EII-AP IMP 2017

PT. MAYA MUNCAR

FISH CANNING INDUSTRY
Head Office : Jl. Malaka II (ORPA) NO. 17EFG, Jakarta 11230
Phone : (+62-21) 6902336 Fax Number : (+62-21) 6927184 Email : mayabrand@cbn.net.id
Factory Plant : Jl. Sampangan No. 22, Kedungrejo, Muncar – Banyuwangi 68472
Phone : (+62-333) 593463, 593464, 594361 ; Fax Number : (+62-333) 593305
Email : tuna.maya@yahoo.com / tuna.mayamuncar@gmail.com

INDIVIDUAL SUPPLIER’S INFORMATION

(For Processing/Trading Companies)

Information on Fishing Company Supplier

(To be accomplished per fish supplier delivering to the cannery)

Name of Fishing Company: UD. Usaha Bersama Owner: Saiful

Company Address: JL. Yos Sudarso, Muncar, Banyuwangi
Contact Person: 08123474706 Position: Owner

Note: Attach copy of the Fishing vessel/gear license of all vessels.

Type
# of
(catcher,
Call Sign / IMO Gross Year Fishing Vess
Name of Vessel carrier, Fishing Area
Code Name Number Tons Built Technique el
lightboat,
Crew
etc.)
Indian Ocean (ID
KMN Harapan Jaya 40 N/A N/A
catcher 16 Hand lining 5 EEZ at FMA-573)
2015
KMN Harapan Jaya 41 catcher Hand lining Indian Ocean (ID
N/A N/A 25 2013 5 EEZ at FMA-573)
Rajawali V catcher Purse Seine Indian Ocean (ID
N/A N/A 27 2013 - EEZ at FMA-573)
KMN Sempurna Putih catcher Hand lining Pacific Ocean (ID
N/A N/A 30 2013 - EEZ at FMA-713)

For Purse seine fishing, indicate number of Payao/FAD owned (if any):

Prepared by : Yohanes Wahyudi Date: April 17th, 2020

Position : QA