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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
New / FreshRatih Mahalini28/02/1995+905340590940C478175521/04/2021-2 DosesNoNoNo
EX-CMVI Made Restiawan10/06/1984087702885416X38398006/09/2017E12175414/10/2016620150808601691913/02/2019620150808631351828/02/2018620150808617351813/03/2018620150808613351813/03/2018Booster 1NoNo
EX-CMVI GUSTI BAGUS WAHYU RISMANJAYA06/04/1996085648211369Booster 1NoNoNo
New / Freshadi khairil13/05/1990+6285959329580c499351325/09/2019h00577509/03/2022621141561701042210/02/2022621141561731042218/03/202262114156171692229/06/2022621141561713692229/06/20222 DosesYesYesNo
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