managers and employees that will be registered to the

IATAN Personnel List. Please note that the owner or Account Administrator can register employees through our online services once the

agency is accredited.

You will receive a confirmation email with your IATAN Personnel Registration ID Number (PRIN) once the form is processed, and a

Personnel List will be emailed to the entity’s email address.

Personal Information

First & Last Name: ________________________________________________________________________________

PRIN / Verification #: ______________________________

 Yes

 No

Have you had a name change?

New Name: _____________________________________

 Female

Date of Birth (mm/dd/yyyy): __________________

Sex:  Male

Last four digits of Social Security:

XXX – XX – _________

Email Address: _____________________________________

Business Telephone Number: __________________________

Mobile Number: ___________________________

Residence of Applicant:

City: _______________________________________

State: _____________________

Location Information

Provide the IATA Numeric Code and name of the accredited location where you are currently employed (if applicable).

IATA Numeric Code: _________________________

Start Date (mm/dd/yyyy): ______________________ (You must supply the start date with this entity)

Name of Business: _____________________________________________________________________

Address: _____________________________________________________________________________

City: ________________________

State: _______________________

Zip: _______________

Status Information – You must complete the status – position, duties, weekly hours and yearly earnings.

Position: Check one (1) box only

 “S” Sole Proprietor: On record with IATAN as the single lawful owner of 100% of the business entity

 “P” Partner – LLC or Partnership: On record with IATAN as each holding at least 20% ownership of the business entity

 “C” Stockholder – INC.: On record with IATAN as owning at least 20% of the stock of the business entity

 “M” Manager: Any person holding a management position in the business entity, paid with W2’s

 “E” Employee: A person routinely and regularly working as an employee and carried on payroll or disbursement records at the

business entity, paid with W2’s

 “I” Independent Contractor: A person who is working for the business entity pursuant to a written contract or agreement in

compliance with applicable laws and regulations and with verifiable earnings or commissions reported by 1099 as per US law

Duties: Check one (1) box only

 “A” Administration: A person who works at the business entity processing the day to day administrative

work dealing with travel, meetings and / or groups

 “I” Inside Sales: A person who works within the business entity booking travel, meetings and / or groups

 “X” Outside Sales: A person who works outside the business entity booking travel, meetings and / or groups

October 2014

(Document #102)

Iatan Travel Professional Profile Form

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