1.1 Name of Ship: TG. BIG HORN RIVER Date of Arrival: Date of Departure: 2. Port of Arrival: PENANG, MALAYSIA 20/11/2022 20/5/2023 Last Port of Call: Next Port of Call: 4. Nationality of Ship: KUCHING/MALAYSIA PASIR GUDANG PASIR GUDANG
12. Date of Expiry and No. of
9. Rank or 11.Sign on date/ 5. No. 6. Family name, given name 7. Date & place of birth 8. Sex 10. Nationality identity document(passport & rating place seaman's book)
EDWIEN ARIF 24.04.1992 5/1/2023 C7923702 23.08.2026
1 WICAKSONO MALE MASTER INDONESIA BLORA PENANG I028882 06.04.2026 15.02.1992 CHIEF 12/31/2022 C6584651 22.12.2026 2 AKHMAD SADIK MALE INDONESIA RUMAJU OFFICER PENANG F159473 27.01.2024 AGUSTINUS JEFRICO DA 17.08.1981 CHIEF 4/19/2023 C8428534 18.02.2027 3 MALE INDONESIA SILVA SURABAYA ENGINEER PENANG F293553 24.10.2026 MUHAMMAD FAKRI BIN 01.08.1999 1/12/2023 A54864106 17.07.2026 4 SAMSURI MALE A.B MALAYSIA P. PENANG PENANG 4583102830A N/A SELLATHURAI 09.09.1985 12/22/2021 N5628264 20.11.2025 5 PIRATHEES MALE OILER INDIA TELLIPALAI PASIR GUDANG C044419 14.07.2025 05.10.1992 4/1/2021 V8407186 23.05.2032 6 RAJAN UBARJAN MALE OILER SRI LANKAN TANJUNG PERIYATHAL PELEPAS MUM244632 09.12.2024
Date and signature by master, authorized agent or officer