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Green Claim B.V.

Communications Department, PO Box 3650, 1001AL Amsterdam, The Netherlands


Email: info@greenclaim.nl, CC number: 52683702, VAT number: NL850551195B01

POWER OF ATTORNEY
Undersigned:
Surname:

Ferreira

First and middle names (in full):

Stphane

Address:

....................................................................................................

Place of residence/city:

....................................................................................................

Country of residence:

....................................................................................................

Date of birth:

....................................................................................................

Passport/ID number:

....................................................................................................

Flight number:

TO 3412 (06-05-2015)

Airline:

Transavia France
I.

Declares and agrees to give authorisation and power of attorney to Green Claim B.V., a limited
liability company based in Amsterdam and registered at the Chamber of Commerce of the
Netherlands under number 52683702 (Green Claim), to act on behalf of the undersigned in
and out of court, in order to collect a claim from the airline and to do everything that Green Claim
deems reasonable and necessary in that context, including but not limited to the following activities:
-

II.

In the event that Green Claim decides to initiate legal proceedings for any claim for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant to
the applicable laws and regulations, the undersigned declares to give mandate to Green Claim
to collect any claim (in its own name and at the risk and cost of Green Claim) for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant
to the applicable laws and regulations in court and to do everything that Green Claim deems
reasonable and necessary in that context, including but not limited to the following activities:
-

III.

Name:

submitting the claim to the airline;


approaching and contacting the airline in any way;
initiating legal proceedings;
collecting funds from the airline.

to (instruct to) draft, sign and/or serve a legal summons or writ;


to (instruct to) initiate and/or carry out legal proceedings.

In addition, the undersigned declares to agree with Green Claim B.V.'s Terms and Conditions.

Stphane Ferreira

Signature:

....................................................................................................

Green Claim B.V.


Communications Department, PO Box 3650, 1001AL Amsterdam, The Netherlands
Email: info@greenclaim.nl, CC number: 52683702, VAT number: NL850551195B01

POWER OF ATTORNEY
Undersigned:
Surname:

Orellana

First and middle names (in full):

Aurlie

Address:

....................................................................................................

Place of residence/city:

....................................................................................................

Country of residence:

....................................................................................................

Date of birth:

....................................................................................................

Passport/ID number:

....................................................................................................

Flight number:

TO 3412 (06-05-2015)

Airline:

Transavia France
I.

Declares and agrees to give authorisation and power of attorney to Green Claim B.V., a limited
liability company based in Amsterdam and registered at the Chamber of Commerce of the
Netherlands under number 52683702 (Green Claim), to act on behalf of the undersigned in
and out of court, in order to collect a claim from the airline and to do everything that Green Claim
deems reasonable and necessary in that context, including but not limited to the following activities:
-

II.

In the event that Green Claim decides to initiate legal proceedings for any claim for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant to
the applicable laws and regulations, the undersigned declares to give mandate to Green Claim
to collect any claim (in its own name and at the risk and cost of Green Claim) for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant
to the applicable laws and regulations in court and to do everything that Green Claim deems
reasonable and necessary in that context, including but not limited to the following activities:
-

III.

Name:

submitting the claim to the airline;


approaching and contacting the airline in any way;
initiating legal proceedings;
collecting funds from the airline.

to (instruct to) draft, sign and/or serve a legal summons or writ;


to (instruct to) initiate and/or carry out legal proceedings.

In addition, the undersigned declares to agree with Green Claim B.V.'s Terms and Conditions.

Aurlie Orellana

Signature:

....................................................................................................

Green Claim B.V.


Communications Department, PO Box 3650, 1001AL Amsterdam, The Netherlands
Email: info@greenclaim.nl, CC number: 52683702, VAT number: NL850551195B01

POWER OF ATTORNEY
Undersigned:
Surname:

Llafia

First and middle names (in full):

Ludovic

Address:

....................................................................................................

Place of residence/city:

....................................................................................................

Country of residence:

....................................................................................................

Date of birth:

....................................................................................................

Passport/ID number:

....................................................................................................

Flight number:

TO 3412 (06-05-2015)

Airline:

Transavia France
I.

Declares and agrees to give authorisation and power of attorney to Green Claim B.V., a limited
liability company based in Amsterdam and registered at the Chamber of Commerce of the
Netherlands under number 52683702 (Green Claim), to act on behalf of the undersigned in
and out of court, in order to collect a claim from the airline and to do everything that Green Claim
deems reasonable and necessary in that context, including but not limited to the following activities:
-

II.

In the event that Green Claim decides to initiate legal proceedings for any claim for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant to
the applicable laws and regulations, the undersigned declares to give mandate to Green Claim
to collect any claim (in its own name and at the risk and cost of Green Claim) for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant
to the applicable laws and regulations in court and to do everything that Green Claim deems
reasonable and necessary in that context, including but not limited to the following activities:
-

III.

Name:

submitting the claim to the airline;


approaching and contacting the airline in any way;
initiating legal proceedings;
collecting funds from the airline.

to (instruct to) draft, sign and/or serve a legal summons or writ;


to (instruct to) initiate and/or carry out legal proceedings.

In addition, the undersigned declares to agree with Green Claim B.V.'s Terms and Conditions.

Ludovic Llafia

Signature:

....................................................................................................

Green Claim B.V.


Communications Department, PO Box 3650, 1001AL Amsterdam, The Netherlands
Email: info@greenclaim.nl, CC number: 52683702, VAT number: NL850551195B01

POWER OF ATTORNEY
Undersigned:
Surname:

Zana

First and middle names (in full):

Jeremy

Address:

....................................................................................................

Place of residence/city:

....................................................................................................

Country of residence:

....................................................................................................

Date of birth:

....................................................................................................

Passport/ID number:

....................................................................................................

Flight number:

TO 3412 (06-05-2015)

Airline:

Transavia France
I.

Declares and agrees to give authorisation and power of attorney to Green Claim B.V., a limited
liability company based in Amsterdam and registered at the Chamber of Commerce of the
Netherlands under number 52683702 (Green Claim), to act on behalf of the undersigned in
and out of court, in order to collect a claim from the airline and to do everything that Green Claim
deems reasonable and necessary in that context, including but not limited to the following activities:
-

II.

In the event that Green Claim decides to initiate legal proceedings for any claim for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant to
the applicable laws and regulations, the undersigned declares to give mandate to Green Claim
to collect any claim (in its own name and at the risk and cost of Green Claim) for a delay,
cancellation or the denied boarding of the flight with above-mentioned flight number pursuant
to the applicable laws and regulations in court and to do everything that Green Claim deems
reasonable and necessary in that context, including but not limited to the following activities:
-

III.

Name:

submitting the claim to the airline;


approaching and contacting the airline in any way;
initiating legal proceedings;
collecting funds from the airline.

to (instruct to) draft, sign and/or serve a legal summons or writ;


to (instruct to) initiate and/or carry out legal proceedings.

In addition, the undersigned declares to agree with Green Claim B.V.'s Terms and Conditions.

Jeremy Zana

Signature:

....................................................................................................