PASSENGER AUTHORIZATION FORM - kpacoupons.com

1 PASSENGER AUTHORIZATION form . I, _____[ PASSENGER 's English name/ ], certify and attest that I am the PASSENGER or the parent or legal guardian of the PASSENGER who flew on Korean Air (KE) or Asiana Airlines (OZ) using Ticket Number(s) (the Ticket Number(s) ): _____ [Please print your ticket number clearly/ ]. I hereby transfer and assign any and all rights arising out of the settlements in the Air PASSENGER Antitrust Litigation Class Action, MDL No. 07-01891 (the Settlements ) to seek redemption using a Coupon Code for the aforementioned Ticket Number to: _____ [Coupon Owner's English name/ ] (the Coupon Code Owner ). I understand the Ticket Number may be used by Coupon Code Owner for the sole purpose of redemption of the Coupon Code and hereby give my AUTHORIZATION for such use. By transferring, and assigning the above Ticket Number to the Coupon Code Owner, I understand that I. relinquish any and all rights under the Settlements to submit the Ticket Number(s) identified above for redemption using Coupon Codes.

2 Any rights I may have to other Coupon Codes or Ticket Numbers are reserved and not relinquished. I understand that when the Coupon Code Owner submits his/her/its Coupon Code for redemption to CCC, the Ticket Number and my personal information (or the personal information of my minor child(ren) or other lawful ward(s)) may be stored, transmitted and processed in connection with the redemption of the Coupon Code in and between the United States and South Korea. Personal information will be disclosed by CCC to Korean Air Co., Ltd. and Asiana Airlines, Inc. only for the purpose of Coupon Code redemption. Additionally, I understand the Airlines will need to transfer my personal information to CCC and/or the Coupon Code Owner. The items of personal information transferred may include, but not be limited to, the name of the PASSENGER on the ticket associated with a submitted Ticket Number, the price of the ticket associated with the Ticket Number, and the redemption eligibility status of the Ticket Number.

3 The purpose of this transfer of information is to assist with the redemption of Coupon Codes. Information exchanged between CCC and the Airlines may be retained by any of them until six months after the earlier of (a) the expiration date for all Coupon Codes, including the cy pres distribution of Coupon Codes, or (B) the date when all Coupon Codes have been redeemed. The subject transfer of personal information involves the cross-border transfer of personal information from South Korea to the United States 404 South Wells Street, Suite 600 Chicago, IL 60607 . (312) 204-69690 Fax: (312) 204-6980 Email: I understand that I have the right to refuse to provide consent to the use, storage, and transfer of my personal information, in which case the Coupon Code may not be redeemed. I give my consent to the use, storage, and transfer of my personal information as stated herein. I declare under penalty of perjury that the information contained in this form is true and accurate.

4 Signature of PASSENGER / _____. Print Name/ _____. If applicable, name of minor child(ren) or ward(s)/ . , _____. Address _____. City/State/Zip Code_____. Country _____. Phone _____. Email address _____. Please fill out the information above and send this document by: email to fax to (312) 204-6980. or mail to: Chicago Clearing Corporation 404 South Wells Street Suite 600. Chicago, IL. All rebates are subject to investigation, including requesting further documentation, if deemed necessary. 404 South Wells Street, Suite 600 Chicago, IL 60607 . (312) 204-69690 Fax: (312) 204-6980 Email.