phoenixjunior card application

NOTES
1.According to requirement of China Post Office,passengers with address in china will have to fill in the form in Chinese.
2.For accurate recording of your mileage,names written in Application Forms must be the same as appeared on the tickets.
3.You must fill in the items with mark *

Fill in the blank below with the personal information of phoenix card holder who applies phoenix junior card for his or her kid

*Parent's phoenix card number
of phoenix junior applicant：

Fill in the blank below with the personal information of phoenix junior card holder

*Family Name：
*First Name：
surname in chinese：	must be fill in by chinese character
first name in chinese：	must be fill in by chinese character
*Sex：
*Date of birth：	Must be under 12 years old
*Identify type：
*Identify No.：
*Nationality：
*Language：
*Password：
*Reenter password ：
Hint Question for reset password ：
Question type：	select the question Customize your specified question
Answer of Hint Question for reset password：

Member's contact information

*Mobile Phone：
*E_mail Address：

Home Address Information

*Country/Region：
*Province/State：
*City/County：
*Address\Box Number：
*Post/ZipCode：
FAX：
Telephone-extension：	-

The Undersigned agree to abide the rules and regulations of the Companion Program,which may be changed and amended from time to time.。