Name of Shipping Line, Agent, etc. Arrival (1) Departure (2) Page No.

Northern Marine Management X 1

1.1 Name and type of Ship: Stena Imperative 2. Port of Arrival 3. Date of Arrival
1.2 IMO number 9666077
SITRAH Thursday, December 30, 2021
1.3 Call sign: ZCEL9
4. Flag state of ship 5. Last port of call
6. Nature & No.
Bermuda AL JUBAIL, KSA
of Identity
Documents Employee ID
7. No. 8. Family Name, Given Names 9. Rank / Rating 10. Nationality 11. Date & Place of Birth (Seamans Number
Passport) (Payroll) Date Joined

1 FERTU DAN GABRIEL MASTER ROMANIAN 5/23/1979 GALATI 054991280 34167 22-Aug-21

AADH MEERUT , UTTAR

2 ARVIND KUMAR CHIEF OFFICER INDIAN 6/9/1989 Z3890728 37708 22-Nov-21
PRADESH

3 RAI PRAVIN 2/O INDIAN 1/26/1993 BALLIA,UTTAR PRADESH Z2451261 64663 22-Nov-21

4 KUMAR VIKASH 3/O INDIAN 7/15/1991 DEHRI ON SONE, BIHAR M1935259 65099 22-Aug-21

5 TELI ANIKET PRAKASH 3/O INDIAN 1/14/1996 BHAYANDAR, MAHARASHTRA N6217857 0 26-Nov-21

6 MRAKOVCIC VEDRAN CHIEF ENGINEER CROATIAN 2/18/1976 RIJEKA 139327394 66252 14-Oct-21

SAHARANPUR, UTTAR
7 SAINI ABHISHEK 2ND ENGINEER INDIAN 6/2/1983 L1145526 0 26-Nov-21
PRADESH

8 GUPTA AKSHAY KUMAR 3/E INDIAN 11/30/1988 LUCKNOW, UTTAR PRADESH Z4242012 0 28-Nov-21

9 SARDA VAIBHAV 4TH ENGINEER INDIAN 5/24/1997 CHANDIGARH, CHANDIGARH K7864991 60130 11-Jul-21

10 GUSAKOV GEORGII ESO RUSSIAN 10/31/1995 RUSSIA 72 4584529 63646 22-Aug-22

11 DEKUNU FARATHUGE SALEEM SAFARUGO Bosun INDIAN 1/14/1982 MINICOY,LAKSHADWEEP V0867426 48989 22-Nov-21

12 VADAVIL MUHAMMED SHIYAVUDDIN PUMPMAN INDIAN 5/30/1974 TELLICHERRY, KERELA U5019525 34873 11-Jul-21

13 KUMAR KHITISH A/B 1 INDIAN 12/25/1988 AMAINAGAR, JHARKHAND R 8360680 49546 22-Aug-21

14 ARUN KUMAR AB 2 INDIAN 10/27/1985 NALANDA, BIHAR Z 2759610 54244 11-Jul-21

MOGADALAPADU, ANDHRA
15 PUKKALLA SANKARRAO A/B 3 INDIAN 11/15/1992 U8589326 0 26-Nov-21
PRADESH

BANDARUVANIPETA, ANDHRA
16 SEEKOTI RAMESH OS1 INDIAN 6/6/1994 U8376537 63352 22-Aug-21
PRADESH

17 PUTHUSSERY JOHNSON EDWIN O/S 2 INDIAN 8/2/1996 KUZHUPPILLY, KERELA N 4729660 58253 22-Aug-21

18 KADARI INAYAT ALLISAHEB Fitter INDIAN 6/2/1967 DONGAR,MAHARASHTRA Z6143487 12119 22-Nov-21

19 SEET AJAY KUMAR MOTORMAN 1 INDIAN 6/8/1991 ALALPUR, ODISHA T0598967 65116 11-Jul-21

20 SUSEELAN SUDHA ARUN MOTORMAN 2 INDIAN 3/28/1988 TRIVANDRUM, KERELA P5358962 65432 11-Jul-21

21 HOSSAIN SHAHNAWAJ C/Cook INDIAN 9/18/1981 NADIA,WEST BENGAL U4987993 0 22-Nov-21

22 FERNANDES PREVON Messman INDIAN 6/20/1982 AGONDA,GOA U 6010527 63375 22-Aug-21

Date and Signature by Master, Authorised Agent or Officer.