Please fill in the Customer Information and the required Service information section below at least 48hours before flight departure.
Please input Booking reference in 6 characters before "/JL" indicated on your e-ticket.
Name on passport without any spaces or punctuations.*If you have a Middle Name, please enter it after your Given Name.
Either Tel or E-mail is required.*Phone Number:(Country Code + area code + telephone number)*Please provide phone numbers where you can be contacted during the day and at your destination(s).
Please select wheelchair assistance service.
You require assistance to/from the aircraft by your own wheelchair or airport wheelchair.
More information on service
If you need more assistance with stairs or moving around while onboard the aircraft, please select an alternate level of assistance.
I will be travelling with my own wheelchair
Please confirm your wheelchair information below.
I will be travelling with an assistance dog
Please fill in the "Wheelchair information" here and any additional special requests you require. (Within 1,000 characters)Please type 「No other requests」If you don't have any additional requests.
Please also let us know on the day of departure how we can help.
You require assistance to/from the aircraft by your own wheelchair or airport wheelchair,and assistance with stairs if the aircraft is parked away from the terminal.
You require assistance to/from the aircraft by your own wheelchair or airport wheelchair,you also need use of the onboard wheelchair to get to/from your seat and to move around the cabin during the flight.
I am able to lift myself into the onboard wheelchair