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  • Lighthaus Pte LTD: Personal Data

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    Komik Balabatu
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    This document contains personal and employment details for Alias Danda. It lists his name, date of birth, nationality, contact information, passport and seaman book details, next of kin information, and bank account details for salary payments. The document was signed by Alias to confirm the accuracy of the provided information.

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    Original Title

    DATA LIAS

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    This document contains personal and employment details for Alias Danda. It lists his name, date of birth, nationality, contact information, passport and seaman book details, next of kin information, and bank account details for salary payments. The document was signed by Alias to confirm the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    4 views2 pages

    Lighthaus Pte LTD: Personal Data

    Uploaded by

    Komik Balabatu
    This document contains personal and employment details for Alias Danda. It lists his name, date of birth, nationality, contact information, passport and seaman book details, next of kin information, and bank account details for salary payments. The document was signed by Alias to confirm the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    LIGHTHAUS PTE LTD

    Lighthaus Pte Ltd . 59, Ubi Avenue 1 Bizlink Centre #07-04 S(408938)

    PERSONAL DATA
    SURNAME

    ALIAS

    DATE OF BIRTH

    5 MAY 1986

    NATIONALITY

    INDONESIAN

    HOME NUMBER
    EMAIL ADDRESS
    LANGUAGE
    CONVERSATIONAL
    HOME ADDRESS

    alias.danda@yahoo.c
    om
    INDONESIAN
    ENGGLISH
    JL.R.E MARTADINATA
    KAPUNG MUARA
    BAHARI

    FORENAMES
    MARITAL
    STATUS
    PLACE OF
    BIRTH
    MOBILE
    NUMBER

    LIAS
    MARRIED
    BALABATU
    +6181296125560

    WRITTEN

    NEAREST
    AIRPORT

    SULTAN HASANUDDIN
    MAKASSAR

    DOCUMENTS DATA
    PASSPORT NO

    A4026982

    COUNTRY
    ISSUED

    JAKARTA,
    INDONESIA

    DATE ISSUED

    7 NOV 2012

    EXPIRY DATE

    7 NOV 2017

    A013190

    DATE OF
    ISSUE

    8 NOV 2014

    SEAMAN BOOK NO
    DATE OF EXPIRY

    8 FEB 2017

    NEXT OF KIN
    NAME
    HOME NUMBER
    ADDRESS OF NEXT
    KIN
    FATHERS NAME

    KARTINI
    MAKASSAR
    DANDA

    RELATIONSHI
    P
    MOBILE
    NUMBER
    DATE OF
    BIRTH
    MOTHERS
    NAME

    WIFE
    +6281340066798
    4 APR 1984
    TANRIAMO

    BANK DETAILS (ALL DETAILS AND SUPPORTING DOCUMENT IS


    MANDATORY)
    BENEFICIARY
    NAME
    BENEFICIARY
    ACCOUNT NUMBER
    & CURRENCY
    BENEFICIARY
    ADDRESS ( * TO
    PROVIDE
    SUPPORTING

    KARTINI

    BANK NAME

    1520009764511 &
    IDR

    BANK
    ADDRESS
    SWIFT CODE

    Lighthaus Pte Ltd, 59, Ubi Avenue 1 Bizlink Centre #07-04


    S (408938) Tel: 65460300 Email crewing@lighthaus-marine.com

    MANDIRI
    JL.SAM RATULANGI
    NO.89
    RT.001/RW.001
    -

    LIGHTHAUS PTE LTD


    Lighthaus Pte Ltd . 59, Ubi Avenue 1 Bizlink Centre #07-04 S(408938)

    DOCUMENTS)
    IBAN
    INTERMEDIARY
    BANK NAME

    SORT CODE

    INTERMEDIA
    RY BANK
    SWIFT

    I declare that all information provided and completed are true and accurate.

    ALIAS

    Crew Signature/Date

    Lighthaus Pte Ltd, 59, Ubi Avenue 1 Bizlink Centre #07-04


    S (408938) Tel: 65460300 Email crewing@lighthaus-marine.com

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