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Crew Effect Declaration

This document is a crew effects declaration form for the ship M/V Millennium Leader. It lists the names, ranks, and personal effects being declared by 20 crew members. Most effects declared are typical personal items like cell phones, watches, laptops, cameras. Crew members also declare varying amounts of US dollars, Japanese yen, and other currencies in their possession. The form is signed by the master of the ship, Capt. Cedrix P. Liza.

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VILLANUEVA, Marvin L.
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87 views1 page

Crew Effect Declaration

This document is a crew effects declaration form for the ship M/V Millennium Leader. It lists the names, ranks, and personal effects being declared by 20 crew members. Most effects declared are typical personal items like cell phones, watches, laptops, cameras. Crew members also declare varying amounts of US dollars, Japanese yen, and other currencies in their possession. The form is signed by the master of the ship, Capt. Cedrix P. Liza.

Uploaded by

VILLANUEVA, Marvin L.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IMO FAL

Form 4

IMO CREW'S EFFECTS DECLARATION

page no

1. Name of ship M/V MILLENNIUM


2. Effects which are dutiable or subject to prohibitions or restrictions <x>
LEADER

3. Nationality of ship PANAMA

6. Rank Cell Wrist DIGITAL OTHER ADDITIONAL


4.No 5. Family name, given names Cigarette Whisky Beer Laptop USD YEN 7. Signature
or rating phone watch CAMERA CURRANCY DECLARATION

PERSONAL
1 CEDRIX P. LIZA MASTER NIL NIL NIL 1 1 4 NIL 700 80000 NIL EFFECTS
PERSONAL
2 WEAREN L. BALAJADIA C/O NIL NIL NIL 3 1 2 NIL 800 40000 NIL EFFECTS
PERSONAL
3 RONALD M. MANLISIS 2/O NIL NIL NIL 2 2 NIL 1 600 30000 NIL EFFECTS
DAREN JAY R. PERSONAL
4 3/O NIL NIL NIL 2 1 1 NIL 1300 28000 NIL EFFECTS
ROVEDILLO
PERSONAL
5 ZALDY F. AMISOLA C/E NIL NIL NIL 2 1 1 NIL 120 NIL NIL EFFECTS
PERSONAL
6 EDWIN G. LAMPAUG 1/E NIL NIL NIL 2 1 1 NIL 2000 30000 NIL EFFECTS
PERSONAL
7 RICHIE B. BARROA 2/E NIL NIL NIL 1 1 1 NIL 500 60000 NIL EFFECTS
PERSONAL
8 REY JHON O. CABAYLES 3/E NIL NIL NIL 2 NIL 2 NIL 500 13000 NIL EFFECTS
PERSONAL
9 APOLLO P. QUITOVIERA BSN NIL NIL NIL 2 1 2 NIL 200 30000 NIL EFFECTS
PERSONAL
10 MITCH ANSKA P. SANGIL AB NIL NIL NIL 1 NIL 1 NIL NIL NIL NIL EFFECTS
PERSONAL
11 ROBERTO A. PACHECO AB NIL NIL NIL 1 NIL NIL NIL 600 100000 NIL EFFECTS
PERSONAL
12 DIDO P. PAEZ AB NIL NIL NIL 2 NIL NIL NIL NIL 20000 NIL EFFECTS
PERSONAL
13 JONATHAN M. FUENTES OS NIL NIL NIL 1 1 1 NIL 100 30000 NIL EFFECTS
PERSONAL
14 ROY VINCENT L. VELEZ OS NIL NIL NIL 2 NIL 2 NIL 400 50000 NIL EFFECTS
PERSONAL
15 KARLO DUANE M. PORTO OLR NIL NIL NIL 2 NIL NIL NIL 600 150000 NIL EFFECTS
PERSONAL
16 ROGELIO B. FABELLON OLR NIL NIL NIL 1 1 1 NIL 50 21000 NIL EFFECTS
PERSONAL
17 RONALD V. BATISLAONG OLR NIL NIL NIL 1 NIL 1 NIL 500 7000 NIL EFFECTS
PERSONAL
18 DENIS P. LOSAYNON E/C NIL NIL NIL 2 1 1 NIL 350 200000 NIL EFFECTS
PERSONAL
19 GEORGE T. GANIA C/K NIL NIL NIL 1 1 NIL NIL 300 1000 NIL EFFECTS
PERSONAL
20 JAY Y. GUPITA M/M NIL NIL NIL 2 NIL NIL NIL 25 3000 NIL EFFECTS

CAPT. CEDRIX P. LIZA


MASTER OF MV MILLENNIUM LEADER

<x>E.g. wines, spirits, cigarettes, tobacco, crew money, etc.

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