CREW'S PARTICULAR

Full Name : ANGGORO WISNU PRATOMO

Place/Date of Birth : Blora, 09 th October 1979
Nationality : Indonesia
Sex : Male
Marital Status : Married
Address : Jl.Prmuka Rt.002/Rw.008
Tanjung Batu Kota Village,Kundur District Karimun/Kepri City.

Vessel / Position :Chief Officer

Religion : Islam
Phone (Handpone) : 0823 8196 7776

Signature
Date :

Next of Kin Particalar

Name Relationship to You Address / Contact Number

Jumiarni Wife Jl.Prmuka Rt.002/Rw.008

Tanjung Batu Kota Village,
,Kundur District Karimun/Kepri City.
0823 8499 9260