IMO CREW LIST

(IMO FAL Form 5)

Arrival Departure Page Number

1
1.1 Name of ship 1.3 IMO number
LCT 988 9787261
1.2 Call sign 1.4 Voyage number
DUH-3639
2. Port of arrival/departure 3. Date of arrival/departure

4. Flag State of ship 5. Last port of call

PHILIPPINES
6. 7. Family name, given names 8. Rank or rating 9.Nationality 10. Date and 11. Nature and number of identity document
No. place of birth

1 MONACILLO, SIMEON JR. CAPTAIN FILIPINO NOVEMBER 06, C0885258

1963
DAANBANTAYAN
CEBU
2 CATUBAG, EFREN A. CHIEF MATE FILIPINO FEBRUARY 27, 1975 C1206917
TUBIGON BOHOL

3 AGNAS, ROMEO B. CHIEF ENGR. FILIPINO DECEMBER 17, C0402730

1965
MAGSAYSAY
PALAWAN
4 TAN-AWON, JUNEL C. 2ND ENGR. FILIPINO JULY 16,1984 C0391488
DAPITAN CITY
5 PACLIPAN, MARK BEN H. AB FILIPINO SEPTEMBER C0356346
08,1993
BANTAYAN CEBU
6 RUBIO, DAVE BRYAN V. AB FILIPINO SEPTEMBER C1000456
03,1990
VIRAC
CATANDUANES
7 BAYONETA, PAQUITO H. JR. AB FILIPINO AUGUST 24,1993 C0427119
NEGROS
OCCIDENTAL
8 ALAGON, HILBERT B. OILER FILIPINO SEPTEMBER
08,1994
ZAMBOANGA DEL
SUR
9 PERALTA, JESUS ANTHONY OILER FILIPINO DECEMBER 21,
B. 1993
DANAO CITY
10 MALOMPONG, PAUL C. JR. OILER FILIPINO SEPTEMBER C1257915
01,1989
POLOMOLOK
COTABATO
11 REJAS, REYMARK O. D/C FILIPINO APRIL 16,1994 C1209691
TAGBILARAN CITY
12 PUERTO, NICKLE ANGELO R. D/C FILIPINO FEBRUARY 28,1988 C1193621
DAVAO CITY
13 BERNALES, JONAS D/C FILIPINO APRIL 18,1998
QUEZON CITY
14 PILAPIL, JOHN CARLOU G. D/C FILIPINO NOVEMBER 16,
1995
CEBU CITY
15 MANALILI, JORDAN E/C FILIPINO AUGUST 01, 1991 C0834317
CEBU CITY
16 JADUSAN, JAYMARK E/C FILIPINO NOVEMBER 16, C0410720
1994
ZAMBOANGA DEL
SUR
12. Date and Signature by master, authorizes agent or officer:

EMBARKATION.
 IMO CREW LIST
(IMO FAL Form 5)

Arrival Departure Page Number

1
1.3 Name of ship 1.3 IMO number
LCT 988 9787261
1.4 Call sign 1.4 Voyage number
DUH-3639
2. Port of arrival/departure 3. Date of arrival/departure

4. Flag State of ship 5. Last port of call

PHILIPPINES
6. 7. Family name, given names 8. Rank or rating 9.Nationality 10. Date and 11. Nature and number of identity document
No. place of birth

1 MONACILLO, SIMEON JR. CAPTAIN FILIPINO NOVEMBER 06, C0885258

1963
DAANBANTAYAN
CEBU
2 CATUBAG, EFREN A. CHIEF MATE FILIPINO FEBRUARY 27, 1975 C1206917
TUBIGON BOHOL

3 AGNAS, ROMEO B. CHIEF ENGR. FILIPINO DECEMBER 17, C0402730

1965
MAGSAYSAY
PALAWAN
4 TAN-AWON, JUNEL C. 2ND ENGR. FILIPINO JULY 16,1984 C0391488
DAPITAN CITY
5 PACLIPAN, MARK BEN H. AB FILIPINO SEPTEMBER C0356346
08,1993
BANTAYAN CEBU
6 RUBIO, DAVE BRYAN V. AB FILIPINO SEPTEMBER C1000456
03,1990
VIRAC
CATANDUANES
7 BAYONETA, PAQUITO H. JR. AB FILIPINO AUGUST 24,1993 C0427119
NEGROS
OCCIDENTAL
8 ALAGON, HILBERT B. OILER FILIPINO SEPTEMBER
08,1994
ZAMBOANGA DEL
SUR
9 PERALTA, JESUS ANTHONY OILER FILIPINO DECEMBER 21,
B. 1993
DANAO CITY
10 MALOMPONG, PAUL C. JR. OILER FILIPINO SEPTEMBER C1257915
01,1989
POLOMOLOK
COTABATO
11 REJAS, REYMARK O. D/C FILIPINO APRIL 16,1994 C1209691
TAGBILARAN CITY
12 PUERTO, NICKLE ANGELO R. D/C FILIPINO FEBRUARY 28,1988 C1193621
DAVAO CITY
13 BERNALES, JONAS D/C FILIPINO APRIL 18,1998
QUEZON CITY
14 PILAPIL, JOHN CARLOU G. D/C FILIPINO NOVEMBER 16,
1995
CEBU CITY
15 MANALILI, JORDAN E/C FILIPINO AUGUST 01, 1991 C0834317
CEBU CITY
16 JADUSAN, JAYMARK E/C FILIPINO NOVEMBER 16, C0410720
1994
ZAMBOANGA DEL
SUR
12. Date and Signature by master, authorizes agent or officer:

DISEMBARKATION.