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CHECK LIST DOCUMENTS

Crew StatusNameDate of BirthTelp/ WA No.Passport No.Date of IssuedSeaman Book No.Date of IssuedBST NumberDate of IssuedSAT NumberDate of IssuedCrisis Management NumberDate of IssuedCrowd Management NumberDate of IssuedCovid 19 VaccineYellow FeverMMRCholera
Other CruiseI GUSTI NGURAH AGUNG AGUNG20/11/197408977334818W 11162803/12/2010H 07690615/09/2022620040533801692206/09/20222 DosesNo
New / FreshArya Suryantara26/03/1999082236779641Booster 1NoNoNo
EX-CMVPutu eka Saputra02/02/1993081237342919C249612902/02/2019G 11820021/10/2021CP314957627/02/2019CP352389503/09/2019CP352299502/09/2019CP352361703/09/2019Booster 1YesNoNo
New / FreshBambang Supriadi26/05/1992+6281365349468C70656623/09/2021F17639201/03/2019620165696801062109/07/2021620165696831071421/08/2014Booster 1Yes
EX-CMVI KOMANG SUARDIKA04/09/1994085815028099B8820752Booster 1NoNoNo
Other CruiseHandoyo Lenggono03/03/1993085706743860 , 085604598960C533410311/10/2019E11438325/08/2016621159426901052113/04/2021621159426931461619/10/2021621159426917181628/09/2021621159426913181628/09/2021Booster 1YesNoNo
Other Cruisehamin hamin05/08/1987087750810375c952157420/06/2022g04824222/12/2020620035179001072117/02/2021620035179031461819/10/2018620035179017182121/01/2021620035179013182121/01/2021Booster 1YesYesYes
Widhiarta Nyoman13/01/1975081946792588C517988824/10/2019G09034814/06/2021620001712801691928/11/2019620001712831691907/11/2019620001712817691919/11/2019620001712813691920/11/2019Booster 2Yes
New / FreshKetut Eva Doniawan09/09/1997085738007463C493616528/01/2020G00431704/08/2020621201592401692015/07/2020621201592431692025/08/2020621201592417692025/08/2020621201592413692025/08/2020Booster 1NoNoNo
EX-CMVI Nyoman Gatrayasa26/10/1982082145818822/wa 087858598501C969199404/07/2022F10143602/08/2022620049082801692222/07/2022620049082831692221/07/2022620049082817362206/07/2022620049082813362206/07/2022Booster 1YesNoNo
EX-CMVI Wayan Nusanjaya21/02/1982087861137000C866872214/06/2022F02362010/06/2017621172479901361718/05/2017621172479931361703/07/2017621172479913351728/07/2017621172479913351728/07/2017Booster 1Yes
EX-CMVI Wayan Nusanjaya14/02/1982087861137000C866872214/06/2022Booster 1YesNoNo
EX-CMVI Dewa made Ardana05/03/1975087780426468C3232772F2016436201340404016918620134040431691862013404041769186201340404136918Booster 1YesNoNo
C858179523/05/2022H 02795619/04/2022621214130201692107/12/2021621214130231692219/05/2022621214130217692219/05/2022621214130213692219/05/2022
Other CruiseI Ketut Suwendiyasa05/01/1995‪+62 877‑5839‑3346‬C857990425/04/2022Fo5374925/04/2022621174467501762223/02/2022621174467531461824/01/2019621174467517762224/02/2022621174467513762223/02/2022Booster 1YesNoNo
New / FreshI Made Wily Adi Prawira11/08/20010881037060570C144669803/10/2018Booster 1
New / FreshI Wayan Tedi Irawan Irawan11/05/2002083119326291C478404223/11/2021G13451523/12/2021CP460349908/10/2021Booster 1NoNoNo
New / FreshI Kadek Ari Winanda Winanda27/09/2000081390277912C824865301/12/2021-----2 DosesNoNoNo
New / FreshI PUTU RIZKY ADITYA MAHESA PUTRA31/08/200108814889688C969563327/07/2022Booster 1NoNoNo
Other CruiseFATIR AMROELLAH09/02/1999+6281259227882C267202925/03/2019F22760605/03/2022621153340401071913/11/2019621153340413051830/08/2018621153340417051830/08/2018Booster 2YesYesNo
New / FreshI PUTU RIZKY ADITYA MAHESA PUTRA31/08/200108814889688C969563327/07/2022Booster 1NoNoNo
New / FreshFHEBIYOLA DWI PUTRI RAMBU LUBA20/02/2001081239414848C858457514/06/2022621223009501262224/06/2022Booster 2
New / FreshI MADE INDRA PRASAKA03/03/1994081 236 507 540Booster 1NoNoNo
New / FreshI Putu Pande PerdiJulianto10/07/1999081946596127C831980522/03/2022H01641615/03/2022621211656801262104/06/2021Booster 1NoNoNo
New / FreshI GEDE MAS CAHYA FRIANA11/05/19980881037790252 / 087855184501C858247027/05/2022621222659401692214/06/2022Booster 1
New / FreshI GEDE EKA BHUANA PUTRA26/01/20010895355465314C435088222/07/2019Booster 1
New / FreshI Made Aditya Dwi Pranata13/05/2002083147643754C825268204/02/2022G 13587608/02/2022621220249901692226/01/2022621220249931692204/02/2022621220249917692208/02/2022621220249913692208/02/2022Booster 1
Other CruiseI Made Adi Sudanta14/11/1981081239513378C831887023/02/2022G 13551126/01/2022621211655501262104/06/2021Booster 1NoNoNo
Other CruiseI wayan Sukewijaya29/10/1979+6281916815926C831969821/03/2022E13604408/12/2016CP477895006/01/2022Booster 1No
New / FreshI putu Jimbaran16/11/1994085737871517C969210305/07/2022H 04712416/06/2022621222322401372211/05/2022621222322431372203/06/2022621222322417372204/06/2022621222322413372203/06/2022Booster 2NoNoNo
New / FreshNovia Widyawati07/11/1999087759948059C831583422/11/2021H05312219/07/2022621223358001372206/07/2027621223358031372211/07/2027621223358017372211/07/2027621223358013372211/07/20272 DosesNoNoNo
New / FreshGusti Agus Juis Andika Juis Andika09/12/1999081998148651C477652003/09/20192 DosesNo
New / Freshni luh irma yuni27/07/1998081236789944Booster 2NoNoNo
EX-CMVI putu Mahendra05/01/19980881037025436C756230215/09/2021F10051706/07/2021621175709701691730/11/2017621175709731691821/09/2018621175709717691826/09/2018621175709713691826/09/2018Booster 1Yes
New / FreshI Made Dedyx mertadana I Nyoman sugianta13/12/1999081934632242On progres2 DosesNoNoNo
New / FreshIda ketut Tri aditya16/09/1999087864376381On progressOn progressOn progressOn progressOn progressOn progressBooster 1NoNoNo
Other CruiseI Dewa Nyoman Wesana11/09/1971081239241439B777374225/08/2017F31044326/12/2019620131513001261611/04/2016620131513031011613/07/2016620131513017261607/04/2016620131513013261607/04/2016NoNoNo
Other CruiseHelmy Helmy25/01/1974+62 85960493964C390126829/05/2019E13394923/11/2016CP376036716/01/2020Booster 1YesYesYes
Other CruiseTOYYIB14/05/1992081937333009C113827614/09/2018F10486908/07/2021621181425501051825/03/2018621181425531051825/03/2018621181425517051818/04/2018621181425513051817/04/2018Booster 1NoNoNo
Other CruiseUKI BASUKI RAHMAT RAHMAT18/11/1982085643712654C448460914/08/2019H00822907/02/2022621151554701151908/09/2019621151554731692213/06/2022621151554717461923/08/2019621151554717461915/08/2019Booster 1
New / Fresh14/06/20010858519572802 DosesNo
New / FreshDaniel Hanz04/12/19920822323435772 DosesNoNoNo
Other CruiseArifin Simbolon08/06/1968+62 81294201038C716744105/06/2020E12775703/11/2021620150496601151914/03/2019620150496631111911/12/2019620150496617461806/07/2018620150496613461813/07/2018Booster 1YesYes
Other CruiseYumanto yuma07/06/19770895634688122C970274125/07/2022H 03687619/07/2022620134372401182204/07/20220487528/10/2013620134372417182206/07/2022620134372413282206/07/2022Booster 1Yes
Other CruiseKevin Roinaldo Siahaan10/02/2001082286025146C488815410/09/2019G059203621201707401432029/07/2020621201707431432116/02/2021621201707417432116/02/2021621201707413432116/02/2021Booster 1NoNoNo
Other CruiseFitria Mukarta05/08/1982+628881825714 / +621314543020C966181219/07/2022E12649514/07/2022620026299701011821/07/2022Booster 1YesYes
Other CruiseLilik Cahyono30/04/1986087700332431C046013023/07/2018E06739808/03/2016620035980901432015/07/2020620035980931012015/07/2020620035980917462001/07/2020620035980913462001/07/20202 DosesYesNoNo
Other CruiseZaenal Arifin23/01/1983+6281298286857C697073725/06/2021F 01243005/04/2017620150930101151905/09/2019620150930131071507/05/2015620150930117151906/09/2019620150930113151906/09/2019Booster 1YesYesNo
Other CruiseSeptiady Affan06/09/1993+6282142746377C809665901/12/2021E12397111/10/2021621159540601722124/09/2021621159540631052117/11/2021621159540617052113/12/2021621159540613052113/12/2021YesYes
New / FreshSYAMSUL BAHARI07/02/1988082330449365C809750313/01/2022H 02248321/04/2022CP487531525/03/2022CP487583401/04/2022CP487579801/04/2022CP487581901/04/2022Booster 1NoNo
New / FreshRyan Iranto20/10/1996082249231529C720784706/09/2021F18088919/12/2023621184495901111826/09/2018621184495931111810/10/2018621184495917111810/10/2018621184495913111810/10/2018
New / FreshIlham Kencana Putra02/04/1993+6281217171719C130861318/10/2018G03121326/10/2020621202146601742028/09/2020621202146631742017/11/2020621202146617742007/12/2020621202146613742007/12/20201 DoseNoNoNo
Other CruiseFitria Mukarta05/08/1982+628881825714C966181219/07/2022E12649514/07/2022620026299701011821/07/2022Booster 1YesYesYes
Other CruiseAgung Sulistijono11/08/1970087872561783C809923010/08/2021G 07874229/07/2021620046371001011211/05/2021620046371031012118/05/2021620046371017012107/05/2021620046371013012107/05/2021Booster 1YesYesNo
Other CruiseEko Agus Setiawan29/12/1991082133133587C306705312/02/2019D01881610/11/2014621143594401151918/03/2019Booster 1YesYesNo
EX-CMVSiti Suri Cahaya24/06/1995+6285762330995/+6289512503147C493238228/10/2019F28659503/12/2019CP368044520/11/2019CP373325105/12/2019CP383379911/12/2019CP373376911/12/20192 DosesYesNoNo
New / FreshA. Soehariadi25/02/1991082227813953C 197230626/10/2018G 032143201/12/2020620209442301051724/06/2022620209442331051707/06/2022620209442317051702/03/2017620209442317051702/03/20172 DosesYesNoNo
Other CruiseParhansyah Parhansyah07/11/1983081337973583C794136229/11/2021E14077404/01/2017620103912201112010/03/2020620103912231112008/04/2020620103912217112002/06/2020620103912213112021/04/2020Booster 1Yes
New / FreshI Putu Kusumajaya29/03/1998085738658136C831697027/12/2021H00471214/01/2022CP477906316/12/2021CP481230114/01/2022CP450128511/01/2022CP450131511/01/2022Booster 2NoNoNo
Other CruiseI Gusti Ngurah Rai Surya Wijaya21/11/1987081239357614C203567615/01/2019F20151206/08/2021620155454501692109/02/2019620155454531691924/01/2019620155454504692121/01/2019620155454513691921/01/2019Booster 1YesNoNo
EX-CMVI gusti putu Juniadi02/06/1980+6281338724797C144746728/09/2018F07472711/07/2022620019340301691919/11/2019620019340331351723/11/2017620019340317351715/12/2017620019340317351715/12/2017Booster 1YesNoNo
Other CruiseArul Bahtiar30/10/1984082213901740C782746304/03/2021F23133717/05/2022620132536201152105/04/2021620132536231071903/09/2019620132536217462116/04/2021620132536213462116/04/2021Booster 1YesNoNo
EX-CMVI gede widiyasa Suputra29/10/1990081946355735 / 085738855419C866965020/07/2022F10036821/01/2021620157550501692006/02/2020620157550531351806/02/2020620157550517692006/02/2020620157550513692006/02/2020Booster 1NoNoNo
EX-CMVI gede mei Astawa03/05/1990085737341479C646545004/03/2020F02302402/06/2022620157722801692220/01/2022620157722831692221/01/2022620157722817692219/01/2022620157722813692219/01/2022Booster 1YesNoNo
EX-CMVIndriawan Hendriansyah31/08/1968+6281289432388C185960405/11/2018E15817430/07/2019620103077901152109/02/2021620103077931152109/02/2021620103077917151622/07/2016620103077913151622/07/2016Booster 1YesNoNo
Other CruiseAkhmat Faizin03/01/1983082138352758C823286428/09/2021E13176011/11/2016620129413101032103/03/2021620129413131692130/10/2021Booster 1Yes
Other Cruisezahri11/05/19756287752865947C679067514/07/2020F11242021/02/2018620048775301151811/01/20196200487755331151903/07/2019620048775317151915/08/2019620048775313151915/08/20192 DosesYesYesYes
New / FreshFerdy Adianto27/09/2001082220748268C843151717/03/2022H01853508/03/2022621201707701432029/07/2020621201707731372117/12/2021621201707717372117/12/2021621201707713372117/12/20212 Doses
Kholilur Rohman22/05/2001085645304452C 711040621/12/2020G 10001419/08/2021621202454201742023/10/2020Booster 1NoNoNo
New / FreshTeddy Pratama22/06/2001+6282247412197C843152818/03/2022H01853608/03/2022621201707601432029/07/2020621201707631372117/12/2021621201707617372117/12/2021621201707613372117/12/20212 DosesNoNo
Other CruiseI Wayan Pudjana20/07/1981082144062034C755943428/06/2021F14633518/09/2018620034901001351829/08/2018620034901031351829/08/2018620034901017351829/08/2018620034901013351829/08/2018Booster 1YesYesYes
Other CruiseMuhamad Putra22/04/1982+62 81282412118C509609520/09/2019F25188519/07/2019620159117401152126/08/2021620159117431071407/10/2014620159117417151509/10/2015620159117413151509/10/2015Booster 1
Other CruiseKurniawan Budi Prastowo Prastowo23/05/1983+6282178990094C778154509/08/2021G07730914/06/2021620023108501431914/02/2019620023108531011920/02/2019620023108517071916/03/2019620023108513071910/03/2019Booster 1YesYesNo
EX-CMVIswandi Iswandi23/12/1976082123580314C 700174228/08/2020F 22882623/09/2021620047886701072118/10/2021620047886731372208/07/2022620047886717182109/09/2021620047886713182109/09/2021Booster 1YesNoNo
EX-CMVMaoli syair Afandi05/02/1982+6285976446306C 842732324/01/2022E15465013/07/2021620040673601012118/11/2021620040673631071902/09/2019620040673617182123/11/2021620040673613182123/11/2021Booster 1YesNoNo
Other CruiseZeinatul Komariyah20/06/1995083866220030C900421420/04/2022F05542927/09/2017621173950101152209/06/2022Booster 1YesYesYes
New / FreshMuhammad Khoirudin26/12/2001089693446345C86309322/02/2022G05293303/02/2021621210002001692106/01/2021621210002031692128/01/2021621210002017692128/01/2021621210002013692128/01/2021Booster 1
EX-CMVI WAYAN WESTRA03/10/1998082146550697C824991017/12/2021F10174512/03/2021Cp270605414/02/2018Cp305472021/11/2018Cp273172927/02/2018Cp273169927/02/2018Booster 1Yes
Other CruiseFRANS GEORGE ANTHONIO13/09/1977+6285691816920C057677317/05/2018H03256710/06/2022620102791201072223/05/2022620102791231072223/05/2022620102791213070709/04/2007620102791217070710/04/2007Booster 1YesNoNo
New / FreshBudi Susilo10/08/1996087787592557C863336130/03/2022F14880926/03/2019621162780601011722/12/2017621162780631692213/04/2022621162780617692214/04/2022621162780613692214/04/20222 DosesNoNoNo
Other CruiseAbdul Mofid24/06/1991085755674032X55240817/04/2018F13492108/05/2018620135332201051501/12/2020620135332231461811/10/2018620135332217762130/12/2021620135332213762130/12/20212 DosesNoNoNo
New / FreshZainal Fanani11/09/1992+6285731644047621212731401052115/09/2021Booster 1NoNoNo
New / FreshI Gede Agus Sudana22/06/2000081547668027C435144529/07/2019NoNoNo
New / FreshI Putu Rizky Aditya Mahesa Putra31/08/2001087761476886NoNoNo
Other CruiseMade Pasek14/04/1966082144728862C478137103/03/2021E12221303/11/2016CP421380318/02/2021CP246682421/12/2018CP359699116/10/2019CP359752616/10/2019Booster 1YesYesNo
Other CruiseDian Setyorini02/07/1981081513713769C965991329/06/2022H03388606/07/2022620034866501112205/07/2022620034866531112202/06/2022620034866517112222/06/2022620034866513112222/06/2022Booster 1NoNoNo
Other Cruisetaga perkasa09/07/1980085860990075C782487813/10/2021E07428324/03/2016620047068601152103/12/2021RH-ISPS1T-40475826/12/2013CP 055268107/10/2006CP 055268010/10/2006Booster 1NoNoNo
EX-CMVHoiruddin Hoiruddin10/07/1995089696374070E06774813/03/2021621150722201011930/12/2019621150722231052016/12/2020621150722217052010/12/2020621150722213052010/12/20202 DosesYesNoNo
Other CruiseDawud Junaidi03/04/1995082232647080C851942018/02/2022F08933015/12/2020621173098001762223/02/2022621173098031371729/12/2017621173098017461804/01/2018621173098013461804/01/2018Booster 1NoNoNo
EX-CMVI Komang Edy Widarma24/11/1988082134611988C550737112/12/2019E15093102/06/2022CP319457818/02/2019CP209629420/02/2017CP321140321/02/2019CP321137721/02/2019Booster 1Yes
New / FreshCHOIRULLY RIZQON HASANA ROHMATULLOH08/10/1998082216996308C900773030/05/2022H00822726/01/2022621220225901762226/01/2027621220225931762215/02/2022621220225917762215/02/2022621220225913762215/02/2022Booster 1NoNoNo
Other CruiseNurcahyo Fnu089630434175C928542814/06/2022F 14098328/05/2018621160952701151604/05/2018621160952731151604/05/2018621160952717151604/05/2018621160952717151604/05/20182 DosesYesYes
Other CruiseTarjan27/01/1984082174851316C532112729/11/2019F09240401/02/2018620148520301152016/10/2020620148520331071407/07/2014620148520317152001/10/2020620148520313152001/10/20202 DosesYesYesNo
Other CruiseAryanto Aryanto03/05/1987081231664995B 490826622/12/2016F 03290207/08/2017620139013401051707/08/2017620139013431051703/08/2017620139013417051723/08/2017620139013413051723/08/20172 DosesYes
New / FreshAngga Fafa Wiranata16/01/200008994524540C969952629/06/2022H 02039521/05/2022621182454901031824/05/2018621182454931031831/05/20182 DosesNoNoNo
EX-CMVAgung Nanda22/09/1995085792107441C858069911/05/2022F12869822/09/2022621180002901691803/01/2018621180002931691818/10/2018621180002917691823/03/2018621180002913691823/03/20181 DoseYesYesNo
New / FreshMuhammad Ivansyah Cavan Hardono19/05/1998+62 87889343402C928706027/06/2022Booster 1NoNoNo
EX-CMVIda Bagus gede bayuna16/10/1987+62813375938821 DoseYesNoNo
Other CruiseArul Bahtiar30/10/1984082213901740C782746304/03/2021F23133716/07/2019620132536201152105/04/2021620132536231071903/09/2019620132536217462116/04/2021620132536213462116/04/2021Booster 1Yes
Other CruiseIntan Malinda19/11/1999087760558544B960000106/03/2018F09227514/01/2021621175964401371720/12/2017621175964431371720/12/2017621175964417371720/12/2017Booster 1NoNo
Other CruiseI kadek Kartawan10/10/1989+6283115655750C969323211/07/2022E15037621170211501261704/01/201707/11/2011620131839313351107/11/2017Booster 1NoYesNo
Other CruiseHuzaini Huzaini26/08/1975087771931076 / 08816850056C 867744111/04/2022H 00085601/04/2022620012724201152223/03/20222 DosesNoNoNo
Other CruiseDian Setyorini02/07/1981081513713760C965991329/06/2022H03388606/07/2022620034866501112205/07/2022620034866531112227/06/2022620034866517112222/06/2022620034866513112222/06/2022Booster 1NoNoNo
Other CruiseFAJAR SELVIAN19/09/1989087780003300C197956120/02/2019E09609507/06/2019620039597901151908/08/2019620039597931461926/07/2019620039597917461922/07/2019620039597913461917/07/2019Booster 1Yes
New / FreshEka Daniardi21/11/1993(+62)88239905922C790111218/06/2021G07347421/06/2021621201707201432029/07/2020621201707231692222/02/2022621201707217692224/02/2022621201707213692222/02/2022Booster 1
Other CruiseILHAM SANUSI06/10/1982+6281355359686C867178713/07/2022F 07280413/11/2017620012671701042105/10/2021620012671731042106/10/2021Booster 1YesYesNo
EX-CMVI gusti putu Juniadi02/06/1980+6281338724797C144746728/09/2018F07472711/07/2022620019340301691919/11/2019620019340331351728/11/2017620019340317351715/12/2017620019340317351715/12/2017Booster 1YesNoNo
New / FreshIgnatius Edi Yulianto29/07/1981087705006950C029491531/05/2018F00396521/03/2017620213407001151815/08/2018on processon processBooster 1NoNoNo
Other CruiseSaiful Rohmat01/05/1987081231350922C843287811/04/2022H01281114/03/2022CP 485696626/02/2022CP 501510725/02/2022CP 501502827/05/2022CP 501559827/05/2022Booster 1NoYesNo
EX-CMVmohamad kuswanto21/12/1992+6282298443431B858706721/07/2022F 13464626/04/2018621181800301151806/04/2018621181800331151811/04/2018621181800317151811/04/2018621181800313151813/04/20182 DosesYesYesNo
EX-CMVAndi Munib riady19/06/1989083145675798C730855706/08/2020G 04405708/03/2021621140663101111827/08/2018621140663131012024/11/2020621140663117012017/12/2020621140663113012017/12/20202 DosesYesYes
New / FreshFerdy Adianto27/09/2001082220748268C843151817/03/2022H01853508/03/2022621201707701432029/07/2020621201707731372117/12/2021621201707717372117/12/2021621201707713372117/12/20212 DosesNoNoNo
New / Freshfirqad saef zakaria baraja09/07/1990081325778719C928596917/06/2022H00746420/05/2022621221890501692227/04/2022621221890531692213/05/20222 DosesNoNoNo
New / FreshGilbert Anjuan Marco15/03/2001088293480771C843150018/03/2022H 01867015/03/2022621220158901432220/01/2022621220158931432225/01/2022621220158917432225/01/2022621220158913432225/01/20222 DosesNoNoNo
New / FreshThomy Ali03/03/19990895700129532C860571419/05/2022H02253922/04/2022621220689601692224/02/2022621220689631052211/04/2022621220689617692217/03/2022621220689613692217/03/20222 DosesNoNoNo
Other CruiseFajar Yulian27/07/19970882006194337B974315021/03/2018F09646515/01/2021621170978601031707/03/2017621170978631031711/03/2017621170978617371729/12/2017621170978613371729/12/20172 DosesNoNoNo
Other CruiseJaelaluddin Bagus Prianto03/10/1996+6281335767749C423971605/08/2019F 23499615/03/2022621157407501052111/02/2021621157407531051911/07/2019621157407517051922/07/2019621157407513051922/07/2019Booster 2YesYesNo
New / FreshHedy Yunus07/09/1998+6287850639613C929796506/06/2022F10447506/10/2020621181046501051805/03/2018621181046531051810/03/2018621181046517052204/07/2022621181046513052204/07/2022Booster 1NoNoNo
New / FreshWahyu Febrianto11/02/2002081949732716CP501299303/06/2022CP501385803/06/2022CP501390403/06/2022CP501392003/06/20222 DosesNoNoNo
Other CruiseFNU Supiani14/04/1980+6281313092145C309609107/05/2019E15816403/03/2022621143175001151909/02/202200406405/02/20169945226/12/20142 DosesYes
Other CruiseErlangga Puja Pahlawan10/11/19936285156275778/ 6289513147877C793228721/05/2021G07662824/05/2021621142105901011913/05/2019621142105931011629/02/2016621142105917011608/04/2016621142105913011608/04/20162 DosesNoYesNo
New / FreshKadek agus Apriada wijaya28/08/1999087880916179C396274721/05/2019G13483605/01/2022621192785301351918/07/2019621192785331722214/01/2022621192785317762213/01/2022621192785313762213/01/20222 Doses
Other CruiseRochman Sudjayanto26/05/1980081222315257C102912310/08/2018F08382216/10/2020CF350559408/08/2019CP015605511/07/2014CP445564119/07/2021CP445563019/07/20212 DosesYesYesYes
New / FreshFakhri Fatya Alamsyah24/03/2001085701189539C685984525/06/2020G09293029/06/2020621202620101432003/11/2020621202620131432012/11/2020621202620117432012/11/2020621202620113432011/11/2020Booster 1
EX-CMVI Gde Agus Wistara Kediri Kusuma18/08/1975081236014019C756075809/08/2021E13579502/06/2021621142975901351925/01/2019621142975931692015/01/2020621142975913351930/01/2019621142975913351930/01/2019Booster 1YesNo
New / FreshDodi Suhadi15/04/2000083115524361H03506419/04/2022621221582201432204/04/2022621221582231432212/04/2022621221582217432213/04/2022621221582213432213/04/2022Booster 1NoNoNo
Other CruiseTaufik Purnawan04/01/19800813-9209-4140C784197218/01/2022F09778612/01/2022620146179101692224/02/2022Booster 1YesYesNo
New / FreshBRIAN PRAKASA PUTRA27/11/19970895391229010H02030212/05/2022621213364501032125/10/2021621213364531032102/12/2021Booster 1NoNoNo
Ida bagus putu Kusuma darma10/05/1980081936579652C050095621/06/2018H02867913/05/2022621183446701351826/07/2018621183446731351802/08/2018621183446717351821/08/2018621183446713351821/08/2018Booster 1YesNoNo
Other CruiseRAHMAN MUHAMNAD ATMAKUSUMAH23/05/1978+6281220457218C230273917/07/2020E14154913/01/2017620130273301112116/11/2021620130273331692210/03/2022620130273317692208/03/2022620130273313692208/03/20222 DosesYesYes
New / FreshRAMDHAN PUTRA26/11/20020895378025856C900548309/05/2022H00732218/04/2022CP487321424/03/2022CP495392113/04/2022CP487324428/03/2022CP487326728/03/20222 DosesNo
Other CruiseKetut Ari23/02/1980081236509701B9 12783521/02/2018F 20043066815/08/2017620043066801351613/04/2016Booster 1NoNoNo
New / FreshRomi Sifana12/09/2001083124227572C739395627/10/2020G09292929/06/2021621202620001432013/11/2020621202620031432019/11/2020621202620017432019/11/2020621202620013432014/11/20202 DosesYesNoNo
Other CruiseDendhi Rosyidin09/11/1982081220376831C453405614/08/2019H 03379705/07/2022620039597801182227/06/2022620039597831462230/06/2022Booster 1NoNoNo
New / FreshBadrus Syarif28/02/1996083134945275C565957826/11/2019F22109301/03/2022621190280901051931/01/2019621190280931051913/02/2019621190280917051924/10/20196211902809913051924/10/2019Booster 1NoNoNo
New / FreshMohammad Berisi14/11/1997085732528033C853538806/04/2022H00253305/01/2022621214206501372115/12/2021621214206531372220/01/2022621214206517372207/04/2022621214206513372207/04/2022Booster 1NoNoNo
New / FreshSafii26/08/2000083837942203C898166230/05/2022G 12457214/12/2021621213077301692106/10/2021621213077317372116/12/2021621213077313372116/12/2021Booster 1NoNoNo
New / Freshmuhammad abdul fajar10/06/2002085234350427C830435811/03/2022G10071522/09/2021621178462301012111/01/2021Booster 1NoNoNo
New / FreshFREDIAN SYAH19/02/1994085730382566C367522616/05/2019F07695722/11/2020621172226701052216/03/2022621172226731052215/03/2022621172226717051924/10/2019621172226713051924/10/20192 DosesYesYes
Other Cruisesohibul hajah28/02/1996085694338801C519169230/10/2019F16258206/08/202162115097041151926/09/2019621150970431051603/02/2016621150970417051621/01/2016621150970413051621/01/2016Booster 1YesYesYes
kholilur rohman kholilur22/05/2001085645304452c 711040621/12/2021G 10001419/08/2021621202454201742023/11/2020Booster 1NoNo
kholilur rohman22/05/2001085645304452c 711040621/12/2021G 10001419/08/2021621202454201742023/08/2020Booster 1NoNo
New / FreshSahrulloh nurul mustofa21/05/2001081945729471On progres621220105814/02/2022621220108501052217/01/20222 DosesNoNoNo
New / FreshAndra Pranata Kusuma03/03/2000087876951146C195973614/11/2018G 02542223/09/2020621201888401372003/09/2020621201888431372028/09/2020621201888417372007/10/2020621201888413372007/10/20202 DosesNoNoNo
Other CruiseNi Nyoman Antari04/02/1980+6283116161117C756353412/10/2021G11723330/09/2021621212789501692120/09/2021621212789531692105/10/2021621212789517692106/10/2021621212789513692105/10/20212 DosesNoNoNo
New / FreshHusain Hinduan25/07/1999085648485062C105257301/08/2018F30899805/02/2020621194617501051914/11/2019621194617531051902/12/2019621194617517432016/04/2020621194617513432016/04/20202 DosesNoNoNo
Other CruiseAhmad Imadudin Arif05/03/1990081392023233C471578623/09/2019G 07947125/09/2021621151937001181923/08/2019621151937031461920/09/2019621151937017461926/09/2019621151937013461926/09/2019Booster 1YesYes
New / Freshsyaiful risky20/03/1999085855652973C83052111/02/2022H00273717/06/2022621214174601052129/11/2021621214174617052201/03/2022621214174613052201/03/2022Booster 1
New / FreshSyamsul Arif08/10/1994087703250100B 893596614/12/2017F 07662703/11/2017621174498001692224/03/2022621174498031051714/09/2017621174498017052126/03/2021621174498013052126/03/20212 DosesYesNoNo
New / FreshFernanda Affandi Putra20/06/2001082228538030C 853623318/04/2022H 02212924/03/2022621220379401052204/02/2022621220379431052212/07/2022621220379417052212/07/2022621220379413052212/07/20222 DosesNoNoNo
EX-CMVI WAYANBl WESTRA WESTRA03/10/1998082146550697C824991017/12/2021F 10174505/03/2021CP270605430/01/2018CP305472012/11/2018CP273169921/02/2018CP273172921/02/2018Booster 1YesNoNo
Other CruiseRipai27/03/1978081211090197C511746523/10/2019H03396711/07/2022621150629401071906/11/2019005200307202207/07/2022621150629417011820/04/2018621150629413011820/04/20182 DosesYes
New / FreshAbdul Aziz J13/11/1994081235836365C 830372021/02/2022F 26832005/09/2019621191519501051911/04/2019621191519531051922/04/2019621191519517051924/10/2019621191519513051924/10/20192 DosesYesNoNo
EX-CMVARI EFFENDI SASTRIAWAN10/09/1979+6281331066111C 033360424/04/2018H 00279119/01/2022620101913201112005/08/2020620101913231111908/05/2019620101913217111915/04/2019620101913213111915/05/20192 DosesYes
New / FreshMOCH. SUFRY BULQIAH27/04/2000+62 87842257779AU37071307/12/2018On Process621186191701051810/12/2018621186191731051813/12/2018On Process2 DosesNoNoNo
New / FreshAbdurrahman kholiq11/07/202262 857-0410-3735C720705002/08/2021H 00327911/02/20226212201054O1052203/01/2022621220105431052208/02/2022621220105413052214/02/2022621220105417052216/02/2022Booster 1No
EX-CMVNgakan ketut Alit sandika22/12/1982081999966499C203311021/12/2018F20283813/01/2022CP289287325/01/2019CP316233113/02/2019CP319461118/02/2019CP319455618/02/2019Booster 1Yes
EX-CMVYusuf Pristiwanto09/10/1992082280388725B207071914/09/2015D08552810/06/2015621152703601181504/06/2015621152703617181911/07/2019Booster 1
EX-CMVKomang Alit Wiramahendra15/12/1992085933672242C824706401/11/2021F02262103/11/2021621172070301762108/11/2021621172070331691911/01/2019621172070317762119/11/2021621172070313762119/11/2021Booster 1YesYes
Other CruiseAbdul Halim01/01/1986085258895241B51289625/08/2021D00957226/09/2021620034773401052126/11/2021620034773477432052101/10/2021620034773413052125/10/2021620034773417052113/10/20211 DoseYesNoNo
Other CruiseSaryanto Narao14/07/1989+6281296290605C524497105/11/2019G10812118/11/2021620208259901181823/01/2018620208259931071514/03/2015620208259917181607/11/2016620208259913181607/11/2016Booster 1YesYesNo
EX-CMVI putu agus Jaya pratama24/03/1999087755827041C435150629/07/2019F27102120/09/201962119337020691908/08/2019CP352308629/08/2019CP352317430/08/2019CP352320430/08/20192 DosesYesNoNo
New / FreshAgus Darmawan08/08/2000085748758996C897632622/03/2022H02199404/04/2022621221064801052221/03/2022621221064831052207/06/2022Booster 1
New / FreshMOCHAMMAD HANIF07/03/2000082333644198C897636522/04/2022F32460904/04/2020621200739201052005/03/2020621200739231052031/03/2020Booster 1NoNoNo
New / FreshHengky Teja01/02/1997082145485006B986489511/04/2018CP376137513/02/2019NoNoNo
New / FreshAndi Sastrawan29/04/1995082266251269B882341117/01/2018G11448317/09/2021Cp332149419/11/2018Cp332149704/12/2018CP332149629/11/2018Cp332149530/11/20182 DosesYesNoNo
New / FreshI komang Sadwika14/07/1988081339804501621221684401372214/04/20222 DosesNoNo
New / Freshgede juni arta12/06/1999087863136511C691759921/12/2020621222099501372218/05/20222 DosesNoNoNo
New / FreshI kadek wirya Yasa081949717900C678085518/05/2021H04961829/06/2022Cp5013801Cp5104431Cp5104284Cp5104303Booster 1NoNoNo
New / FreshI dewa gede bintang satria Utama085847961324C8583504H047211621222102001372262122210203137222 DosesNoNoNo
New / FreshI wayan Suriyantara07/01/19980895800246166C824753707/11/2021F33215912/03/2020621200652801692026/02/2020621200652817692024/03/2020621200652813692024/03/20202 DosesYesNoNo
New / FreshWaisul Qoroni10/01/1999+6283856012919C309184604/02/2019F 10487305/10/2021621181425601051820/03/2018621181425631051825/03/2018621181425617051921/06/2019621181425613051914/06/2019Booster 2NoNoNo
Other CruiseFajar Selvian19/09/1989087780003300C 197956120/02/2019E 09609508/06/2016CP 350558308/08/2019CP 337193426/07/2019CP 337175422/07/2019Booster 1YesNoNo
New / FreshAbdul Aziz J13/11/1994081235836365C 830372021/02/2022F 26832005/09/2019621191519501051911/04/2019621191519531051922/04/2019621191519513051924/10/2019621191519513051924/10/20192 DosesYesNoNo
New / FreshBagus Setiadi15/05/1998088214525457C688705004/09/2020F32465111/04/2020621200743201052005/03/2020621200743231052031/03/2020621200743217692222/04/2022621200743213692222/04/20222 DosesNoNoNo
EX-CMVi wayan Juliana01/01/1976081236841090C532279513/11/2019E13594203/02/20226211500111691905/12/2019621150011131692208/02/2022621150011117691905/12/2019621150011113691905/12/2019Booster 1YesNoNo
EX-CMVI Gede Made Iwan Setiawan02/05/19970877 04714368C435491127/08/2019F 27132903/10/2019621193673901691917/09/2019621193673931691903/10/201903/10/2019621193673913691903/10/2019Booster 2Yes
Other CruiseMuhaimin fnu18/06/1980+6281232275311C656518111/02/2020H02264128/04/2022620011917801072013/02/2020620011917831011811/10/2018620011917817011815/10/2018620011917813011812/10/2018Booster 1YesYesYes
Other CruiseAndre Sri Setio18/07/1990+6281220803058B998867422/03/2018G 10599930/09/2021620209778101151908/04/20192 DosesNoNoNo
New / FreshMuhamad Sukmah Vijaya12/07/1997+6281294088840C427403212/07/2019E 13426928/04/2021621160323501012225/02/2022621160323531012216/03/2022621160323517012221/03/2022621160323513012221/03/20222 DosesNoNoNo
Other CruiseHoiruddin Fnu10/07/1995+ 62 89696374070C715078617/07/2020E 06774827/12/2021621150722201011930/12/2019621150722231052016/12/2020621150722217052010/12/2020621150722213052010/12/2020Booster 1NoNoNo
Ida bagus putu Kusuma darma10/05/1980085 333 480 938C050095621/06/2018H02867913/05/2025621183446701351826/07/2018621183446731351802/08/2018621183446717351821/08/2018621183446713351821/07/20222 DosesYes
Other CruiseHoirul Mustofa25/11/1993+ 6282114275618C025480824/05/2018F 33367020/08/2021621143935801431926/07/2019621143935831431915/07/2019621143935817182124/08/2021621143935813182124/08/2021Booster 2YesYesNo
New / FreshFhebiyola Dwi Putri Rambu Luba20/02/20010812394148482 DosesYes
New / FreshAndi Prasetyo02/07/1999082257706310C858203524/05/2022Booster 1NoNoNo
New / FreshI Gede Mas Cahya Friana11/05/1998087855184501C858247027/05/2022
New / FreshI Kadek Agus Candra Wiguna22/05/2000087712609415C858203424/05/2022NoNoNo
New / FreshI Gede Eka Bhuana Putra26/01/20010895355465314C435088222/07/2019Booster 1NoNoNo
EX-CMVI Wayan Suarna14/07/1985087797311306C646408417/02/20202 DosesNoNoNo
EX-CMVRiski hidayatullah Rahman05/05/1994+6281334146293X 38521612/10/2017E 12454601/12/2021620169912901182106/09/20212 DosesYesNoNo
Other CruiseZaenal Arifin23/01/1983+6281298286857C697073725/06/2021F01243005/04/2017620150930101151905/09/2019620150930131071507/05/2015620150930117151906/09/2019620150930113151906/09/2019Booster 1YesYesNo
Other CruiseKadirun Fnu06/07/1984+ 6285230300057C075954606/07/2019C 01169326/03/2018620035834201151826/07/2018620035834231112123/07/2021620035834217371825/07/2018620035834213371825/07/2018Booster 2NoNoNo
Other CruiseChamil Fnu14/11/1986+ 6281383650054C715223403/09/2021G 13804427/01/2022620034945501052122/10/2021620034945531372227/05/2022620034945517372227/05/20226200034945513372227/05/20222 DosesNoNoNo
Other CruiseMusawir Fnu22/07/1984+6282140103343C720771504/10/2021F 14262319/04/2021620131747901012115/04/2021620131747931051816/07/2018620131747917182124/03/2021620131747913182124/03/20212 DosesYesYesNo
New / FreshI Made Aditya Dwi Pranata13/05/2002083147643754C825268204/02/2022G 13587608/02/2022621220249901692203/01/2022621220249931692219/01/2022621220249917692221/01/2022621220249913692221/01/2022Booster 1
Other CruiseDawud Junaidi03/04/1995082232647080C851942018/02/2022F08933015/12/2017621173098001762223/02/2022621173098031371729/12/2017621173098017461804/01/2018621173098013461804/01/2018Booster 1NoNoNo
New / FreshKadek Juliantara26/07/1997085955185855C824752512/11/2021F 31242804/02/2020CP375858914/01/2020CP380269030/01/2020CP380271930/01/2020CP380274930/01/20202 DosesYes
Other CruiseMohammad Saini05/11/1983+62 81937364030C467803319/08/2019E 10041416/10/2020620059920601431928/11/2019620059920631022104/07/2022620059920617182112/08/2021620059920613182112/08/20212 DosesNoNoNo
EX-CMVI ketut pasek Adnyana15/06/1992081338422786C845255427/05/2022F12766127/04/2022621180146301692223/06/2022621180146331692223/06/2022621180146317692217/06/2022621180146313692217/06/2022Booster 1YesNoNo
EX-CMVI Nyoman Budiarta10/03/1993085333869328C825043627/12/2021F03883821/04/2022620209981201372119/05/2021620209981231351817/01/2018620209981217372120/05/2021620209981213372120/05/2021Booster 1Yes
New / FreshIwayan dedik ceria ariawan06/10/1993085858472597C756333606/10/2021G 09849219/07/2022621212043601692127/07/2021621212043631692112/08/2021621212043617692110/08/2021621212043613692110/08/2021Booster 1YesNoNo
EX-CMVYusuf Pristiwanto09/10/1992082280388725B207071914/09/2015D08552810/06/2015621152703601181504/06/2015621152703617181917/07/2019Booster 1No
New / FreshKadek Kadek juliantara26/07/1997085955185855C824752512/11/2021F 31242804/02/2020CP375858914/01/2020CP380269030/01/2020CP380271930/01/2020CP380274930/01/20201 DoseNoNoNo
New / FreshI WAYAN ANDI SUARTAMA18/10/1998087752532295C824753912/11/2021F31243104/02/2020621200090501692014/01/2020621200090531692030/01/2020621200090517692030/01/2020621200090513692030/01/20202 DosesYesNoNo
Other CruiseI Dewa Nyoman Wesana11/09/1971081239241439B777374225/08/2017F31044326/12/2019620131513001261611/04/2016620131513031011613/07/2016620131513017261607/04/2016620131513013261607/04/2016NoNoNo
Other CruiseIrsan Taufik28/05/1979085780126162/WA 081318476990C147418422/10/2018F 07241516/10/2017620151058001151911/12/2019Booster 1YesYesNo
New / FreshI gede frans Galih wiratama Gede frans12/04/2000085969003488C858271230/05/2022621191296601371904/04/2019On prosesOn proses2 Doses
New / FreshBagus ritzki Arizona01/01/2001081338496704C677945408/02/2021On progress621200595101372020/02/2020On progressOn progressBooster 1NoNoNo
Other CruiseFnu Supiani14/04/1980C309609107/05/2019E15816403/03/2022621143175001151912/06/20242 DosesYesNoNo
EX-CMVI Made Gitayana09/05/1994081236878384C858093413/05/2022H02810921/04/2022621141488120/02/20192 DosesNoNoNo
New / FreshAchmad fajar Zainuri11/12/1998087874223844C715008730/09/2020G 00658823/06/2020621194614101051914/11/2019621194614131051902/12/2019621194614117372227/01/2022621194614113372227/01/20222 DosesNoNoNo
Other CruiseFNU Narso10/05/1980+6282115532944C783915723/03/2021G 07307309/04/2021CP424449607/12/2012CP028636526/03/2014CP406211109/09/2020CP406210507/09/2020Booster 2YesYesNo
Other CruiseWidhi Ari Christiawan26/01/1983+6281228031875C550303907/11/2019F08794029/11/2017620158939501031918/07/2019Booster 1Yes
EX-CMVAntonius Funan29/05/1981(WA)+447916187179C831749213/01/2022E12204227/10/2021620156624101691916/05/2019620156624131762227/01/2022620156624117762227/01/2022620156624113762227/01/2022
EX-CMVNyoman Suwirka23/04/1970+6282144025641C919621628/06/2022H04187520/06/2022620150544801691923/03/20193622/SSAT/BMTC/201823/06/2018620150544813691927/03/2019620150544813691927/03/2019
EX-CMVIda bagus putu Kusuma darma10/05/1980085 333 480 938C050095621/06/2018H02867913/05/2022621183446701351826/07/2018621183446731351802/08/2018621183446713351821/08/2018621183446717351821/08/20182 DosesYes
New / FreshTisen Wijaya19/03/1988081377932755C797314219/11/202162120169680124229/07/2020621201696817242014/08/2020621201696813242014/08/20202 Doses
New / FreshI Komang AGUS ARIANA23/03/1998087856786746C866897523/06/20222 DosesNoNoNo
EX-CMVNgurah alit Nixen02/10/1974WA:087756032641/Tlp:085941351092C755832403/06/2021E15162603/03/2020620046753801762214/04/2022620046753031762214/04/2022620046753817762214/04/2022620046753813762214/04/2022Booster 1YesNoNo
New / FreshI made Budiarta15/05/2001+6287861684162C866676414/03/20222 DosesNoNoNo
EX-CMVKetut Wiguna06/06/1979081237154543C477743229/10/2019F03820906/07/2017CP359719308/11/2019059615015/03/2018059621804/04/2018059610814/03/2018Booster 1YesYesNo
New / FreshI Wayan Agus Wahyudi putra30/03/1999087811150394C532411721/11/2019H 02866712/05/2022CP492177727/04/2022CP501058012/05/2022CP501405119/05/2022CP501402119/05/2022Booster 1NoNoNo
New / FreshNi Kadek Meitriani24/05/2001082237305134Booster 1NoNoNo
Other Cruisemasduki masduki23/04/1977085336235948c711207929/12/2020f01625105/06/2017620157253601052218/03/2022620157253631372209/03/2022620157253617372210/03/2022620157253613372210/03/20222 DosesNoYesNo
EX-CMVYusuf Pristiwanto09/10/1992082280388725B207071914/09/2015D08552810/06/2015621152703601181504/06/2015621152703617181917/07/2019Booster 1YesNoNo
EX-CMVI Wayan Tori Wijaya29/08/1985081952389723 / 081916724621C606954813/02/2020E05556410/08/2021620041645301691919/02/2019620041645331691912/02/2019620041645317691913/02/2019620041645313691913/02/2019Booster 1YesNoNo
EX-CMVI PUTU SUDIARSANA19/10/1992085961511572. WA-087851039030C824679527/10/2021E13598330/11/2016621159114101692115/10/2021621159114131692112/10/2021621159114117362112/10/2021621159114113362112/10/2021Booster 1Yes
New / FreshGaluh Sanjaya02/11/1998082150673081Booster 1NoNoNo
New / FreshKomang Widana08/04/1993089697183806C677903822/12/2022G 08383211/05/2021CP421095109/02/20212 DosesNoNoNo
New / FreshI Wayan Ardana15/12/1967087857624451C091110501/08/2018E06458922/06/2016620042101901351619/07/201602232803/12/2013620042101917351911/09/2019620042101913351911/09/2019Booster 1YesYesNo
New / FreshKetut Angga pramana15/09/20020881038010116C838807310/12/2021Booster 1NoNoNo
New / Freshkomang nusardi trija putra trija26/03/1999085737524635B8799433318/09/20172 DosesNo
New / FreshKadek Arimbawa16/05/19970824174924162 DosesNoNoNo
EX-CMVI Gede Setiawan02/05/19970877 04714368C435491127/08/2019F27132903/10/2019621193673901691917/09/2019621193673931691903/10/2019621193673917691903/10/2019621193673913691903/10/2019Booster 2Yes
EX-CMVErwin Rasyid08/05/2022085262835582C.611885118/01/2022F 21306021/01/2019620150657101151811/01/2019620150657131071818/12/2018620150657117151922/01/2019620150657113151922/01/2019Booster 1NoNoNo
EX-CMVFnu Qadrullah31/12/1979+62 81907075823C248605818/01/2019F16003525/01/2019620119947001692227/01/2022620119947031691925/07/2019620119947017691925/07/2019620119947013691925/07/2019Booster 1YesNoNo
Other CruiseSUMANTRI WIBOWO23/07/19750822 2383 3809C497117126/09/2019E13875104/01/2017620049538901071921/05/2019620049538931071913/05/2019620049538917071915/05/2019620049538913071915/05/2019Booster 1YesNoNo
Other CruiseDasuki Faisal Abdilah06/09/1988083805935510/081387264443C197693106/12/2018F19844306/12/2018621174883401151715/09/2017621174883431151812/01/2018Booster 1
New / FreshDevio Purwanto17/12/1997082269704372X96926419/12/2019F 34226220/03/2020621186960101011819/12/2018621186960131152029/04/2020621186960117152023/07/2020621186960113152023/07/2020Booster 1NoNoNo
New / FreshKadek adi Wida Pradika03/04/1999082146190497C866843201/06/20221 DoseNoNoNo
New / FreshWayan Wirawan30/03/2002081238868521C858196124/05/2022Booster 1YesNo
EX-CMVNyoman Wirata27/07/1981081916984371C756068304/08/2021F20211821/01/2019620042204401352123/07/2021620042204431351903/01/2019620042204417351911/01/2019620042204413351911/01/2019Booster 1Yes
New / Freshhardiani Hardi15/09/1989+6281330562245C776069908/06/2021G_10038430/06/2021621212333801742120/08/2021621212333831742128/09/2021Booster 1NoNoNo
EX-CMVI komang Suriawan10/01/1987+62 81908213512C 462255517/09/2019E13678130/12/2016620156223001351926/03/2019620156223031691915/10/2019620156223017692123/09/2021620156223013692123/09/2021Booster 1YesYes
New / FreshFnu Anwar15/05/1997087816975738CP305685622/11/20181 DoseNoNoNo
New / FreshDewa Komang Sukayasa18/01/19940895394076496C866896623/06/20222 DosesNoNoNo
New / FreshFnu Anwar15/05/1997087816975738CP305685622/11/20181 DoseNoNoNo
EX-CMVI Made Adi Wirawan12/12/1987081339450725 /wa. 087860472072C371202823/05/2019F28617819/11/2019620131394401691907/11/2019620131394431691931/10/2019620131394417691931/10/2019620131394413691931/10/2019Booster 1YesNoNo
New / FreshAgus Sarjana05/01/2000087761422412Booster 1NoNoNo
New / FreshGede Palguna15/09/1999081999498673Booster 1NoNoNo
New / FreshMADE RIGA DARMAWAN03/04/1996085858261557Booster 1Yes
New / FreshMADE RIGA DARMAWAN03/04/1996085858261557Booster 1Yes
Other CruisePurwanto Gino10/10/1986082241957217X 1015069Y 050269620148185801152002/12/20202 DosesYesYesNo
New / FreshMADE RIGA DARMAWAN03/04/1996085858261557Yes
New / FreshWayan Hendra Kusuma Jaya29/06/1996087784793365C919599629/06/19962 DosesYes
New / FreshBudi Susilo10/08/1996+6287787592557C863336130/03/2022F14880926/03/2019621162780601011722/12/2017621162780631692213/04/2022621162780617692214/04/2022621162780613692214/04/20222 DosesNoNoNo
New / FreshWayan Hendra Kusuma Jaya29/06/1996087784793365C919599629/06/19962 DosesYes
Other CruiseFaozi Purwantoro06/11/1971081380015825C867851527/04/2022F 21431924/01/2019620105377101152007/01/2020620105377131071419/08/20142 DosesNoNoNo
Other CruiseFnu Muhassin31/12/1994085850922511C710789804/11/2020E10457326/10/2020621144461901051927/06/2019Booster 1NoYesNo
EX-CMVNgurah Wahyu03/07/1990085714137448C919571022/06/2022H04164014/06/2022620036236701762225/05/2022620036236731762230/05/2022620036236717762225/05/2022620036236713762225/05/2022Booster 1YesNoNo
New / FreshFajaria Novery08/11/1993081366532739C231990531/12/2018F28651127/11/2019621190263401151914/02/2019621190263431151928/03/2019621190263413691927/11/2019621190263417691927/11/20192 DosesNoNoNo
New / FreshMuhammad JuliYovan Hasdin03/07/2000081541180815C 378508031/05/2019F 29639721/11/2019621193830001071926/09/2019621193830031071919/11/2019621193830017071923/11/2019621193830013071923/11/2019Booster 1No
New / FreshMuhammad JuliYovan Hasdin03/07/2000081541180815C 378508031/05/2019F 29639721/11/2019621193830001071926/09/2022621193830031071919/11/2019621193830017071923/11/2022621193830013071923/11/2022Booster 1NoNoNo
New / Freshi nyoman budiana10/03/1988+6285739490439C866819128/05/202262014620060732216/05/2022Booster 2YesNoNo
Other CruiseI MADE SUDARMA08/06/1979+6281338228005C 478421603/12/2021H 01657405/03/2020620147076801722224/02/2022620147016831722211/02/2022620147076817742211/02/2022620147076813742211/02/2022Booster 1YesYesNo
Other CruiseKamaluddin Kamaluddin10/01/1969+6281317187584C658042328/08/2020F18796106/11/2018620027183801152220/01/2022620027183831411424/11/2014620027183817042014/09/2020620027183813042014/06/2022Booster 1YesYes
EX-CMVI KETUT SUARDANA14/09/1982+6285236015327C478422203/12/2021F26469015/03/2022620157844001722224/02/2022620157844031722211/02/2022620157844017742211/02/2022620157844013742211/02/2022Booster 1YesYesNo
New / FreshDody Indra10/07/1994087759178807C866735618/04/2022Booster 2NoNoNo
Other CruiseI Made Dwipayana20/07/1997085932241114C677914805/01/2021F28092919/05/2021621210891501352107/04/2021621210891531352119/04/2021621210891517352119/04/2021621210891513352119/04/2021Booster 1Yes
Other CruiseDaniel Hendra01/01/1960+62 82113857761C029450625/05/2018F02459901/10/2021620026535101012103/05/2021620026535131111621/04/2021620026535117012121/04/2021620026535113012121/04/2021Booster 1Yes
Other CruiseIketut Nuada23/02/1978O881037000766C677937502/02/2021G04665711/01/2021620047760501351923/01/2019620047760531351923/01/2019620047760517352116/02/2021620047760517352116/02/2021Booster 1YesYesNo
Other CruiseGede Agus ariawan07/09/1996+6281238398285B262263721/01/2016E06385328/03/2016Cp 127887622/01/2016Cp 244089811/10/2017Cp 235100406/09/2017Cp 235406713/09/2017Booster 1YesYesNo
New / FreshErvan Febriana24/02/1996088212802950C307352818/03/2019F 22079819/02/2019621190472301071913/02/2019621190472331462127/07/2021621190472317182127/07/2021621190472313182127/07/2021Booster 1YesYes
Other CruiseHendra Syarif12/02/1984+6281319758242C638131004/09/2020H 03338027/06/2022620015951701011729/10/2021620015951731022023/10/2020620015951717011610/05/2016620015951713011604/05/20162 DosesYesYesYes
EX-CMVI wayan Tori wijaya05/09/1985+6281952389723 / wa. +34611207319C606954813/02/2020E05556410/08/2021620041645301691919/02/2019620041645331691912/02/2019620041645317691913/02/2019620041645313691913/02/2019Booster 1YesNoNo
EX-CMVAndus sahat Sihombing03/07/1976081310771751C867549810/03/2022F08071704/10/2017621174684001012204/02/2022621174684031011830/05/2018621174684017011805/06/2018621174684013011805/06/2018Booster 2YesNoNo
Other CruiseAlvi Rizky19/05/1996085730828021C393424701/07/2019E04886315/01/2016621156105001071920/12/2019621156105031052101/10/2021621156105017052101/10/2021621156105013052101/10/2021Booster 1YesYes
New / FreshYOGA NUGRAHA06/01/1989+6282112763009C 905328409/06/20221 DoseNoNoNo
New / FreshKURNIA ENGGAR FIRTRIANI13/09/1998+62 858 78821 269Booster 1NoNoNo
EX-CMVFerdy Kurniawan15/07/1991+6282213228737C730974703/09/2020F13953014/05/2021620146371601072005/10/2020620146371631071505/05/2015620146371617182006/10/2020620146371613182006/10/2020Booster 1YesNoYes
New / FreshMUHAMMAD FAISAL08/04/1999+6287773524419G 12034108/10/2021621212761601372116/09/20212 DosesNoNoNo
EX-CMVmohamad kuswanto21/12/1992+6282298443431B858706708/12/2017F 13464614/04/2022621181800301151806/04/2018621181800331151811/04/2018621181800317151813/04/2018621181800313151813/04/20182 DosesYesYesYes
New / FreshFNU SAHRULLAH18/09/1996089677206478C740490223/02/2021G048555621202861601052023/12/2020621202861631052115/02/2021621202861617052110/03/2021621202861613052110/03/20212 DosesNoNoNo
New / FreshFNU HADI04/06/2000+6287852314179C709288102/09/2021G 06538405/04/2021621210434501742125/02/2021621210434531742124/03/2021621210434517742124/03/2021621210434513742124/03/20212 DosesNoNoNo
Other CruiseFnu Narso10/05/1980+6282115532944C 783915721/03/2021G 07307309/04/2021620049012201182124/03/2021620049012231071415/09/2014620049012217462018/09/2020620049012213462018/09/20202 DosesYesYesNo
EX-CMVPutu rika Prestika22/12/1979081239530022C 831946615/03/2022E 09953823/12/2021620218883501722123/11/2021620218883531692227/05/2022620218883517692208/06/2022620218883513692208/06/20222 DosesYesNoNo
Other CruiseKHAERUL SYAMSI12/09/1996+6289674308577C738248511/06/2021E 15783627/02/2017621160784401152109/04/2021621160784431152214/03/2022621160784417152109/04/2021621160784413152109/04/20212 DosesNoNoNo
New / FreshSYAFII MAARIF14/06/2001+62858519572802 DosesNoNoNo
New / FreshTOHLANI HERNAN DELI04/10/2001+62857 2226 5648C709349311/10/20212 DosesNoNoNo
Other Cruisesiman siman16/03/198162 813 324 503 38C717505725/08/2020F14299003/07/201862003596670112223/05/2022620035966731071509/07/2015620035966717462103/03/2021620035966713462110/03/20212 DosesYesYes
New / FreshFNU SAHRONI02/03/1999085785291749G06538105/04/2021621210434301742125/02/2021621210434331742124/03/2021621210434317742125/03/2021621210434313742124/03/20212 DosesNoNoNo
Other CruiseTessa Kirana Dwi Zulkarnain05/05/1994082120219004C686977523/06/2020F23789207/05/2019CP314791220/02/2019CP320712803/05/2019CP320620930/04/2019CP320619029/04/2019Booster 1YesYesNo
New / FreshKHOIRUR ROSIKIN31/08/1999087756202219C830560015/03/2022G10085628/09/2021621200582101052018/02/20202 Doses
New / FreshROFII05/04/1999085648490604C678222424/02/2020f32777712/02/2020621200157901052021/01/2020621200157931052027/04/2020621200157917052018/05/2020621200157917052018/05/20202 Doses
New / FreshIBNU MUSLIM HIDAYAT25/02/2002082332960318C846371613/12/2021F33380917/11/2021621212110401012104/08/2021621212110439012126/11/2021621212110417012203/02/2022621212110413012203/02/20222 Doses
New / FreshMOCH.SULFI09/05/1998081803214694C393581916/07/2019F23473414/06/2019621183307401051818/07/2018Booster 1
New / FreshMOHAMMAD IQBAL AMIRUL ADDAUSI05/06/1994082332992667C860289819/04/2022H02180124/03/2022621214171601692125/02/2022Booster 1NoNoNo
Other CruiseFachmi Qurniawan10/12/1989087775518268A23571023/10/2014CP 047543813/10/20141 DoseYes
New / FreshFNU WAHYUDI18/10/2000081232915813H00269914/01/2022621214356601742127/12/2021621214356631742211/01/2022621214356617742211/01/2022621214356613742211/01/20222 DosesNoNoNo
New / FreshMOH SALMAN AL FARIZI05/05/20000877586674642 DosesNoNoNo
New / FreshMOHAMMAD ADIL11/11/2001081217589488H00270014/01/2022621214357001742127/12/2021621214357031742211/01/2022621214357017742211/01/2022621214357013742211/01/20222 DosesNoNoNo
Other CruiseVicar Kinjoy14/01/20010895327939550C599338229/01/2020G 07290809/04/2021621202673401432019/11/2020621202673431432026/11/2020621202673417432026/11/2020621202673413432026/11/2020Booster 1YesNoNo
Other CruiseHappy yulius Purnama11/07/1976085695186802C535014830/10/2019F12461607/03/2018620128775201152104/02/2021620128775213151601/06/2022620128775217151601/06/2022620128775213151601/06/2022Booster 1Yes
New / FreshBudi Susilo10/08/1996087787592557C863336130/03/2022F14880926/03/2019621162780601011722/12/2017621162780631692213/04/2022621162780617692214/04/2022621162780613692214/04/20222 DosesNoNoNo
Other CruiseHary Prasetyo20/10/1978081311362939C449238129/07/2019E13581816/11/2016CP496571323/05/2022CP086240621/05/20152 DosesYesYesYes
Other CruiseHary Prasetyo20/10/1978081311362939C449238129/07/2019E13581816/11/2019CP496571323/05/2022CP086240621/05/20152 DosesYesYesYes
EX-CMVIswandi Iswandi23/12/1976082123580314C 700174228/08/2020F 22882623/09/2021620047886701072118/10/2021620047886731071727/04/2017620047886717182109/09/2021620047886713182109/09/2021Booster 1YesNoNo
EX-CMVEric Afrizal12/04/1990081373039427/081272157656C579422706/12/2019E 15099515/11/2021621152056801181919/12/2019621152056831112111/11/2021621152056817181919/12/2019621152056813182919/12/2019Booster 1YesNoNo
EX-CMVKetut teguh Sastra wijaya09/02/1989‪+62 878‑5800‑3842‬C144979231/10/2018F17546024/02/2022CP305538123/12/2018CP305541123/11/2018CP305776127/11/2018CP305773527/11/2018Yes
EX-CMVGede Bagiada13/02/1989081239134040C824735204/11/2021F10091203/11/2021CP467032223/11/2021CP289212218/01/2019CP289316422/01/2019CP289319422/01/20192 DosesYes
New / FreshAli Usman Gani22/11/1985+6281234422164C720664426/08/2021620042022101012124/09/2021620042022131462128/09/2021620042022117462124/09/2021620042022113462124/09/2021Booster 1NoNoNo
Other CruiseHERU FAUZI29/03/1996081224445659B799453114/09/2017F06657706/09/2017CP248638524/07/20172 DosesNoYesNo
New / FreshAhmad Nuryani31/05/1978085926223330CO 17621102/04/2018X 007083620057142901151431/10/2014A0854317/02/201427/09/201327/09/2013Booster 1YesNoNo
Other CruiseMuhamad Kuswanto21/12/1992081392119831 call / 082298443431 waB858706708/12/2018F13464608/03/2022621181800301151826/03/2023621181800331151811/04/2022621181800317151809/04/2018621181800313151809/04/20182 DosesYesYesNo
EX-CMVAdi Heriwahyudi18/02/1968+62-81236978587B594844809/01/2017C 06143407/09/2018620034839901151725/01/2017Malta Certificate No. SCU3471 Ref MS45/127/02 - ML-1914519/08/2014620034839917150710/12/2007620034839913150710/12/20072 DosesNoYesNo
EX-CMVI GEDE BAYU ADI PERNATA28/05/1993085738396213Booster 1YesNoNo
Other CruiseArnes Candra30/04/19760895384097210C025269203/05/2018F 04362006/04/2022620039259801151906/09/20191d698afcf7fa205308/08/2018620039259817692218/05/2022620039259813692218/05/2022Booster 1YesYes
Other CruiseWayan Karya Saputra01/09/1968+62 85210415232B556256025/11/2016E12773503/11/2016620155562001151915/08/201938827DC3D471ADF023/06/201516CMHB-IH-0010A-01325/10/2016N/A11/01/2017Booster 1YesYesNo
New / FreshROJAB DWI POERNAMA22/10/1998081318678020C730890314/08/2020Booster 1No
Other CruiseHelmi Pradika15/01/1997087873731417C609239616/12/2022F30962216/03/20221 DoseNoNoNo
New / FreshMohammad Rizal30/03/2001+62-856-4983-23822 Doses
Other CruiseMuhamad juns Junispu06/06/1983081289682163C678900624/03/2020F09790117/01/2018CP273332802/03/2018Booster 1YesYesYes
EX-CMVKriswanto Fnu10/03/1978+62 895607609944C344419310/03/2019G00251024/06/2022620109796101151620/08/20191399618/06/2019620109796117151620/05/2022620109796113151627/05/20222 DosesYesYes
C867549810/03/2022F08071727/09/2022621174684001012204/02/2022621174684031011830/05/2018621174684017011805/06/2018621174684013011805/05/2018
Other CruiseAgus Poetra22/08/1984+6287784302224C744779528/09/2021H00710618/02/2022620027310301152116/12/2021620027310331372204/03/2022620027310317372204/03/2022620027310313372204/03/2022Booster 1NoNoNo
Other CruiseDendhi Rosyidin09/11/1982081220376831C453405607/08/2019Booster 1
EX-CMVAtrisna Hariyanto15/06/1988087860121589C823164522/10/2021G11791214/04/2021CP446028321/08/2021CP446044324/06/2021CP446033512/08/2021Booster 1YesNoNo
Other CruiseHaidir Aslam Alfarisi26/03/1989+6287854485126C720492604/05/2021F 03169720/04/2022620109793401152213/05/2022SAT-BS-21-02124/06/2021CMT-BS-21-02124/06/2021Booster 1YesNoNo
Other CruiseAgus Herwanto09/10/1988081392955874C698430516/04/2021G02701311/11/2020620208587301182226/04/2022620208587331011421/03/20146202085873171821104/05/20216202085873182104/05/2021Booster 1YesYesNo
Other CruiseTintin Edi15/05/1983+6281229707552C697716329/06/2020F 23913516/05/2019620047259301042131/05/2021620047259331071414/06/2014620047259317462126/04/2021620047259313462126/04/2021Booster 1YesYesNo
Other CruiseAHMAD FARHAN29/06/1979+6285883249208C744492013/04/2021F04339831/07/2020620101566601152204/03/2022620101566631411717/03/2017620101566617151917/10/2019620101566613151917/10/20192 DosesYesYesNo
Other CruiseRisma Gilang Angkasa26/05/1990081226131055C677283711/03/2020F25016111/07/2019620148443401151507/09/2015620148443431071418/09/2014620148443417151610/11/2016620148443413151610/11/20162 DosesYesNoNo
Other CruiseMuchamad hafid Alchusaini14/05/1984082137326576C118850325/09/2018F14367225/05/2021621183081501261828/06/2018621183081531111824/07/2018621183081517111807/08/2018621183081513111803/08/2018Booster 1YesYesNo
Other Cruiseikadek laba supriadi01/02/1980082147113777C789385512/08/2021G 00252020/08/2021621212236501362112/08/2021on progresson progressBooster 1NoNoNo
New / FreshZidane Al Farezi10/02/2000081224228524C165585622/11/20182 DosesNoNoNo
Other CruiseABD ROSID13/12/1998+62 85748071095C 267149319/03/2019F 20074725/01/2019621185551501051821/11/2018621185551531051828/11/2018621185551517051922/01/2019621185551513051916/01/20191 DoseYesYesNo
EX-CMVHERU NURDIANTO09/02/1990+6285870050424C120191406/11/2018E15015116/01/2017620213390901691919/02/2019620213390931351719/10/2017620213390917691921/02/2019620213390913691921/02/2019Booster 1Yes
Other CruiseRendi Noor Yakub30/03/1988+6281288640248C539576013/11/2019E15744023/02/2017620157181001151905/12/2019t822nG2Gqy30/01/2014620157181017151504/02/2015620157181013151504/02/2015Booster 1Yes
EX-CMVM RIZAL ARISANDY22/04/1996083852520522C930544313/06/2022F03196906/07/2017621154345201052027/04/2020621154345231692221/01/2022621154345217692220/01/2022621154345213692220/01/20222 DosesYes
Other CruiseYudi Priatno27/11/1973+62 812 8938 9865C730789923/07/2020G 01582327/07/2020620047945901152120/08/2021620047945931071910/10/2019620047945917152123/08/2021620047945913152123/08/2021Booster 1YesYes
Other CruiseNURMAYA NURMAYA08/10/1977081288828635C197868212/02/2019G09579625/08/2021620100437001182208/06/20226201004370311071524/03/2015620100437017181707/03/2017620100437013181707/03/2017Booster 1YesYes
New / FreshSyamsul Alamsah14/11/19970882009040313C594137227/12/2019F30768925/01/2022621194695101051920/11/2019621194695131051903/12/2019621194695117051928/11/2019621194695113051926/11/2019Booster 1No
New / FreshAli Usman Gani22/11/1985+6281234422164C720664426/08/2021620042022101012124/09/2021620042022131462128/09/2021620042022117462124/09/2021620042022113462124/09/2021Booster 1YesNoNo
Other CruiseZeintul Komariyah20/06/1995083866220030/081329435210C900421420/04/2022F05542927/09/2022CP502828709/06/2022Booster 1YesYesYes
Other CruiseSUHUDIYANTO20/02/1982082132785004B995999206/06/2018E07926409/07/2021620103507001032018/12/2020620103507031762103/08/2021620103507017762103/08/2021620103507013762103/08/2021Booster 1Yes
New / FreshFeka Lesmana15/06/1993087764970881C849801402/02/2022G 13049202/01/2021621214301 101432121/12/2021621214301131432124/12/2021621214301117432128/12/2021621214301113432128/12/20212 Doses
Other CruiseI Ketut Rio Andika01/02/1984081338750402A 078871209/08/2011Y 07126005/09/2011620131394501261119/08/2011620131394517261122/08/2011620131394513261122/08/2011Booster 1NoNoNo
New / FreshMega Irawan20/03/1997089682824626C792854311/11/2021F10604707/08/2021620209539901151809/08/2023620209539931032108/12/2021620209539917762204/02/2022620209539913762204/02/2022Booster 1NoNoNo
New / FreshDicky Jamaludin11/07/1997081224846479 /0895379433890X109549308/07/2020G00065003/07/2020621200612201152026/02/2020621200612231152029/04/2020621200612217152014/04/2020621200612213152014/04/2020Booster 1No
Other CruiseMASDUKI15/09/2022+6285933555110C304960806/01/2021E14029322/12/2019620049260601011919/07/2019A0810612/02/2014620049260617181717/10/2017620049260613181717/10/20172 DosesYesNoNo
New / FreshDiyan Rinaldi27/02/1997085862911059Booster 1YesYesYes
Other CruiseTOBIBUL IHSAN13/07/1998081282682145C907779323/05/2022F09140318/05/2022621180519301692219/05/2022621180519331051822/02/2018CRO/WDR/0034/202230/01/2022CRI/WDR/0033/202230/01/2022Booster 1NoNoNo
New / FreshMohammad Rizqi26/11/1986081903794548C677270210/03/2020F34195017/03/202262120061801152026/02/2020621200611831152029/04/2020621200611817372021/01/2022621200611813372021/01/2022Booster 1
EX-CMVI Ketut Gede Basudewa01/10/1987081338514657C 756176303/09/2021E 12187024/05/2022621153833801692027/02/2020621153833831692227/02/2022621153833817692224/02/2022621153833813692224/02/2022Booster 1YesNoNo
Other CruiseEndra Gunawan14/10/19720812 19646419C 147373217/10/2018F 29800028/02/2020620036462701242013/04/2020620036462731071713/01/2017620036462703/07/2022620036462710/07/2022Booster 2YesYesNo
New / FreshTeguh Junian Dermawan04/06/200008811336280C782481913/10/2021CP461343308/02/2022CP480958024/02/20222 Doses
EX-CMVPutu Gde Manik Hari Yuda04/09/1983+6281338862538C789407226/08/2021F12769707/05/2021621181824401371811/04/2018621181824431371830/08/2018621181824417371830/08/2018621181824413371830/08/2018Booster 1YesNoNo
Other CruiseRAHMAN MUHAMNAD ATMAKUSUMAH23/05/1978+6281220457218C230273917/07/2020E14154913/01/2020620130273301112116/11/2021620130273331692210/03/2022620130273317692208/03/2022620130273313692208/03/20222 DosesYesNoNo
EX-CMVI gusti ngurah Wahyu widana03/07/1990085714137448620036236701762225/05/2022620036236731762230/05/2022620036236717762225/05/2022620036236713762225/05/2022Booster 1
Other CruiseHendra Syarif12/02/1984+6281319758242C638131004/09/2020E05393826/01/2016620015951701011729/10/2021620015951731022023/10/2020620015951717011610/05/2019620015951713011604/05/20192 DosesYesYesYes
EX-CMVMADE HARY SANJAYA16/11/1989+6287864400588C756221514/09/2021F00861617/04/2022620048986301362107/10/2021620048986331692117/09/2021620048986317362114/09/2021620048986313362114/09/20212 DosesYesNoNo
New / FreshAbdul Latif Ridwan Syarifudin22/10/1997085860097109C486536920/11/2019Booster 1NoNoNo
Other Cruiseikadek laba supriadi01/02/1980082147113777C789385512/08/2021G 00252020/08/2021621212236501362112/08/2021on progresson progressBooster 1NoNoNo
New / FreshAsep Suryo Nugroho05/09/19880812299146782 Doses
EX-CMVNoverdi Rosdana24/11/1971+6283169181759C852601322/02/2022E14120109/01/2022620049263801152123/08/2021620049263831151815/11/2018620049263817152124/08/2021620049263813152124/08/2021Booster 1
Other CruiseWawan supriyanto21/09/1993085716667353 / 088215219671C670886904/03/2020f31932303/02/2022cp376045123/01/2020cp376084406/02/2020cp376080930/01/2020cp376086506/02/2020Booster 1
New / FreshDarmana25/06/2022085739698736C670896305/03/2020F31933204/02/2020CP 376043123/01/2020CP376083506/02/2020CP376079630/01/2020CP376085106/02/20202 Doses
Other CruiseMoh Sholeh25/02/1995+628170025644C 830245024/02/2022F 00621520/03/2022621158358301012015/09/2020621158358331012007/10/2020621158358317372220/05/2022621158358313372220/05/2022Booster 1YesYes
EX-CMVNurul Misbah03/07/1982085104046450X61542724/07/2018E13575022/11/2019620041057001112122/01/2021620041057031462017/09/2020620041057017112022/12/2020620041057013112017/12/20202 Doses
EX-CMVI ketut Budiartana06/07/1983085964210550C532336518/11/2019F 07557910/01/2018620048473101762213/05/2022620048473131351804/12/2018620048473117762219/05/2022620048473113762219/05/2022Booster 1Yes
Other CruiseAgus Muklis05/08/1994087871262638C 709546220/12/2021F 13017404/09/2020620134315401051819/03/2018620134375431051508/04/2015620134375417151806/04/2018620134375413151806/04/20182 DosesYesYesNo
New / FreshI Komang Putra Agus Yasa13/08/1999087859454803C824780818/11/2021G00268004/11/2021621200106801692015/01/2020621200106831692129/10/2021621200106817692104/11/2021621200106813692104/11/2021Booster 1NoNoNo
EX-CMVI Wayan Tori Wijaya29/08/1985081952389723 / 081916724624C606954813/02/2020E05556410/08/2021620041645301691919/02/2019620041645331691912/02/2019620041645317691913/02/2019620041645313691913/02/2019Booster 1YesNoNo
Other CruiseMuhammad Lukman15/05/1989081953719608C 686256016/12/2020G 07859222/07/2021620207712901431931/01/2019620207712901431915/02/2019620207712901431921/02/2019620207712901431921/02/2019Booster 1YesNoNo
EX-CMVNi Luh putu Risma yanti19/04/19970895701495965B 882476325/01/2018F 20283226/08/2021621190007301351903/01/2019621190007331351925/01/2019621190007313351929/01/2019621190007317351929/01/2019Booster 1YesNoNo
Other CruiseEsa Mey Davit Mohamad08/05/1997085200395475C 730267613/08/2020F 31289520/10/202062020084300115806/04/201862020084300115602/11/201662020084300115607/11/201662020084300115607/11/2016Booster 1YesYesNo
New / FreshFeliks Kristian Limbat Youce Limbat03/02/1993081252822183F01704221/04/2022621142054601031911/07/2019621142054631071918/12/20192 DosesNoNoNo
New / FreshWilman Ari Firdaus16/02/2001085233136429C 861232801/03/2022G 11864612/11/2021621213430501692127/10/2021621213430531692112/11/2021621213430501692112/11/2021621213430501692112/11/20212 DosesNoNoNo
EX-CMVI wayan Juliana01/01/1976081236841090C532279513/11/2019E13594203/02/2022621150011101691905/12/2019621150011131692208/02/2022621150011117691905/12/2019621150011113691905/12/2019Booster 1YesNoNo
EX-CMVGede widiyasa Suputra29/10/1990081946355735B751401724/07/2017F10036806/02/2020620157550501692006/02/2020620157550531351806/02/2020620157550517692006/02/2020620157550513692013/02/2020Booster 1NoNoNo
Other CruiseERRIO PRATAMA28/03/1987+6287882820131 / +62 8892104253C789076112/10/2021H 03117311/05/2022621155785401152116/12/2021MJ - 1321028/07/2016MJ- 1323306/08/2017MJ - 1323306/08/2017Booster 1
Other CruiseBenny Cahyadi13/11/1979081806588004C793421221/06/2021G 10589528/09/2021620040901801152120/09/2021620040901831462204/04/2022620040901817182210/03/2022620040901813182210/03/2022Booster 1Yes
New / FreshAmi Nuraisyiah06/06/1999089524443960C486641627/11/20192 DosesNoNoNo
Other CruiseImade yana Adiarta22/11/1994081246519759C755848407/06/2021F 00840811/04/2022621170990801722127/07/2021621170990831371725/04/2017621170990817371725/04/2017621170990813371726/04/2017Booster 1Yes
Other CruiseYudiharyanto Muhadi28/06/1992+6282194475080X135448124/03/2022H 00582514/03/2022621151176301062017/03/2020621151176331062018/03/2020621151176317062227/01/2022621151176313062225/01/2022Booster 1YesNoNo
EX-CMVI komang Suriawan10/01/1987+62 81908213512C 462255517/09/2019E13678130/12/2019620156223001351926/03/2019620156223031691915/10/2019620156223017692123/09/2021620156223013692123/09/2021Booster 1YesYes
New / FreshFebi Rezaldi04/02/1998082120802900C408889915/07/2019F26218805/08/2019CP327823610/04/20192 Doses
Other CruiseI kadek Kartawan10/10/1989+6283115655750B586885523/12/2016E1503707/02/2017621170211501261725/01/201707/11/2011620131839313351107/11/2011Booster 1NoYesNo
EX-CMVI Dewa made Ardana05/03/1975087780426468C323277222/04/2019F20164317/01/2022620134040401691801/11/2018620134040431691824/10/2018620134040417691825/10/2018620134040413691825/10/2018Yes
New / FreshKadek yuli Parwasih31/07/1995081237160967C756293529/09/2021Booster 1NoNoNo
Other CruiseAntonius Indra Jaya12/08/1977+681916809168C831138007/01/2022F08843903/01/20226200098851072115/10/2021620009885131071908/03/2019620009885117181923/04/2019620009885113181923/04/20192 DosesYesYesYes
EX-CMVgusti putu robantara24/11/1995087866860284C462525001/10/2019F28594911/01/2022CP362365511/10/2019CP368214429/10/2019CP362437623/10/2019CP362440623/10/2019Booster 1YesYes
EX-CMVInyoman Rauh30/12/1983083857368291C551040302/01/2020E15157001/03/2022620047723101352129/07/2021620047723131352129/07/2021620047723117352125/08/2021620047723113352125/08/2021Booster 1YesNoNo
Other CruiseMIFTAHUL HUDA19/12/1978+6281380201057C 148485220/09/2018H 02154617/03/2022620040957801071909/08/2019620040957831071924/07/2019620040957817071931/07/2019620040957813071931/07/2019Booster 2YesYesNo
Other CruiseCandra Sudirman07/06/1988087786669353C164938719/10/2018F15712511/08/2021621183562701151831/07/2018621183562731151805/10/2018621183562717151805/10/2018621183562713151805/10/20181 DoseYesYes
Other CruiseMuhammad Andika hidayatullah04/12/1998087771651522C 389996017/05/2019F 15288504/04/2022621191316401071927/03/2019621191316431071922/04/2019621191316417071930/04/2019621191316413071929/04/20192 DosesYesYes
EX-CMVI Ketut Perdata15/08/1980081237877523CB45263730/05/2022F20330024/05/2022621190114401691918/01/2019621190114431691930/01/2019621190114413691906/02/2019Booster 1YesYesNo
EX-CMVBambang Darmanto10/07/1977082144116344C203192613/12/2018E15197416/03/2022620057113001691915/03/2019620057113031692112/11/2021620057113017692103/11/2021620057113013692103/11/2021Booster 1YesYesNo
EX-CMVDEDDY BURMAN15/06/1981081351419102 and 081371541093B 5562287F05713162004717400107166200471740316918:62004717401707162 DosesYesNoNo
EX-CMVI Gede Made Iwan Setiawan02/05/19970877 04714368C435491127/08/2022F 27132903/10/2019621193673901691917/09/2019621193673931691903/10/2019621193673917691903/10/2019621193673913691903/10/2019Booster 2Yes
EX-CMVI ketut pasek Adnyana15/06/1992081338422786C845255427/05/2022F12766127/04/2018621180146301691816/01/2018621180146331691827/09/2018621180146317691805/06/2018621180146313691805/06/2018Booster 1Yes
EX-CMVDefi NOFRIZAL23/11/197408128557083C 721161015/02/2021B 021220206/09/2019620132027001151614/01/2021620132027031411623/08/201662013202717532001/12/202062013202717532001/12/2020Booster 1Yes
Other CruiseTatang Sukarna30/08/1978085776185192C810358225/11/2021E 13491907/12/20166200569694010111714/12/2017620056969431111512/10/2015620056969417151619/12/2016620056969413151621/12/20162 DosesYesNoNo
EX-CMVHaryanto19/12/1985082266951001C258663421/01/2019F 15874926/12/2021620038535501031816/11/2018620038535531031809/11/2018620038535517031823/11/2018620038535513031813/11/2018Booster 2YesNoNo
Other CruiseRohman Abdul22/08/1991082112691668C809841721/02/2022G 06551316/04/2021620139310201052126/04/202162013931031071809/02/2018620139310207111831/12/2018620139310203111831/12/20181 DoseYesYesNo
New / FreshI made yana Adiarta22/06/2022081246519759C755848407/06/2021F 00880411/04/2022CP439138427/07/2021CP 207998625/04/2017CP 230250725/04/2017CP 230252126/04/2017Booster 1YesNoNo
Other CruiseSyaifun Maslul19/03/1988081515168238C6 16562813/07/2020E15673516/02/2020621161868801012130/03/2021621161868831011720/02/2017621161868817152109/04/2021621161868813152109/04/2021Booster 1YesYes
Other CruiseWahyu Kuncoro22/11/1977082137703842X81404624/10/2019F01371125/04/2017620129925201031530/06/2015A0928924/02/20141446807/08/20171446807/06/20172 DosesYesYesYes
EX-CMVI Putu Stiawan01/01/1991082147130917C756073205/08/2021E09910105/08/2016621153834101692020/02/2020621153834131692217/02/2022621153834117692210/02/2022621153834113692210/02/2022Booster 2Yes
EX-CMVI Ketut Gede Basudewa01/10/1987081338514657C 756176303/09/2021E 12187024/05/2022621153833801692027/02/2020621153833831692227/02/2022621153833817692224/02/2022621153833813692224/02/2022Booster 1Yes