CREW LIST

(IMO FAL Form 5)

√ Arrival Departure Page Number

`2.Port of arrival/departure: SUBIC BAY/MANILA BAY 3. Date of arrival/departure 4. Flag State of ship: Madeire 5. Last port of call
15 May 2022/14 May 2022 Manila Bay
6. 7. Family name 8. Given 9. Rank or 10. 11. Date of 12. 13. Gender 14. Nature 15. Number 16.Issuing State of 17. Expiry date
N names rating National birth Plac of identity of identity identity document of identity
o ity e of document document document
. birth

Villafuerte Tulipat Captain Filipin 28 February Para Male Passport M-5790 PHILIPPINES 04 May 2023
o 2000 naqu
e
City
Fernandez Leovel Chiefmate Filipin 22 May 2003 Nuev Male Passport M-6904 PHILIPPINES 05 June 2024
o a
Vizca
ya
Funa Eric 2/O Filipin 30 Dava Male Passport M-6915/m PHILIPPINES 06 July 2025
o December o
2001 City
Celles Kenneth 3/O Filipin 6 April 2001 Negr Male Passport M-6840 PHILIPPINES 07 August 2026
o os
Occi
dent
al
Bas Paul Training Filipin 10 October Buki Male Passport M-6787 PHILIPPINES 08 September
Officer o 2000 dnon 2027
Cafe Kurt Training Filipin 15 March Sam Male Passport M-6820 PHILIPPINES 09 October 2028
Officer o 2001 ar
Clarinan Marc Training Filipin 19 March Gene Male Passport M-6842 PHILIPPINES 10 November
Officer o 2002 ral 2029
Sant
os
City
Consebido Geris Ordinary Filipin 5 September Quez Male Passport M-7298 PHILIPPINES
seaman o 2002 on
City
Majadas Dan AB Filipin 23 May 2003 Bata Male Passport M-7456 PHILIPPINES
o ngas
Brillo John Bosun Filipin 11 February Caoo Male Passport M-7251 PHILIPPINES
o 2003 can
City
Vicente Johnny C/E Filipin 25 July 1998 Pala Male Passport M-5785 PHILIPPINES
o wan
Dela Cruz Dan 2/E Filipin 2 April 2002 Bula Male Passport M-6870 PHILIPPINES
o can
Dulay Marvin 3/E Filipin 9 April 2009 Nuev Male Passport M-684 PHILIPPINES
o a
Vizca
ya
Lanzalan Emmanu 4/E Filipin 25 March Bata Male Passport M-6859 PHILIPPINES
el o 2001 an
Baula Josh Training Filipin 27 January Tawi- Male Passport M-6793 PHILIPPINES
Officer o 1997 Tawi
Factor John Training Filipin 29 June Sout Male Passport M-6897 PHILIPPINES
Officer o 2001 h
Cota
bato
Dela Gente Francis Training Filipin 22 Sout Male Passport M-6871 PHILIPPINES
Officer o December h
2001 Cota
bato
Concepcion Mario III Oiler Filipin 15 July 2003 Bula Male Passport M-7295 PHILIPPINES
o can
 Cacatian Marius Fitter Filipin 23 August Caga Male Passport M-7260 PHILIPPINES
o 2000 yan
Castillo Sarge Wiper Filipin 1 April 2002 Bata Male Passport M-7283 PHILIPPINES
o an
18. Date and signature by master, authorized agent or officer

Capt. Villafuerte, Jose Mari T.