IMO CREW LIST

(IMO FAL Form 5)

X Arrival Departure
1.1 Nama of Ship JI TAI 1.2 IMO number 8606288

1.3 Call sign JVGY5 1.4 Voyage number

2. Port of arrival / departure Batam, Indonesia 3. Date of arrival / departure

4. Flag State os ship MONGOLIA 5. Last port of call Kaohsiung

6. No 7. Family name. given 8. Rank or 9. Nationality 10. Date and place of birt 11. Nature and number of
Name rating identity document
1 YUSUP PUJI WIBOWO CAPT INDONESIA 1984.06.12 / KLATEN C4242861 / 2024.08.12
2 YANDI RAHIBATUL UMBARAN C/O INDONESIA 1990.12.29 / TASIKMALAYA B8334369 / 2022.10.17
3 ARIF SUHERMAN 2/O INDONESIA 1986.07.21 / LEBAK C6313289 / 2025.01.15
4 JOHAN PRASETIYO AB INDONESIA 1989.12.04 / DEMAK B9951288 / 2023.04.03
5 FATKHURROHMAN AB INDONESIA 1993.01.20 / LEBAK B4202838 / 2021.06.03
6 劉崢成 LIU,ZHENGCHENG C/E CHINA 1967.09.16 / FUJIAN ED1653075 / 2028.05.06
7 林崢良 LIN,ZHENGLIANG 1/E CHINA 1971.08.06 / FUJIAN EB5358907 / 2027.10.30
8 林海生 LIN,HAISHENG 2/E CHINA 1983.09.12 / FUJIAN E32119586 / 2023.11.20
9 陳惠龍 CHEN,HUILONG OLR CHINA 1964.11.29 / FUJIAN EE2789437 / 2028.09.19
10 林曉陽 LIN,XIAOYANG OLR CHINA 1974.02.11 / FUJIAN E95996235 / 2027.02.15
11 劉嘉誠 LIU,JIACHENG OLR CHINA 1994.09.10 / FUJIAN E21779257 / 2023.06.23
12 NUR HUDIN COOK INDONESIA 1991.03.02 / SEMARANG C3902476 /2024.06.19

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