Approved Form
Customs Act 1901
Section 64ACB
Form 3B
CREW REPORT
Voyage Number: 04 Signature of operator/authorised agent
Name of Ship: PORT MELBOURNE
First port of Arrival: PORT KEMBLA Page 1 of 2
IMO Number: 9308106
Date of Arrival: 21-May-2006
Travel Doc/ Nationality Country of Birth Seafarers
Doc Passport (Country of Travel
Date of Identity
Type Family Name Given Names Number Issue) Sex Doc/Passport Rating
Birth Document
* Expiry Date
Number
(P) CONSTANTIN LIVIU SORIN 08161342 ROMANIAN 01.08.1957 M 30.10.2008 ROMANIA 15618CT MASTER
(P) EDU MARIAN 11235641 ROMANIAN 04.01.1965 M 19.01.2011 ROMANIA 16155CT CH/OFF
(P) GHEORGHE ADRIAN 10643946 ROMANIAN 29.03.1974 M 21.09.2010 ROMANIA 7282CT 2nd/OFF
(P) DANILA FLORIN ADRIAN 07542500 ROMANIAN 03.04.1977 M 30.06.2008 ROMANIA 13743CT 3rd/OFF
(P) UDREA CONSTANTIN 08930938 ROMANIAN 27.10.1960 M 14.06.2009 ROMANIA 9910CT CH/ENG
(P) COTET VASILE 10316355 ROMANIAN 30.04.1962 M 18.07.2010 ROMANIA 10138CT 1st/ENG
(P) MILITARU MIRCEA NICOLAE 09860571 ROMANIAN 15.07.1977 M 31.01.2010 ROMANIA 12418CT 2nd/ENG
(P) MONORANU PAUL MARIAN 002541775 ROMANIAN 07.07.1964 M 28.11.2006 ROMANIA 17951CT EL/OFF
(P) CRUZ ALEJANDRO UMALI JJ107005 FILIPINO 03.05.1955 M 10.01.2007 PHILIPPINES BO44351 BSN
(P) FAJARDO CHRISTOPHER MUNDO JJ478248 FILIPINO 06.06.1965 M 26.03.2007 PHILIPPINES A969533 A/B 1
(P) DIAZ ANTONIO FERNANDEZ JJ562843 FILIPINO 09.07.1962 M 10.04.2007 PHILIPPINES A831556 A/B 2
(P) ANDRES CESAR STA. MARIA QQ0997933 FILIPINO 21.03.1954 M 09.09.2010 PHILIPPINES B236267 A/B 3
(P) SEVILLENO EDUARDO JR. ROSELLO MM318739 FILIPINO 16.11.1975 M 17.02.2009 PHILIPPINES B028854 O/S
(P) LUNGU IONEL 10163846 ROMANIAN 23.10.1957 M 29.04.2010 ROMANIA 17420CT FTR
(P) GUPIT RONNIE FRANE QQ0129931 FILIPINO 04.02.1968 M 14.04.2010 PHILIPPINES A812940 MTM 1
(P) ORTIZ MARIO CONEJERO QQ0681554 FILIPINO 21.11.1953 M 11.07.2010 PHILIPPINES A992266 MTM 2
* Indicate whether Passport (P) or other type of travel document. Use N if no document is held
We require this information under section 64ACB of the Customs Act 1901 in order to assess crew for the risk they may present in relation to a range of Commonwealth laws. Under subsection 64ACB(8) of
the Customs Act 1901, the information provided must be disclosed to the Department of Immigration and Multicultural and Indigenous Affairs. This information may also be disclosed to a number of agencies
including the Department of Transport and Regional Services, the Australian Federal Police, Australian Crime Commission, Attorney-General’s Department and the Department of Foreign Affairs and Trade.
FORM 3B (September 2005)
Voyage Number: 04 Signature of operator/authorised agent
Name of Ship: PORT MELBOURNE
First port of Arrival: PORT KEMBLA Page 2 of 2
IMO Number: 9308106
Date of Arrival: 21-May-2006
Travel Doc/ Nationality Country of Birth Seafarers
Doc Passport (Country of Travel
Date of Identity
Type Family Name Given Names Number Issue) Sex Doc/Passport Rating
Birth Document
* Expiry Date
Number
KK654485 FILIPINO PHILIPPINES ENG/
(P) MANLANGIT ALVIN VERDEFLOR 18.08.1978 M 27.12.2007 A820806 BOY
10219569 ROMANIAN ROMANIA CH/
(P) MOAJER ION 18.10.1954 M 05.07.2010 16075CT COOK
NN0344953 FILIPINO PHILIPPINES 2nd/
(P) ORDONEZ GERONIMO LAYOLA 02.07.1963 M 19.07.2009 B218511 COOK
* Indicate whether Passport (P) or other type of travel document. Use N if no document is held
We require this information under section 64ACB of the Customs Act 1901 in order to assess crew for the risk they may present in relation to a range of Commonwealth laws. Under subsection 64ACB(8) of
the Customs Act 1901, the information provided must be disclosed to the Department of Immigration and Multicultural and Indigenous Affairs. This information may also be disclosed to a number of agencies
including the Department of Transport and Regional Services, the Australian Federal Police, Australian Crime Commission, Attorney-General’s Department and the Department of Foreign Affairs and Trade.
