SARAWAK SHELL BERHAD

PASSENGER AND FREIGHT MANIFEST

A/C REGN : ETD:
CAPT.: F/O:
FROM : TO:
DATE: DAY :
PASSENGERS LUGGAGE
WEIGHT IN LBS NO
NO NAME PAX INDNATIONALITY
PASSPORT NO DEST.
(A) (B) PCS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18

TOTAL NO. OF PASSENGERS: …………PAX TOTAL (A+B)

NO. OF CONSIGN.
NO. FREIGHT SUMMARY DESTINATION WEIGHT (C)
PIECES NOTE NO.

01
02
03
SECTOR SUMMARY FREIGHT TOTAL (C) =

TOTAL SECTOR
NO. FROM TO PAX WEIGHT (A) WEIGHT (B + C)
PAYLOAD A+B+C
01
02
03
04

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HLO CAPTAIN
 SARAWAK SHELL BERHAD
PASSENGER AND FREIGHT MANIFEST

A/C REGN : 9M-STV ETD 1330 HRS

CAPT.: T MALEK F/O: WILLIAM FOO
FROM: MIRI HELIBASE TO: D 35
DATE: 18.02.2003 DAY: TUESDAY
( D35 DEDICATED FLIGHT )
PASSENGERS LUGGAGE
WEIGHT IN LBS NO
NO NAME PAX IND NATIONALITY PASSPORT NO DEST.
(A) (B) PCS
01 SIMON AUGUST EPK-D35 MAL 147 29 1 D35
02 MASOM YUSUP EPK-D35 MAL 156 7 1 D35
03 SHAADI HUSSIN EPK-D35 MAL 139 29 1 D35
04 MOHD LASKEMANA EPK-D35 MAL 174 31 2 D35
05 SIKUA SAIK B/CEMPAKA MAL 143 26 2 D35
06 WILLIAM RUNGGA B/CEMPAKA MAL 180 22 1 D35
07 GARY NAWENG B/CEMPAKA MAL 163 31 2 D35
08 NICHOLAS MIPLIE B/CEMPAKA MAL 139 29 1 D35
09 LIM FONG CHIEN EMERSON MAL 147 40 3 D35
10 SAIFUL BAHARI HARDIE EMERSON MAL 134 17 2 D35
11 EMPIN NGELAYANG DESB MAL 158 22 1 D35
12 ZOLKIPLI SAHARI EPK-MTNS MAL 163 15 1 D35
13 JAFAR SAIAH DESB MAL 141 22 1 D35
14 DOLLAH ABAS DESB MAL 161 24 2 D35
15 MOHD SUHAIMI SKO MAL 178 22 1 D35
16 BUNSU INTING DESB MAL 150 22 1 D35
17 MOHD SOHAIRI EPK-MTNS MAL 229 31 2 D35

TOTAL NO OF PASSENGERS…17…...PAX TOTAL (A+B) 2702 419 25

NO. OF CONSIGN. NOTE

NO. FREIGHT SUMMARY DESTINATION WEIGHT (C)
PIECES NO.
01 1 BOX 0217 EPK-D35 TONER FOR D35 18
02 1 BOX CIO-TNO BATTERY CHARGER FOR D35 15
03 2 BOXES EMERSON TOOL BOX & VACCUUM FOR D35 26
2 BOXES 0147 STAGNO COPPER & ELBOW D35 3
04 2 ITEM 11382 EPK-MTNS EQUIP FOR D35 35
FREIGHT TOTAL (C) = 97
SECTOR SUMMARY
TOTAL SECTOR
NO. FROM TO PAX WEIGHT (A) WEIGHT (B + C) PAYLOAD
A+B+C

01 MHB D35 17 2702 516 3218

02
03

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HLO CAPTAIN
 SARAWAK SHELL BERHAD
SABAH SHELL PETROLEUM COMPANY LIMITED
FROM:
DATE:
TO: EPT-LAV

AUTHORISATION FOR CARRIAGE OF FREIGHT BY AIR

(DEFINITION OF FREIGHT: ANY ITEM OR EQUIPMENT OTHER THAN PASSENGERS PERSONAL BAGGAGE)

ITEM
NO. CONSIGNMENT DIMENSION WEIGHT
NOTE NO.
FROM TO DATE
DESCRIPTION OF FREIGHT (FT / IN) (LBS)

THE FOLLOWING QUESTIONS TO BE ANSWERED BY REQUESTER AND CONFIRMED BY PERSON

AUTHORISING

CONSIGNMENT.

DOES THE ABOVE CONSIGNMENT CONTAIN ANY OF THE FOLLOWING: -

1.LIQUIDS OR COMPRESSED GASES? YES / NO
2.MERCURY? YES / NO
3.HAZARDOUS OR FLAMMABLE MATERIALS OR CHEMICALS? YES / NO
4.EXPLOSIVES OR EXPLOSIVE DEVICES? YES / NO
5.MAGNETISED MATERIALS? YES / NO
6.RADIO ACTIVE SUBSTANCES? YES / NO
7.ANYTHING THAT MIGHT CONSTITUTE A SAFETY HAZARD DURING FLIGHT? YES / NO

IF ANY OF THE ABOVE ANSWERS ARE YES, PLEASE CONSULT EPT-LAV AND A DANGEROUS
GOODS DECLARATION SHOULD ACCOMPANY THIS CONSIGNMENT.

REQUESTER NAME: ______________________ INDICATOR: _______________ TEL. NO: _________

AUTHORISED BY (NAME): _________________ SIGNATURE: ______________ INDICATOR: _______

(TEAM LEADERS OR AGREED DESIGNATE)

(NOTE: PLEASE REFER TO A/OD’S NOTE ON CARRIAGE OF LIGHTERS, MATCHES AND FREIGHT ON
HELICOPTERS DATED 06/09/96.)