REPÚBLICA FEDERATIVA DO BRASIL Apêndice 2-E

(Federative Republic of Brazil)

MARINHA DO BRASIL
(Brazil Navy)
Diretoria de Portos e Costas
(Directorate of Ports and Coasts)
LISTA DE PESSOAL EMBARCADO
(Crew List)

Companhia/Agente (Company/Agent) Pag./Page No

DNV Maritime Partner

1. Nome do navio (Name of ship) 2. Porto Cheg./Part. (Arr/Dep

3. DataCheg./Part.(Arr/DepDate)
Port)
SERTANEJO SPIRIT RIO DE JANEIRO 4/18/2015

4. Nacionalidade do Navio (Nationality of ship) 5. Porto de Procedência (Port arrived from)

BAHAMAS MONTEVIDEO
6. Nome e Sobrenome 7.Nacionalida 8. Posto 9. Data e lugar (cidade) 10. Data e 11. No of 12. Cidade e
(Family names, given names) de (Rank or de nascimento (Full Date Porto de SEAMAN’S País S.B. e
(Nationality) Rating) and city of birth) embarque BOOK # validade
(VESSEL’S City and
(Full Date FLAG ) Country of
and Port of Seaman’s
joining book issue &
vessel) expiration
data

Gdynia,
Zuzelski, Tomasz POLAND Master 03/03/1978 - Gdansk 25/03/2015 - 247202 Manila,
POLAND,
PHILIPPINES,
Jungco, Peter Magluyan PHILIPPINES Chief Officer 03/10/1965 - Laua-an, Antique 25/03/2015 - CO154656 Bergen,
03/11/2018
NORWAY,
Unneland, Hans Erik NORWAY Chief Officer 24/09/1979 - Bergen 25/03/2015 - A0046432 Davao
22/05/2019City,
PHILIPPINES,
Alonso, Rex Salvaloza PHILIPPINES Second Officer 04/12/1975 - Calinan, Davao Ci 06/12/2014 - C0273940 MANILA,
03/11/2019
PHILIPPINES,
Caparaz, Edgar Yu PHILIPPINES Second Officer 12/05/1974 - Aloran, Misamis O 19/02/2015 - B1076800 ILOILO,
26/09/2016
PHILIPPINES,
Caromay, Joshua Andrew Daarol PHILIPPINES Third Officer 03/11/1991 - Iloilo |City 25/03/2015 - C0239342 Cebu,
27/06/2019
PHILIPPINES,
Servas, Jeremias III Opone PHILIPPINES Third Officer 24/10/1984 - Banilad, Cebu Cit 06/12/2014 - B1107986 Manila,
10/12/2016
PHILIPPINES,
Sia, Michael De Guzman PHILIPPINES Third Officer 14/01/1977 - Manila 25/03/2015 - C0390628 28/01/2020
Gdynia,
Kiwit, Robert Cezary POLAND Chief Engineer 22/01/1963 - Gdynia 25/03/2015 - 242109 POLAND,
Gdynia,
Paterek, Dariusz Adam POLAND First Assistant 19/12/1972 - Tarnobrzeg 25/03/2015 - 249131 Manila,
POLAND,
PHILIPPINES,
Capulla, Francisco Capilitan PHILIPPINES Second Assista 13/10/1968 - Malitbog, Souther 06/12/2014 - C0187662 Legazpi
19/01/2019City,
PHILIPPINES,
Mape, Gilbert Real Ignacio PHILIPPINES Second Assista 13/02/1984 - Bulan Sorsogon 18/11/2014 - B0870125 07/07/2015
Gdynia,
Cirocki, Eugeniusz Antoni POLAND Electrician 01/11/1954 - Reda 19/02/2015 - 242589 Manila,
POLAND,
PHILIPPINES,
Figuracion, Roquel Ampoon PHILIPPINES Bosun 20/11/1967 - Oslob, Cebu 18/11/2014 - B1058112 Manila,
10/08/2016
PHILIPPINES,
Paragas, Elmer Gloria PHILIPPINES Pumpman 18/02/1963 - Tondo, Manila 08/01/2015 - B0975871 Manila,
01/02/2016
PHILIPPINES,
Marito, Cyril Garnica PHILIPPINES Able Seaman 28/02/1972 - Manila 18/11/2014 - C0158600 Manila,
13/11/2018
PHILIPPINES,
Montecalvo, Eduardo Malapitan PHILIPPINES Able Seaman 04/11/1962 - Masbate 18/11/2014 - C0056005 Manila,
26/03/2018
PHILIPPINES,
Paguican, Fermin Jamisola PHILIPPINES Able Seaman 11/10/1964 - Jagna, Bohol 06/12/2014 - C0341317 Manila,
27/10/2019
PHILIPPINES,
Bares, Daniel Lariosa Jr. PHILIPPINES Ordinary Seam 17/02/1990 - Sta. Rosa, Lagun 06/12/2014 - C0332288 Manila,
14/10/2019
PHILIPPINES,
Ursulum, Roylan Aglipay PHILIPPINES Oiler No. 1 04/02/1977 - Camalaniugan, C 25/03/2015 - B1225438 Manila,
27/08/2017
PHILIPPINES,
Selga, Joel Lagbas PHILIPPINES Oiler 11/04/1968 - Southern Leyte 20/12/2014 - B1252137 22/10/2017

Estou ciente de que responderei administrativa, civil ou penalmente pelos eventuais dados incorretos constantes da presente lista.
(I am aware that I will be held liable before Administrative Law, Civil Law, or Criminal Law for any eventual incorrect data stated herein.)

Local AT SEA em _____ de _____ de _________.

(Place) (date dd.mm.yyyy)
_____________________________________________________________
Assinatura/carimbo do Comandante
 (Signature and stamp by Captain)
REPÚBLICA FEDERATIVA DO BRASIL Apêndice 2-E
(Federative Republic of Brazil)
MARINHA DO BRASIL
(Brazil Navy)
Diretoria de Portos e Costas
(Directorate of Ports and Coasts)
LISTA DE PESSOAL EMBARCADO
(Crew List)

Companhia/Agente (Company/Agent) Pag./Page No

DNV Maritime Partner

1. Nome do navio (Name of ship) 2. Porto Cheg./Part. (Arr/Dep

3. DataCheg./Part.(Arr/DepDate)
Port)
SERTANEJO SPIRIT RIO DE JANEIRO 4/18/2015

4. Nacionalidade do Navio (Nationality of ship) 5. Porto de Procedência (Port arrived from)

BAHAMAS MONTEVIDEO
6. Nome e Sobrenome 7.Nacionalida 8. Posto 9. Data e lugar (cidade) 10. Data e 11. No of 12. Cidade e
(Family names, given names) de (Rank or de nascimento (Full Date Porto de SEAMAN’S País S.B. e
(Nationality) Rating) and city of birth) embarque BOOK # validade
(VESSEL’S City and
(Full Date FLAG ) Country of
and Port of Seaman’s
joining book issue &
vessel) expiration
data

Manila,
PHILIPPINES,
Violanda, Wodrew Tanuron PHILIPPINES Oiler 21/12/1975 - Barili, Cebu 18/11/2014 - B1208955 Manila,
11/07/2017
PHILIPPINES,
Calunia, Alfredo Cayme PHILIPPINES Chief Cook 02/01/1985 - Tubigon Bohol 18/11/2014 - B0913867 Manila,
26/08/2015
PHILIPPINES,
Carlos, Carlos Sotto PHILIPPINES Messman 13/12/1976 - Sta. Rita, Pampa 18/11/2014 - B0941591 Batangas,
11/11/2015
PHILIPPINES,
Sunga, Christian Rhey Pasagui PHILIPPINES Messman 09/06/1993 - Makati, Metro Man 06/12/2014 - C0257844 18/06/2019

Estou ciente de que responderei administrativa, civil ou penalmente pelos eventuais dados incorretos constantes da presente lista.
(I am aware that I will be held liable before Administrative Law, Civil Law, or Criminal Law for any eventual incorrect data stated herein.)

Local AT SEA em _____ de _____ de _________.

(Place) (date dd.mm.yyyy)
_____________________________________________________________
Assinatura/carimbo do Comandante
(Signature and stamp by Captain)