IMO CREW LIST

(IMO FAL Form 5)

Page No
Arrival X Departure 1 / 1
1.1 Name of ship 1.2 IMO number
337712 - BLUE PETRA 1 9900540

1.3 Call sign 1.4 Voyage number

9M2709

2. Port of arrival 3. Date of arrival

NIL 17/09/2022
NIL
5. Last port of call
4. Flag State of ship
KEMAMAN
MALAYSIA
11. Nature and number of
6. No. 7. Family name, given names 8. Rank or rating 9. Nationality 10. Date and place of birth
identity document
1 YUSUF BARALANGI MASTER INDONESIA 06/10/1980 201374017993
BALIKPAPAN
2 MOHD LUTFI BIN MOHD SUKRI WATCHKEEPING MALAYSIA 13/06/1992 201043005190
OFFICER KUANTAN
3 MOHD SYAFIQ BIN ZAHARI WATCHKEEPING MALAYSIA 27/11/1991 200903001671
RATING KELANTAN
4 MOHD AZWAN BIN ROSLI WATCHKEEPING MALAYSIA 27/02/0991 201343009871
RATING TERENGGANU
5 PUSHPANATHAN A\L CHIEF ENGINEER MALAYSIA 22/02/1992 201152000937
GUNASAKARAN KLUANG
6 LIVYTHARAN A/L SECOND MALAYSIA 30/04/1995 201421003857
KRISHNAMOORTHY
ENGINEER IPOH
7 WATCHKEEPING MALAYSIA 18/11/1988 201022004949
MUHAMMAD ZAINUL ARIFFIN
RAJA ZAIANAL ENGINEER PAHANG
8 NIK MAZUAN BIN WATCHKEEPING MALAYSIA 07/10/1988 200603004574
NIK MANSUR RATING KELANTAN

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