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Pts - New Passenger Data Entry Form: Lifting - Balikpapan@bpmigas - Go.id
Pts - New Passenger Data Entry Form: Lifting - Balikpapan@bpmigas - Go.id
Pts - New Passenger Data Entry Form: Lifting - Balikpapan@bpmigas - Go.id
Entity *: MSA/SPS/PRS
Guest
Sex * Marita
Contact Information *
Birthdate *
Nationality Expired of Certificates (dd/mmm/yyyy) *
l
(dd/mmm/yyyy)
*
Status
Last
(M/F)
Company
Position
Phone
E-mail
HUET
Sea Survival
MCU*
BACHTERA
Singl
BP
Pengawas 08133471
INDONESI
lifting_balikpapan@bpmigas.go.id
M
17-MEI-1984
WAN
e
MIGAS
Lifting
5178
A
Middle
ICHSANDI
2
3
4
5
6
7
8
9
###
Comments/Remark : TANKER LIFTING ACTIVITY
* Must be filled in
GGI
: For All TEPI Users
MCU
: For site personnel or people going to site as site requirement
HUET
: For those who using helicopter transportation more than
5 trips and forth (10 times) / year
SEASVAL
: For those who using sea transportation more than 10 trips
and forth (20 times) / year
Created By
Name
: ANTONIAGA
42763Date
: -409dd-mmmm-yyyy
Name
: CHAIRUL
42763Date
: -409dd-mmmm-yyyy