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Imo Crewlist - 1

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IMO CREW LIST

P Arrival Departure Page No. 1 of 1


1. Name and Type of Ship 2. Port of Arrival 3. Date Of Arrival
MT. QUEEN MAJESTY BAU BAU 05 November, 2023
4. Flag State of Ship 5. Last Port of Call
6.Passport 7.Seaman Book
INDONESIA SINGAPORE
8.No. 9. Family name, given names 10. Rank 11.Sex 12. Nationality 13. Date and place of birth Number Expired Number Expired

1 SEHAN KISMAN ALI MASTER MALE INDONESIA 15.03.1971 PRAYA C 6994643 08/04/2027 F 247935 24.06.2024

2 M.B. LUTHFI KHAKIM CH OFFICER MALE INDONESIA 27.02.1976 KENDAL C 4734637 23/09/2024 G 138337 04.02.2025

3 ANDIKA WISNU PRASETYA 2ND OFFICER MALE INDONESIA 17.12.1993 PURBALINGGA E 4184090 18/07/2033 H 042553 05.07.2025
Convention on Facilitation of International Maritime Traffic

4 ARSANDI SETYO PRATAMA 3RD OFFICER MALE INDONESIA 12.08.1995 JAKARTA C 7170017 11/09/2025 F 192909 25.01.2026

5 JOSUA HASIAN SILABAN 4TH OFFICER MALE INDONESIA 01.02.1999 JAGAPAYUNG E 3340429 11/05/2033 F 062010 07.09.2024

6 YUDHO FIBRIANTO CH ENGINEER MALE INDONESIA 03.02.1989 JAKARTA C 3756355 23/05/2024 E 112457 12.12.2025

7 RAGA SATRIA SUWARSITO 2ND ENGINEER MALE INDONESIA 08.03.1988 SURABAYA X 1021079 13/07/2025 I 074853 10.08.2026

8 YUDHI JULIANDI 3RD ENGINEER MALE INDONESIA 12.07.1985 DUMAI C 7806992 23/02/2026 G 042620 02.02.2024

9 DWI GALANG SAFRULLOH 4TH ENGINEER MALE INDONESIA 13.06.1998 JAKARTA C 8676057 18/03/2027 F 092981 13.12.2024

10 MARSEL TODINGBUNGA 5TH ENGINEER MALE INDONESIA 25.03.1994 SANGALLA E 1156008 17/10/2027 F 064730 28.11.2024

11 EKO MAULANA FALUTI ETO MALE INDONESIA 23.07.1975 JAKARTA C 8095154 02/09/2026 F 111221 12.07.2025

12 RUSMAN MALLO FITTER 1 MALE INDONESIA 01.02.1961 PALOPO C 9642318 16/01/2025 I 028784 03.04.2026

13 BINAHAR MARPAUNG FITTER 2 MALE INDONESIA 30.03.1972 JAKARTA C 6373113 16/01/2025 I 028784 03.04.2026

14 MARFEL ALFRANDI MOMONGAN PUMPMAN 1 MALE INDONESIA 17.03.1994 WATULINEY C 7855116 31/03/2027 G 018292 26.10.2025

15 EDI KUSWOYO PUMPMAN 2 MALE INDONESIA 26.09.1977 BANGKALAN C 7081086 27/07/2025 F 156037 20.07.2025

16 AHMAD SYIFA UDDIN AB 1 MALE INDONESIA 18.11.1994 TEGAL E 0692273 04/10/2027 G 133769 20.12.2024

17 AGUS RIANTO AB 2 MALE INDONESIA 20.08.1993 TULUNGAGUNG C 8984760 18/05/2027 H 030945 25.04.2025

18 M. ADITYA INDRA NANDA P. AB 3 MALE INDONESIA 16.10.1991 MAGELANG C 7593075 07/12/2026 G 016492 15.09.2025

19 GUNAWAN SAILOR 1 MALE INDONESIA 06.08.1981 BOYOLALI E 4317356 27/07/2033 E 159855 25.04.2024

20 ACHMAD NUR ARIFIN SAILOR 2 MALE INDONESIA 11.08.1997 JAKARTA C 7793684 23/03/2026 G 000700 03.07.2025

21 NATHANIEL OILER I MALE INDONESIA 29.12.1977 PATTEDONG C 7241196 21/10/2025 F 093572 21.12.2024

22 MUHAMMAD IKHSANFUDDIN OILER II MALE INDONESIA 16.01.1994 PASI ACEH C 6878485 20/07/2025 G 040663 28.12.2023

23 ADI HENDRA SAPUTRO OILER III MALE INDONESIA 19.03.2002 TEMANGGUNG E 1049228 25/10/2032 F 312825 30.09.2025

24 AHMAD SURIP CH COOK MALE INDONESIA 09.03.1976 KENDAL C 5403032 07/11/2024 E 139578 24.01.2024

25 MUCHAMAD NASACHA MESSMAN MALE INDONESIA 05.09.1987 MAGELANG C 6786270 20/02/2025 F 318483 24.01.2025

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

30-Oct-23 Master :

Capt. SEHAN KISMAN ALI

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