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VACCINATION LIST

Page No 1
T Arrival £ Departure
1. Name of ship 2. Port of arrival 3. Date of arrival

M/T «SAGAR VIOLET» Novorossiysk, Russia


4. Nationality of ship 5. Port arrived from

PALAU Port Suez, Egypt


6. No. 7. Family name; given names 8. Rank or rating 9. Nationality 10. Date of Yellow Fever Vaccination

1 PELIPENKO ANDREY MASTER RUSSIAN FEDERATION 13.02.2004

2 PLASTUN ALEKSANDR CH.OFF RUSSIAN FEDERATION 14.05.2014

3 NETSEVICH SERGEY 2ND OFF RUSSIAN FEDERATION 24.04.2008

4 ALEROV GEORGII 3RD OFF RUSSIAN FEDERATION 12.04.2019

5 KUCHERENKO VALERIY CH.ENG RUSSIAN FEDERATION 01.02.2015

6 NIKULNIKOV ARTEM 2ND ENG RUSSIAN FEDERATION 27.05.2011

7 SOKOLOV VLADISLAV 3RD ENG RUSSIAN FEDERATION 06.10.2016

8 MALTSEV DANIIL 4TH ENG RUSSIAN FEDERATION 27.05.2010

9 TELEGIN IVAN ETO RUSSIAN FEDERATION 15.07.2021

10 PISKUN ALEKSANDR PUMPMAN RUSSIAN FEDERATION 09.12.2015

11 PETROV SERGEI BOSUN RUSSIAN FEDERATION 10.10.2020

12 REVAKOV MIKHAIL AB 1 RUSSIAN FEDERATION 24.04.2019

13 KRAMORENKO SERGEI AB 2 RUSSIAN FEDERATION 26.12.2016

14 SYAHRIR SYAIS OS 1 INDONESIA 12.02.2021

15 SHAFOROSTOV DENIS OS 2 RUSSIAN FEDERATION 20.03.2020

16 JONI BUNTU FITTER INDONESIA 10.12.2021

17 KLYUEV DENIS OILER RUSSIAN FEDERATION 14.12.2012

18 OTKIDACH NIKOLAI WIPER RUSSIAN FEDERATION 28.05.2008

19 PRUDNIKOV GENNADII COOK RUSSIAN FEDERATION 22.06.2012

20 INDRA NURSENA MESSMAN INDONESIA 24.04.2018

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

Monday, October 2, 2023 Master A. Pelipenko

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