0% found this document useful (0 votes)
266 views12 pages

IMO FAL Form 5

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
0% found this document useful (0 votes)
266 views12 pages

IMO FAL Form 5

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
You are on page 1/ 12

IMO CREW LIST

(IMO FAL Form 5)


16:30 Arrival Departure Page number 1
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 320-A
2.Port of departure 3.Date of departure
BATANGAS NOVEMBER 30, 2021
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 2
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 356-D
2.Port of departure 3.Date of departure
BATANGAS DECEMBER 30, 2021
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 3
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 387-C
2.Port of departure 3.Date of departure
BATANGAS JANUARY 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 4
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 416-C
2.Port of departure 3.Date of departure
BATANGAS FEBUARY 28, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 5
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 446-C
2.Port of departure 3.Date of departure
BATANGAS MARCH 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 6
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 477-D
2.Port of departure 3.Date of departure
BATANGAS APRIL 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 7
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 306-B
2.Port of departure 3.Date of departure
BATANGAS MAY 29, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 8
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 538-B
2.Port of departure 3.Date of departure
BATANGAS JUNE 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 9
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 568-B
2.Port of departure 3.Date of departure
BATANGAS JULY 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 10
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 600-A
2.Port of departure 3.Date of departure
BATANGAS AUGUST 31, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 11
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 628-C
2.Port of departure 3.Date of departure
BATANGAS SEPTEMBER 29, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.
IMO CREW LIST
(IMO FAL Form 5)
16:30 Arrival Departure Page number 12
of 12

1.9 Name of ship 1.10 IMO number


M/V VIVA MARIAN QUEEN 9916032
1.11 Call sign 1.12 Voyage number
4DJC-8 320-A
2.Port of departure 3.Date of departure
BATANGAS OCTOBER 30, 2022
4.Flag state of ship 5.Last port of call
PHILIPPINES CALAPAN
6.no 7.Family names, given 8.Rank 9.Nationality 10.Date and place birth 11.Nature and numbe
names of identity documents
1. Tolosa, Roberto P. MASTER FILIPINO August 29, 1970, SIRB A0082909
Bautista Pangasinan
2. APELENA, REYNALDO DECK FILIPINO April 23, 1954, Tacloban, SIRB C1099364
OFFICER Leyte
3. MARAMOT, RONNIE DECK FILIPINO October 10, 1986, SIRB A0006071
OFFICER Calapan, Oriental
4. FADERON, LEONIL F. CHIEF FILIPINO May 22, 1955, Banton, SIRB C0H71735
ENGINEER Romblon
5. Mejos, Melzune 2ND ENGINEER FILIPINO August 10, 1994, Matag- SIRB C10865258
ob Leyte
6. LACAP, JOHN JOFER MESSMAN FILIPINO March 03, 2000, Malolos SIRB A0142964
City
7. ROMAN, TAN QUARTER FILIPINO November 20, 1994, SIRB C1391785
MASTER Ormoc, Leyte
8. DONGABAN, ROMAR QUARTER FILIPINO March 10, 2000, Santo SIRB A0166146
MASTER Tomas, Batangas
9. Estor, Stephen Jay OILER FILIPINO September 16, 1998, SIRB C1250024
Pagadian City
10. Selda, Mark Joe Rajid OILER FILIPINO July 23, 1994, Gasan, SIRB C1000473
Marinduque
11. Sabino, Tan DECK CADET FILIPINO November 20, 1994, SIRB C1391788
Ormoc, Leyte
12. Canlas, Aaron Joshua DECK CADET FILIPINO June 01, 2000, Olongapo SIRB A0166970
City
13. Pitolan, Juvy DECK CADET FILIPINO October 06, 1992, SIRB A0012456
Sinluan, Laguna
14. Briones, John Raill DECK CADET FILIPINO July 25, 1995, San SIRB A0120834
Agustin, Romblon
15. Lim, Liezle DECK CADET FILIPINO July 03, 1999, San SIRB A0166129
Marcelino, Zambales
16. Mangilimotan, Alimar DECK CADET FILIPINO November 16, 1994, La SIRB A0012635
Castellana, Negros Occidental

17. Federe, Christian DECK CADET FILIPINO December 18, 1998, San SIRB A0149960
Marcelino, Zambales
18. Dela Cruz, Mark anthony ENGINE FILIPINO December 8. 1999 SIRB A0016787
CADET Batangas City
19. Esmeralda, John Elwin ENGINE FILIPINO February 22, 2000, Naga SIRB A0016502
CADET City
20. Calawa, Leonardo P. ENGINE FILIPINO July 11, 1995, SIRB C1459544
CADET Mankayan, Benguet
21. Binamira, Manuel ENGINE FILIPINO January 13, 1998, Sta SIRB A0099469
CADET Maria, Bulacan
22. Triumfante, Leo ENGINE FILIPINO November 17, 1999, Sagrada SIRB A0016792
Baao, Camarines Sur
CADET
23. Breis, William R. ENGINE FILIPINO September 22, 1998, SIRB A0016501
CADET Caramoan, Camarines Sur
24. Aquino, Ahldrin Paul A. ENGINE FILIPINO August 07, 1998, SIRB C1484382
CADET Marikina, Metro Manila
12.Date and signature by master authorized agent or office
CAPT. Tolosa, Roberto P.

You might also like