HEALTH CERTIFICATE

Name of Ship’s : M/T Port of Arrival / Departure Date of

VIETSTAR Arrival / Departure
SAI GON - VIET NAM 06 /10/2018

National of Ship’s : VIET NAM Port Arrival from / Port of destination

LUBUK GAUNG - INDONESIA
No Family name given Rank Sex Date&plate Nationnal Date 0f Date 0f
name 0f birth ity issue expiry
(dd/mm/yy)
MASTE
1 LE VAN TRUNG MAN 20/12/1984 VIETNAM 26/4/2018 26/10/2019
R
2 TANG XUAN HUNG C/O MAN 12/04/1986 VIETNAM 17/11/2016 17/11/2018
3 VU DUC TOAN 2/O MAN 05/09/1982 VIETNAM 09/05/2018 09/11/2019
4 LY VAN THE 3/O MAN 20/03/1993 VIETNAM 4/10/2017 4/10/2018
5 NGO VAN PHU C/E MAN 08/03/1980 VIETNAM 10/05/2018 10/11/2019
6 TRAN MANH DUY 2/E MAN 25/11/1989 VIETNAM 29/9/2017 29/3/2019
7 NGUYEN DUY DONG 3/E MAN 22/07/1978 VIETNAM 5/12/2017 05/6/2019
8 NGUYEN NGOC HUNG 4/E MAN 03/11/1991 VIETNAM 11/12/2017 11/6/2019
9 CAO DAC TRI AB-1 MAN 06/11/1970 VIETNAM 22/5/2018 22/11/2019
10 NGUYEN XUAN CAO AB-2 MAN 23/03/1988 VIETNAM 15/5/2018 15/11/2019
11 TRAN BA THUONG AB-3 MAN 23/12/1987 VIETNAM 22/5/2018 22/11/2019
12 NGUYEN HOAI THANH AB-4 MAN 11/02/1989 VIETNAM 2/5/2018 2/11/2019
13 DAM VAN TIEM AB-5 MAN 05/09/1991 VIETNAM 2/4/2018 2/10/2019

PHAM VAN TRAI P/M MAN 10/02/1986 VIETNAM 02/07/2018 02/01/2020

14
15 DO ANH GUA OLR-1 MAN 09/06/1986 VIETNAM 30/11/2017 30/11/2018
16 NGUYEN ANH TUAN OLR-2 MAN 02/10/1994 VIETNAM 24/11/2017 24/11/2018
17 HOANG MANH CAM OLR-3 MAN 21/03/1990 VIETNAM 20/3/2017 20/9/2018
C/COO
18 NGUYEN VAN YEN MAN 14/09/1975 VIETNAM 22/5/2018 22/11/2019
K

Date: 06 /10/2018
CAPT 0F M/T
VIETSTAR