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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: CV. PHM Owner: Muhlasin


Company Address: Tuban, Jawa Timur
Contact Person: 08113566448 Position: Owner

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

Type
(catcher, # of
Call Sign / IMO Gross Year Fishing
Name of Vessel carrier, Vessel Fishing Area
Code Name Number Tons Built Technique
lightboat, Crew
etc.)
Adia Bali – 54 catcher Indian Ocean (ID
N/A N/A 27 2019 Troll Line 5
EEZ at FMA-573)

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

Prepared by : Yohanes Wahyudi Date: April 16th, 2020


Position : QA

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