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    Imo Crew List: (IMO FAL Form 5) Departure

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    Irul LAS
    This document lists the 13 crew members of the LCT.SUMBER SEJAHTERA ABADI AS 57 ship. It provides details like their name, rank, nationality, date and place of birth, and identity document information. The ship was arriving in Tanjung Priok, Indonesia on October 13, 2021 after departing from Timor Leste and is flagged under Indonesia.

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    Imo Crew List: (IMO FAL Form 5) Departure

    Uploaded by

    Irul LAS
    199 views1 page
    This document lists the 13 crew members of the LCT.SUMBER SEJAHTERA ABADI AS 57 ship. It provides details like their name, rank, nationality, date and place of birth, and identity document information. The ship was arriving in Tanjung Priok, Indonesia on October 13, 2021 after departing from Timor Leste and is flagged under Indonesia.

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    Imo Crew List

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    This document lists the 13 crew members of the LCT.SUMBER SEJAHTERA ABADI AS 57 ship. It provides details like their name, rank, nationality, date and place of birth, and identity document information. The ship was arriving in Tanjung Priok, Indonesia on October 13, 2021 after departing from Timor Leste and is flagged under Indonesia.

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    © All Rights Reserved
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    199 views1 page

    Imo Crew List: (IMO FAL Form 5) Departure

    Uploaded by

    Irul LAS
    This document lists the 13 crew members of the LCT.SUMBER SEJAHTERA ABADI AS 57 ship. It provides details like their name, rank, nationality, date and place of birth, and identity document information. The ship was arriving in Tanjung Priok, Indonesia on October 13, 2021 after departing from Timor Leste and is flagged under Indonesia.

    Copyright:

    © All Rights Reserved
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    of 1

    IMO CREW LIST

    (IMO FAL Form 5)

    Page Number
    Arrival Departure
    1.1 Name of ship 1.2 IMO number
    LCT.SUMBER SEJAHTERA ABADI AS 57 9880752
    1.3 Call sign 1.4 Voyage number
    YCPS2 001
    2. Port of arrival/departure 3. Date of arrival/departure
    TANJUNG PRIOK,INDONESIA 13 OKTOBER 2021
    4. Flag State of ship 5. Last port of call
    INDONESIA TIMOR LESTE
    10. Date and 11. Nature and number of
    6. No. 7. Family name, given names 8. Rank or rating 9. Nationality place of birth identity document
    1. LA RAHMAN MASTER INDONESIA 16-08-1970 C 2934953

    2. KHAIRUL IHSAN SIREGAR C/OFF INDONESIA 14-02-1992 C 6786321

    3. IMAM NUR SISWANTO 2ND/OFF INDONESIA 13-10-1995 B 9988873

    4. SIDIQ YOGO UTOMO C/ENGINER INDONESIA 08-02-1979 C 6790182

    5. BAYU SETIYO MUSABANI 2/ENGINER INDONESIA 25-09-1993 C 1805167

    6. FEBRY HANSJAYA 3/ENGINER INDONESIA 18-02-1991 B 7370476

    7. DANI ARYA WARDHANA AB INDONESIA 14-04-1987 C 1303841

    8. MUHAJIR AB INDONESIA 10-01-1998 C 7140655

    9. SARIYADIN AB INDONESIA 05-07-1998 B 8176812

    10. SUMARDIN OILER INDONESIA 02-10-1997 C 0213951

    11. TATANG PERMANA OILER INDONESIA 27-07-1981 C 7824443

    12. HERU PURNOMO OILER INDONESIA 13-05-1986 C 0881483

    13. RIO PUTRA NURCAHYO COOK INDONESIA 11-06-1999 C 7569086

    12. Date and signature by master, authorized agent or officer

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