CHECK LIST DOCUMENTS

Crew Status	Name	Date of Birth	Telp/ WA No.	Passport No.	Date of Issued	Seaman Book No.	Date of Issued	BST Number	Date of Issued	SAT Number	Date of Issued	Crisis Management Number	Date of Issued	Crowd Management Number	Date of Issued	Covid 19 Vaccine	Yellow Fever	MMR	Cholera
Other Cruise	AKHMAD KODAR	26/05/1972	+6281222773255	E3476654	16/05/2023	G076616	25/05/2023	6201028373011523	11/01/2023	6201028373313723	07/07/2023	6201028373173723	23/06/2023	6201028373133723	23/06/2023	Booster 1	Yes		Yes
EX-CMV	Saiful Anam	25/09/1993	081334620586	C2169637	12/12/2018	F200527	10/05/2023	6201336576010521	27/10/2021	6201336576314619	30/04/2019	6201336576174619	25/04/2019	6201336576134619	22/04/2019	Booster 2	Yes	Yes	No
New / Fresh	Irfan Fnu	20/06/1988	082196808222	E 1640544	13/01/2023	F 185382	11/11/2018	6202100489011522	04/03/2022	6202100489311518	15/11/2018	6202100489171518	15/11/2018	6202100489131518	15/11/2018	2 Doses	Yes	No	Yes
New / Fresh	Kade Yoga	17/06/1999	085771835468	E0817083	12/01/2023	010467	30/12/2023	CP5480599	21/12/2022	CP5556883	03/02/2023	CP5557033	08/02/2023	CP5557010	08/02/2023	1 Dose	No		Yes
Other Cruise	Nur Kafid	09/10/1982	+62882005544289	C7040316	11/01/2021	G012207	22/07/2020	6202008682011522	13/05/2022	6202008682310715	21/04/2015	6202008682170320	02/03/2023	6202008682130320	17/07/2020	Booster 1	Yes	Yes	No
Other Cruise	Nur Kafid	09/10/1982	+62882005544289	C7040316	11/01/2021	G012207	22/07/2020	6202008682011522	13/05/2022	6202008682310715	21/04/2015	6202008682170320	28/07/2020	6202008682130320	27/07/2020	Booster 1	Yes	Yes	No
EX-CMV	Made dwi Yadnya	30/04/1998	085739474176	C3983245	25/06/2019	F280505	14/10/2019	6211931175016919	30/07/2019	6211931175316919	30/07/2019	6211931175176919	15/08/2019	6211931175136919	15/08/2019	Booster 1	Yes	Yes
EX-CMV	Satrio Widodo	21/11/1985	082128641839	C3430853	03/05/2019											Booster 1	Yes
New / Fresh	Ratih Mahalini	28/02/1995	+905340590940	C4781755	21/04/2021	-										2 Doses	No	No	No
EX-CMV	I Made Restiawan	10/06/1984	087702885416	X383980	06/09/2017	E121754	14/10/2016	6201508086016919	13/02/2019	6201508086313518	28/02/2018	6201508086173518	13/03/2018	6201508086133518	13/03/2018	Booster 1	No		No
EX-CMV	I GUSTI BAGUS WAHYU RISMANJAYA	06/04/1996	085648211369													Booster 1	No	No	No
New / Fresh	adi khairil	13/05/1990	+6285959329580	c4993513	25/09/2019	h005775	09/03/2022	6211415617010422	10/02/2022	6211415617310422	18/03/2022	621141561716922	29/06/2022	6211415617136922	29/06/2022	2 Doses	Yes	Yes	No
Other Cruise	I GUSTI NGURAH AGUNG AGUNG	20/11/1974	08977334818	W 111628	03/12/2010	H 076906	15/09/2022	6200405338016922	06/09/2022							2 Doses	No
New / Fresh	Arya Suryantara	26/03/1999	082236779641													Booster 1	No	No	No
EX-CMV	Putu eka Saputra	02/02/1993	081237342919	C2496129	02/02/2019	G 118200	21/10/2021	CP3149576	27/02/2019	CP3523895	03/09/2019	CP3522995	02/09/2019	CP3523617	03/09/2019	Booster 1	Yes	No	No
New / Fresh	Bambang Supriadi	26/05/1992	+6281365349468	C706566	23/09/2021	F176392	01/03/2019	6201656968010621	09/07/2021	6201656968310714	21/08/2014					Booster 1	Yes
EX-CMV	I KOMANG SUARDIKA	04/09/1994	085815028099	B8820752												Booster 1	No	No	No
Other Cruise	Handoyo Lenggono	03/03/1993	085706743860 , 085604598960	C5334103	11/10/2019	E114383	25/08/2016	6211594269010521	13/04/2021	6211594269314616	19/10/2021	6211594269171816	28/09/2021	6211594269131816	28/09/2021	Booster 1	Yes	No	No
Other Cruise	hamin hamin	05/08/1987	087750810375	c9521574	20/06/2022	g048242	22/12/2020	6200351790010721	17/02/2021	6200351790314618	19/10/2018	6200351790171821	21/01/2021	6200351790131821	21/01/2021	Booster 1	Yes	Yes	Yes
	Widhiarta Nyoman	13/01/1975	081946792588	C5179888	24/10/2019	G090348	14/06/2021	6200017128016919	28/11/2019	6200017128316919	07/11/2019	6200017128176919	19/11/2019	6200017128136919	20/11/2019	Booster 2	Yes
New / Fresh	Ketut Eva Doniawan	09/09/1997	085738007463	C4936165	28/01/2020	G004317	04/08/2020	6212015924016920	15/07/2020	6212015924316920	25/08/2020	6212015924176920	25/08/2020	6212015924136920	25/08/2020	Booster 1	No	No	No
EX-CMV	I Nyoman Gatrayasa	26/10/1982	082145818822/wa 087858598501	C9691994	04/07/2022	F101436	02/08/2022	6200490828016922	22/07/2022	6200490828316922	21/07/2022	6200490828173622	06/07/2022	6200490828133622	06/07/2022	Booster 1	Yes	No	No
EX-CMV	I Wayan Nusanjaya	21/02/1982	087861137000	C8668722	14/06/2022	F023620	10/06/2017	6211724799013617	18/05/2017	6211724799313617	03/07/2017	6211724799133517	28/07/2017	6211724799133517	28/07/2017	Booster 1	Yes
EX-CMV	I Wayan Nusanjaya	14/02/1982	087861137000	C8668722	14/06/2022											Booster 1	Yes	No	No
EX-CMV	I Dewa made Ardana	05/03/1975	087780426468	C3232772		F201643		6201340404016918		6201340404316918		6201340404176918		6201340404136918		Booster 1	Yes	No	No
				C8581795	23/05/2022	H 027956	19/04/2022	6212141302016921	07/12/2021	6212141302316922	19/05/2022	6212141302176922	19/05/2022	6212141302136922	19/05/2022
Other Cruise	I Ketut Suwendiyasa	05/01/1995	‪+62 877‑5839‑3346‬	C8579904	25/04/2022	Fo53749	25/04/2022	6211744675017622	23/02/2022	6211744675314618	24/01/2019	6211744675177622	24/02/2022	6211744675137622	23/02/2022	Booster 1	Yes	No	No
New / Fresh	I Made Wily Adi Prawira	11/08/2001	0881037060570	C1446698	03/10/2018											Booster 1
New / Fresh	I Wayan Tedi Irawan Irawan	11/05/2002	083119326291	C4784042	23/11/2021	G134515	23/12/2021	CP4603499	08/10/2021							Booster 1	No	No	No
New / Fresh	I Kadek Ari Winanda Winanda	27/09/2000	081390277912	C8248653	01/12/2021	-		-		-		-		-		2 Doses	No	No	No
New / Fresh	I PUTU RIZKY ADITYA MAHESA PUTRA	31/08/2001	08814889688	C9695633	27/07/2022											Booster 1	No	No	No
Other Cruise	FATIR AMROELLAH	09/02/1999	+6281259227882	C2672029	25/03/2019	F227606	05/03/2022	6211533404010719	13/11/2019			6211533404130518	30/08/2018	6211533404170518	30/08/2018	Booster 2	Yes	Yes	No
New / Fresh	I PUTU RIZKY ADITYA MAHESA PUTRA	31/08/2001	08814889688	C9695633	27/07/2022											Booster 1	No	No	No
New / Fresh	FHEBIYOLA DWI PUTRI RAMBU LUBA	20/02/2001	081239414848	C8584575	14/06/2022			6212230095012622	24/06/2022							Booster 2
New / Fresh	I MADE INDRA PRASAKA	03/03/1994	081 236 507 540													Booster 1	No	No	No
New / Fresh	I Putu Pande PerdiJulianto	10/07/1999	081946596127	C8319805	22/03/2022	H016416	15/03/2022	6212116568012621	04/06/2021							Booster 1	No	No	No
New / Fresh	I GEDE MAS CAHYA FRIANA	11/05/1998	0881037790252 / 087855184501	C8582470	27/05/2022			6212226594016922	14/06/2022							Booster 1
New / Fresh	I GEDE EKA BHUANA PUTRA	26/01/2001	0895355465314	C4350882	22/07/2019											Booster 1
New / Fresh	I Made Aditya Dwi Pranata	13/05/2002	083147643754	C8252682	04/02/2022	G 135876	08/02/2022	6212202499016922	26/01/2022	6212202499316922	04/02/2022	6212202499176922	08/02/2022	6212202499136922	08/02/2022	Booster 1
Other Cruise	I Made Adi Sudanta	14/11/1981	081239513378	C8318870	23/02/2022	G 135511	26/01/2022	6212116555012621	04/06/2021							Booster 1	No	No	No
Other Cruise	I wayan Sukewijaya	29/10/1979	+6281916815926	C8319698	21/03/2022	E136044	08/12/2016	CP4778950	06/01/2022							Booster 1	No
New / Fresh	I putu Jimbaran	16/11/1994	085737871517	C9692103	05/07/2022	H 047124	16/06/2022	6212223224013722	11/05/2022	6212223224313722	03/06/2022	6212223224173722	04/06/2022	6212223224133722	03/06/2022	Booster 2	No	No	No
New / Fresh	Novia Widyawati	07/11/1999	087759948059	C8315834	22/11/2021	H053122	19/07/2022	6212233580013722	06/07/2027	6212233580313722	11/07/2027	6212233580173722	11/07/2027	6212233580133722	11/07/2027	2 Doses	No	No	No
New / Fresh	Gusti Agus Juis Andika Juis Andika	09/12/1999	081998148651	C4776520	03/09/2019											2 Doses	No
New / Fresh	ni luh irma yuni	27/07/1998	081236789944													Booster 2	No	No	No
EX-CMV	I putu Mahendra	05/01/1998	0881037025436	C7562302	15/09/2021	F100517	06/07/2021	6211757097016917	30/11/2017	6211757097316918	21/09/2018	6211757097176918	26/09/2018	6211757097136918	26/09/2018	Booster 1	Yes
New / Fresh	I Made Dedyx mertadana I Nyoman sugianta	13/12/1999	081934632242	On progres												2 Doses	No	No	No
New / Fresh	Ida ketut Tri aditya	16/09/1999	087864376381	On progress		On progress		On progress		On progress		On progress		On progress		Booster 1	No	No	No
Other Cruise	I Dewa Nyoman Wesana	11/09/1971	081239241439	B7773742	25/08/2017	F310443	26/12/2019	6201315130012616	11/04/2016	6201315130310116	13/07/2016	6201315130172616	07/04/2016	6201315130132616	07/04/2016		No	No	No
Other Cruise	Helmy Helmy	25/01/1974	+62 85960493964	C3901268	29/05/2019	E133949	23/11/2016	CP3760367	16/01/2020							Booster 1	Yes	Yes	Yes
Other Cruise	TOYYIB	14/05/1992	081937333009	C1138276	14/09/2018	F104869	08/07/2021	6211814255010518	25/03/2018	6211814255310518	25/03/2018	6211814255170518	18/04/2018	6211814255130518	17/04/2018	Booster 1	No	No	No
Other Cruise	UKI BASUKI RAHMAT RAHMAT	18/11/1982	085643712654	C4484609	14/08/2019	H008229	07/02/2022	6211515547011519	08/09/2019	6211515547316922	13/06/2022	6211515547174619	23/08/2019	6211515547174619	15/08/2019	Booster 1
New / Fresh		14/06/2001	085851957280													2 Doses	No
New / Fresh	Daniel Hanz	04/12/1992	082232343577													2 Doses	No	No	No
Other Cruise	Arifin Simbolon	08/06/1968	+62 81294201038	C7167441	05/06/2020	E127757	03/11/2021	6201504966011519	14/03/2019	6201504966311119	11/12/2019	6201504966174618	06/07/2018	6201504966134618	13/07/2018	Booster 1		Yes	Yes
Other Cruise	Yumanto yuma	07/06/1977	0895634688122	C9702741	25/07/2022	H 036876	19/07/2022	6201343724011822	04/07/2022	04875	28/10/2013	6201343724171822	06/07/2022	6201343724132822	06/07/2022	Booster 1	Yes
Other Cruise	Kevin Roinaldo Siahaan	10/02/2001	082286025146	C4888154	10/09/2019	G059203		6212017074014320	29/07/2020	6212017074314321	16/02/2021	6212017074174321	16/02/2021	6212017074134321	16/02/2021	Booster 1	No	No	No
Other Cruise	Fitria Mukarta	05/08/1982	+628881825714 / +621314543020	C9661812	19/07/2022	E126495	14/07/2022	6200262997010118	21/07/2022							Booster 1	Yes	Yes
Other Cruise	Lilik Cahyono	30/04/1986	087700332431	C0460130	23/07/2018	E067398	08/03/2016	6200359809014320	15/07/2020	6200359809310120	15/07/2020	6200359809174620	01/07/2020	6200359809134620	01/07/2020	2 Doses	Yes	No	No
Other Cruise	Zaenal Arifin	23/01/1983	+6281298286857	C6970737	25/06/2021	F 012430	05/04/2017	6201509301011519	05/09/2019	6201509301310715	07/05/2015	6201509301171519	06/09/2019	6201509301131519	06/09/2019	Booster 1	Yes	Yes	No
Other Cruise	Septiady Affan	06/09/1993	+6282142746377	C8096659	01/12/2021	E123971	11/10/2021	6211595406017221	24/09/2021	6211595406310521	17/11/2021	6211595406170521	13/12/2021	6211595406130521	13/12/2021		Yes	Yes
New / Fresh	SYAMSUL BAHARI	07/02/1988	082330449365	C8097503	13/01/2022	H 022483	21/04/2022	CP4875315	25/03/2022	CP4875834	01/04/2022	CP4875798	01/04/2022	CP4875819	01/04/2022	Booster 1	No	No
New / Fresh	Ryan Iranto	20/10/1996	082249231529	C7207847	06/09/2021	F180889	19/12/2023	6211844959011118	26/09/2018	6211844959311118	10/10/2018	6211844959171118	10/10/2018	6211844959131118	10/10/2018
New / Fresh	Ilham Kencana Putra	02/04/1993	+6281217171719	C1308613	18/10/2018	G031213	26/10/2020	6212021466017420	28/09/2020	6212021466317420	17/11/2020	6212021466177420	07/12/2020	6212021466137420	07/12/2020	1 Dose	No	No	No
Other Cruise	Fitria Mukarta	05/08/1982	+628881825714	C9661812	19/07/2022	E126495	14/07/2022	6200262997010118	21/07/2022							Booster 1	Yes	Yes	Yes
Other Cruise	Agung Sulistijono	11/08/1970	087872561783	C8099230	10/08/2021	G 078742	29/07/2021	6200463710010112	11/05/2021	6200463710310121	18/05/2021	6200463710170121	07/05/2021	6200463710130121	07/05/2021	Booster 1	Yes	Yes	No
Other Cruise	Eko Agus Setiawan	29/12/1991	082133133587	C3067053	12/02/2019	D018816	10/11/2014	6211435944011519	18/03/2019							Booster 1	Yes	Yes	No
EX-CMV	Siti Suri Cahaya	24/06/1995	+6285762330995/+6289512503147	C4932382	28/10/2019	F286595	03/12/2019	CP3680445	20/11/2019	CP3733251	05/12/2019	CP3833799	11/12/2019	CP3733769	11/12/2019	2 Doses	Yes	No	No
New / Fresh	A. Soehariadi	25/02/1991	082227813953	C 1972306	26/10/2018	G 0321432	01/12/2020	6202094423010517	24/06/2022	6202094423310517	07/06/2022	6202094423170517	02/03/2017	6202094423170517	02/03/2017	2 Doses	Yes	No	No
Other Cruise	Parhansyah Parhansyah	07/11/1983	081337973583	C7941362	29/11/2021	E140774	04/01/2017	6201039122011120	10/03/2020	6201039122311120	08/04/2020	6201039122171120	02/06/2020	6201039122131120	21/04/2020	Booster 1	Yes
New / Fresh	I Putu Kusumajaya	29/03/1998	085738658136	C8316970	27/12/2021	H004712	14/01/2022	CP4779063	16/12/2021	CP4812301	14/01/2022	CP4501285	11/01/2022	CP4501315	11/01/2022	Booster 2	No	No	No
Other Cruise	I Gusti Ngurah Rai Surya Wijaya	21/11/1987	081239357614	C2035676	15/01/2019	F201512	06/08/2021	6201554545016921	09/02/2019	6201554545316919	24/01/2019	6201554545046921	21/01/2019	6201554545136919	21/01/2019	Booster 1	Yes	No	No
EX-CMV	I gusti putu Juniadi	02/06/1980	+6281338724797	C1447467	28/09/2018	F074727	11/07/2022	6200193403016919	19/11/2019	6200193403313517	23/11/2017	6200193403173517	15/12/2017	6200193403173517	15/12/2017	Booster 1	Yes	No	No
Other Cruise	Arul Bahtiar	30/10/1984	082213901740	C7827463	04/03/2021	F231337	17/05/2022	6201325362011521	05/04/2021	6201325362310719	03/09/2019	6201325362174621	16/04/2021	6201325362134621	16/04/2021	Booster 1	Yes	No	No
EX-CMV	I gede widiyasa Suputra	29/10/1990	081946355735 / 085738855419	C8669650	20/07/2022	F100368	21/01/2021	6201575505016920	06/02/2020	6201575505313518	06/02/2020	6201575505176920	06/02/2020	6201575505136920	06/02/2020	Booster 1	No	No	No
EX-CMV	I gede mei Astawa	03/05/1990	085737341479	C6465450	04/03/2020	F023024	02/06/2022	6201577228016922	20/01/2022	6201577228316922	21/01/2022	6201577228176922	19/01/2022	6201577228136922	19/01/2022	Booster 1	Yes	No	No
EX-CMV	Indriawan Hendriansyah	31/08/1968	+6281289432388	C1859604	05/11/2018	E158174	30/07/2019	6201030779011521	09/02/2021	6201030779311521	09/02/2021	6201030779171516	22/07/2016	6201030779131516	22/07/2016	Booster 1	Yes	No	No
Other Cruise	Akhmat Faizin	03/01/1983	082138352758	C8232864	28/09/2021	E131760	11/11/2016	6201294131010321	03/03/2021	6201294131316921	30/10/2021					Booster 1		Yes
Other Cruise	zahri	11/05/1975	6287752865947	C6790675	14/07/2020	F112420	21/02/2018	6200487753011518	11/01/2019	62004877553311519	03/07/2019	6200487753171519	15/08/2019	6200487753131519	15/08/2019	2 Doses	Yes	Yes	Yes
New / Fresh	Ferdy Adianto	27/09/2001	082220748268	C8431517	17/03/2022	H018535	08/03/2022	6212017077014320	29/07/2020	6212017077313721	17/12/2021	6212017077173721	17/12/2021	6212017077133721	17/12/2021	2 Doses
	Kholilur Rohman	22/05/2001	085645304452	C 7110406	21/12/2020	G 100014	19/08/2021	6212024542017420	23/10/2020							Booster 1	No	No	No
New / Fresh	Teddy Pratama	22/06/2001	+6282247412197	C8431528	18/03/2022	H018536	08/03/2022	6212017076014320	29/07/2020	6212017076313721	17/12/2021	6212017076173721	17/12/2021	6212017076133721	17/12/2021	2 Doses	No	No
Other Cruise	I Wayan Pudjana	20/07/1981	082144062034	C7559434	28/06/2021	F146335	18/09/2018	6200349010013518	29/08/2018	6200349010313518	29/08/2018	6200349010173518	29/08/2018	6200349010133518	29/08/2018	Booster 1	Yes	Yes	Yes
Other Cruise	Muhamad Putra	22/04/1982	+62 81282412118	C5096095	20/09/2019	F251885	19/07/2019	6201591174011521	26/08/2021	6201591174310714	07/10/2014	6201591174171515	09/10/2015	6201591174131515	09/10/2015	Booster 1
Other Cruise	Kurniawan Budi Prastowo Prastowo	23/05/1983	+6282178990094	C7781545	09/08/2021	G077309	14/06/2021	6200231085014319	14/02/2019	6200231085310119	20/02/2019	6200231085170719	16/03/2019	6200231085130719	10/03/2019	Booster 1	Yes	Yes	No
EX-CMV	Iswandi Iswandi	23/12/1976	082123580314	C 7001742	28/08/2020	F 228826	23/09/2021	6200478867010721	18/10/2021	6200478867313722	08/07/2022	6200478867171821	09/09/2021	6200478867131821	09/09/2021	Booster 1	Yes	No	No
EX-CMV	Maoli syair Afandi	05/02/1982	+6285976446306	C 8427323	24/01/2022	E154650	13/07/2021	6200406736010121	18/11/2021	6200406736310719	02/09/2019	6200406736171821	23/11/2021	6200406736131821	23/11/2021	Booster 1	Yes	No	No
Other Cruise	Zeinatul Komariyah	20/06/1995	083866220030	C9004214	20/04/2022	F055429	27/09/2017	6211739501011522	09/06/2022							Booster 1	Yes	Yes	Yes
New / Fresh	Muhammad Khoirudin	26/12/2001	089693446345	C863093	22/02/2022	G052933	03/02/2021	6212100020016921	06/01/2021	6212100020316921	28/01/2021	6212100020176921	28/01/2021	6212100020136921	28/01/2021	Booster 1
EX-CMV	I WAYAN WESTRA	03/10/1998	082146550697	C8249910	17/12/2021	F101745	12/03/2021	Cp2706054	14/02/2018	Cp3054720	21/11/2018	Cp2731729	27/02/2018	Cp2731699	27/02/2018	Booster 1	Yes
Other Cruise	FRANS GEORGE ANTHONIO	13/09/1977	+6285691816920	C0576773	17/05/2018	H032567	10/06/2022	6201027912010722	23/05/2022	6201027912310722	23/05/2022	6201027912130707	09/04/2007	6201027912170707	10/04/2007	Booster 1	Yes	No	No
New / Fresh	Budi Susilo	10/08/1996	087787592557	C8633361	30/03/2022	F148809	26/03/2019	6211627806010117	22/12/2017	6211627806316922	13/04/2022	6211627806176922	14/04/2022	6211627806136922	14/04/2022	2 Doses	No	No	No
Other Cruise	Abdul Mofid	24/06/1991	085755674032	X552408	17/04/2018	F134921	08/05/2018	6201353322010515	01/12/2020	6201353322314618	11/10/2018	6201353322177621	30/12/2021	6201353322137621	30/12/2021	2 Doses	No	No	No
New / Fresh	Zainal Fanani	11/09/1992	+6285731644047					6212127314010521	15/09/2021							Booster 1	No	No	No
New / Fresh	I Gede Agus Sudana	22/06/2000	081547668027	C4351445	29/07/2019												No	No	No
New / Fresh	I Putu Rizky Aditya Mahesa Putra	31/08/2001	087761476886														No	No	No
Other Cruise	Made Pasek	14/04/1966	082144728862	C4781371	03/03/2021	E122213	03/11/2016	CP4213803	18/02/2021	CP2466824	21/12/2018	CP3596991	16/10/2019	CP3597526	16/10/2019	Booster 1	Yes	Yes	No
Other Cruise	Dian Setyorini	02/07/1981	081513713769	C9659913	29/06/2022	H033886	06/07/2022	6200348665011122	05/07/2022	6200348665311122	02/06/2022	6200348665171122	22/06/2022	6200348665131122	22/06/2022	Booster 1	No	No	No
Other Cruise	taga perkasa	09/07/1980	085860990075	C7824878	13/10/2021	E074283	24/03/2016	6200470686011521	03/12/2021	RH-ISPS1T-404758	26/12/2013	CP 0552681	07/10/2006	CP 0552680	10/10/2006	Booster 1	No	No	No
EX-CMV	Hoiruddin Hoiruddin	10/07/1995	089696374070			E067748	13/03/2021	6211507222010119	30/12/2019	6211507222310520	16/12/2020	6211507222170520	10/12/2020	6211507222130520	10/12/2020	2 Doses	Yes	No	No
Other Cruise	Dawud Junaidi	03/04/1995	082232647080	C8519420	18/02/2022	F089330	15/12/2020	6211730980017622	23/02/2022	6211730980313717	29/12/2017	6211730980174618	04/01/2018	6211730980134618	04/01/2018	Booster 1	No	No	No
EX-CMV	I Komang Edy Widarma	24/11/1988	082134611988	C5507371	12/12/2019	E150931	02/06/2022	CP3194578	18/02/2019	CP2096294	20/02/2017	CP3211403	21/02/2019	CP3211377	21/02/2019	Booster 1	Yes
New / Fresh	CHOIRULLY RIZQON HASANA ROHMATULLOH	08/10/1998	082216996308	C9007730	30/05/2022	H008227	26/01/2022	6212202259017622	26/01/2027	6212202259317622	15/02/2022	6212202259177622	15/02/2022	6212202259137622	15/02/2022	Booster 1	No	No	No
Other Cruise	Nurcahyo Fnu		089630434175	C9285428	14/06/2022	F 140983	28/05/2018	6211609527011516	04/05/2018	6211609527311516	04/05/2018	6211609527171516	04/05/2018	6211609527171516	04/05/2018	2 Doses	Yes	Yes
Other Cruise	Tarjan	27/01/1984	082174851316	C5321127	29/11/2019	F092404	01/02/2018	6201485203011520	16/10/2020	6201485203310714	07/07/2014	6201485203171520	01/10/2020	6201485203131520	01/10/2020	2 Doses	Yes	Yes	No
Other Cruise	Aryanto Aryanto	03/05/1987	081231664995	B 4908266	22/12/2016	F 032902	07/08/2017	6201390134010517	07/08/2017	6201390134310517	03/08/2017	6201390134170517	23/08/2017	6201390134130517	23/08/2017	2 Doses	Yes
New / Fresh	Angga Fafa Wiranata	16/01/2000	08994524540	C9699526	29/06/2022	H 020395	21/05/2022	6211824549010318	24/05/2018	6211824549310318	31/05/2018					2 Doses	No	No	No
EX-CMV	Agung Nanda	22/09/1995	085792107441	C8580699	11/05/2022	F128698	22/09/2022	6211800029016918	03/01/2018	6211800029316918	18/10/2018	6211800029176918	23/03/2018	6211800029136918	23/03/2018	1 Dose	Yes	Yes	No
New / Fresh	Muhammad Ivansyah Cavan Hardono	19/05/1998	+62 87889343402	C9287060	27/06/2022											Booster 1	No	No	No
EX-CMV	Ida Bagus gede bayuna	16/10/1987	+6281337593882													1 Dose	Yes	No	No
Other Cruise	Arul Bahtiar	30/10/1984	082213901740	C7827463	04/03/2021	F231337	16/07/2019	6201325362011521	05/04/2021	6201325362310719	03/09/2019	6201325362174621	16/04/2021	6201325362134621	16/04/2021	Booster 1	Yes
Other Cruise	Intan Malinda	19/11/1999	087760558544	B9600001	06/03/2018	F092275	14/01/2021	6211759644013717	20/12/2017	6211759644313717	20/12/2017	6211759644173717	20/12/2017			Booster 1	No	No
Other Cruise	I kadek Kartawan	10/10/1989	+6283115655750	C9693232	11/07/2022	E15037		6211702115012617	04/01/2017				07/11/2011	6201318393133511	07/11/2017	Booster 1	No	Yes	No
Other Cruise	Huzaini Huzaini	26/08/1975	087771931076 / 08816850056	C 8677441	11/04/2022	H 000856	01/04/2022	6200127242011522	23/03/2022							2 Doses	No	No	No
Other Cruise	Dian Setyorini	02/07/1981	081513713760	C9659913	29/06/2022	H033886	06/07/2022	6200348665011122	05/07/2022	6200348665311122	27/06/2022	6200348665171122	22/06/2022	6200348665131122	22/06/2022	Booster 1	No	No	No
Other Cruise	FAJAR SELVIAN	19/09/1989	087780003300	C1979561	20/02/2019	E096095	07/06/2019	6200395979011519	08/08/2019	6200395979314619	26/07/2019	6200395979174619	22/07/2019	6200395979134619	17/07/2019	Booster 1	Yes
New / Fresh	Eka Daniardi	21/11/1993	(+62)88239905922	C7901112	18/06/2021	G073474	21/06/2021	6212017072014320	29/07/2020	6212017072316922	22/02/2022	6212017072176922	24/02/2022	6212017072136922	22/02/2022	Booster 1
Other Cruise	ILHAM SANUSI	06/10/1982	+6281355359686	C8671787	13/07/2022	F 072804	13/11/2017	6200126717010421	05/10/2021	6200126717310421	06/10/2021					Booster 1	Yes	Yes	No
EX-CMV	I gusti putu Juniadi	02/06/1980	+6281338724797	C1447467	28/09/2018	F074727	11/07/2022	6200193403016919	19/11/2019	6200193403313517	28/11/2017	6200193403173517	15/12/2017	6200193403173517	15/12/2017	Booster 1	Yes	No	No
New / Fresh	Ignatius Edi Yulianto	29/07/1981	087705006950	C0294915	31/05/2018	F003965	21/03/2017	6202134070011518	15/08/2018	on process		on process				Booster 1	No	No	No
Other Cruise	Saiful Rohmat	01/05/1987	081231350922	C8432878	11/04/2022	H012811	14/03/2022	CP 4856966	26/02/2022	CP 5015107	25/02/2022	CP 5015028	27/05/2022	CP 5015598	27/05/2022	Booster 1	No	Yes	No
EX-CMV	mohamad kuswanto	21/12/1992	+6282298443431	B8587067	21/07/2022	F 134646	26/04/2018	6211818003011518	06/04/2018	6211818003311518	11/04/2018	6211818003171518	11/04/2018	6211818003131518	13/04/2018	2 Doses	Yes	Yes	No
EX-CMV	Andi Munib riady	19/06/1989	083145675798	C7308557	06/08/2020	G 044057	08/03/2021	6211406631011118	27/08/2018	6211406631310120	24/11/2020	6211406631170120	17/12/2020	6211406631130120	17/12/2020	2 Doses	Yes	Yes
New / Fresh	Ferdy Adianto	27/09/2001	082220748268	C8431518	17/03/2022	H018535	08/03/2022	6212017077014320	29/07/2020	6212017077313721	17/12/2021	6212017077173721	17/12/2021	6212017077133721	17/12/2021	2 Doses	No	No	No
New / Fresh	firqad saef zakaria baraja	09/07/1990	081325778719	C9285969	17/06/2022	H007464	20/05/2022	6212218905016922	27/04/2022	6212218905316922	13/05/2022					2 Doses	No	No	No
New / Fresh	Gilbert Anjuan Marco	15/03/2001	088293480771	C8431500	18/03/2022	H 018670	15/03/2022	6212201589014322	20/01/2022	6212201589314322	25/01/2022	6212201589174322	25/01/2022	6212201589134322	25/01/2022	2 Doses	No	No	No
New / Fresh	Thomy Ali	03/03/1999	0895700129532	C8605714	19/05/2022	H022539	22/04/2022	6212206896016922	24/02/2022	6212206896310522	11/04/2022	6212206896176922	17/03/2022	6212206896136922	17/03/2022	2 Doses	No	No	No
Other Cruise	Fajar Yulian	27/07/1997	0882006194337	B9743150	21/03/2018	F096465	15/01/2021	6211709786010317	07/03/2017	6211709786310317	11/03/2017	6211709786173717	29/12/2017	6211709786133717	29/12/2017	2 Doses	No	No	No
Other Cruise	Jaelaluddin Bagus Prianto	03/10/1996	+6281335767749	C4239716	05/08/2019	F 234996	15/03/2022	6211574075010521	11/02/2021	6211574075310519	11/07/2019	6211574075170519	22/07/2019	6211574075130519	22/07/2019	Booster 2	Yes	Yes	No
New / Fresh	Hedy Yunus	07/09/1998	+6287850639613	C9297965	06/06/2022	F104475	06/10/2020	6211810465010518	05/03/2018	6211810465310518	10/03/2018	6211810465170522	04/07/2022	6211810465130522	04/07/2022	Booster 1	No	No	No
New / Fresh	Wahyu Febrianto	11/02/2002	081949732716					CP5012993	03/06/2022	CP5013858	03/06/2022	CP5013904	03/06/2022	CP5013920	03/06/2022	2 Doses	No	No	No
Other Cruise	FNU Supiani	14/04/1980	+6281313092145	C3096091	07/05/2019	E158164	03/03/2022	6211431750011519	09/02/2022	004064	05/02/2016	99452	26/12/2014			2 Doses	Yes
Other Cruise	Erlangga Puja Pahlawan	10/11/1993	6285156275778/ 6289513147877	C7932287	21/05/2021	G076628	24/05/2021	6211421059010119	13/05/2019	6211421059310116	29/02/2016	6211421059170116	08/04/2016	6211421059130116	08/04/2016	2 Doses	No	Yes	No
New / Fresh	Kadek agus Apriada wijaya	28/08/1999	087880916179	C3962747	21/05/2019	G134836	05/01/2022	6211927853013519	18/07/2019	6211927853317222	14/01/2022	6211927853177622	13/01/2022	6211927853137622	13/01/2022	2 Doses
Other Cruise	Rochman Sudjayanto	26/05/1980	081222315257	C1029123	10/08/2018	F083822	16/10/2020	CF3505594	08/08/2019	CP0156055	11/07/2014	CP4455641	19/07/2021	CP4455630	19/07/2021	2 Doses	Yes	Yes	Yes
New / Fresh	Fakhri Fatya Alamsyah	24/03/2001	085701189539	C6859845	25/06/2020	G092930	29/06/2020	6212026201014320	03/11/2020	6212026201314320	12/11/2020	6212026201174320	12/11/2020	6212026201134320	11/11/2020	Booster 1
New / Fresh	Dodi Suhadi	15/04/2000	083115524361			H035064	19/04/2022	6212215822014322	04/04/2022	6212215822314322	12/04/2022	6212215822174322	13/04/2022	6212215822134322	13/04/2022	Booster 1	No	No	No
Other Cruise	Taufik Purnawan	04/01/1980	0813-9209-4140	C7841972	18/01/2022	F097786	12/01/2022	6201461791016922	24/02/2022							Booster 1	Yes	Yes	No
New / Fresh	BRIAN PRAKASA PUTRA	27/11/1997	0895391229010			H020302	12/05/2022	6212133645010321	25/10/2021	6212133645310321	02/12/2021					Booster 1	No	No	No
	Ida bagus putu Kusuma darma	10/05/1980	081936579652	C0500956	21/06/2018	H028679	13/05/2022	6211834467013518	26/07/2018	6211834467313518	02/08/2018	6211834467173518	21/08/2018	6211834467133518	21/08/2018	Booster 1	Yes	No	No
Other Cruise	RAHMAN MUHAMNAD ATMAKUSUMAH	23/05/1978	+6281220457218	C2302739	17/07/2020	E141549	13/01/2017	6201302733011121	16/11/2021	6201302733316922	10/03/2022	6201302733176922	08/03/2022	6201302733136922	08/03/2022	2 Doses	Yes	Yes
New / Fresh	RAMDHAN PUTRA	26/11/2002	0895378025856	C9005483	09/05/2022	H007322	18/04/2022	CP4873214	24/03/2022	CP4953921	13/04/2022	CP4873244	28/03/2022	CP4873267	28/03/2022	2 Doses	No
Other Cruise	Ketut Ari	23/02/1980	081236509701	B9 127835	21/02/2018	F 200430668	15/08/2017	6200430668013516	13/04/2016							Booster 1	No	No	No
New / Fresh	Romi Sifana	12/09/2001	083124227572	C7393956	27/10/2020	G092929	29/06/2021	6212026200014320	13/11/2020	6212026200314320	19/11/2020	6212026200174320	19/11/2020	6212026200134320	14/11/2020	2 Doses	Yes	No	No
Other Cruise	Dendhi Rosyidin	09/11/1982	081220376831	C4534056	14/08/2019	H 033797	05/07/2022	6200395978011822	27/06/2022	6200395978314622	30/06/2022					Booster 1	No	No	No
New / Fresh	Badrus Syarif	28/02/1996	083134945275	C5659578	26/11/2019	F221093	01/03/2022	6211902809010519	31/01/2019	6211902809310519	13/02/2019	6211902809170519	24/10/2019	62119028099130519	24/10/2019	Booster 1	No	No	No
New / Fresh	Mohammad Berisi	14/11/1997	085732528033	C8535388	06/04/2022	H002533	05/01/2022	6212142065013721	15/12/2021	6212142065313722	20/01/2022	6212142065173722	07/04/2022	6212142065133722	07/04/2022	Booster 1	No	No	No
New / Fresh	Safii	26/08/2000	083837942203	C8981662	30/05/2022	G 124572	14/12/2021	6212130773016921	06/10/2021			6212130773173721	16/12/2021	6212130773133721	16/12/2021	Booster 1	No	No	No
New / Fresh	muhammad abdul fajar	10/06/2002	085234350427	C8304358	11/03/2022	G100715	22/09/2021	6211784623010121	11/01/2021							Booster 1	No	No	No
New / Fresh	FREDIAN SYAH	19/02/1994	085730382566	C3675226	16/05/2019	F076957	22/11/2020	6211722267010522	16/03/2022	6211722267310522	15/03/2022	6211722267170519	24/10/2019	6211722267130519	24/10/2019	2 Doses	Yes	Yes
Other Cruise	sohibul hajah	28/02/1996	085694338801	C5191692	30/10/2019	F162582	06/08/2021	621150970411519	26/09/2019	6211509704310516	03/02/2016	6211509704170516	21/01/2016	6211509704130516	21/01/2016	Booster 1	Yes	Yes	Yes
	kholilur rohman kholilur	22/05/2001	085645304452	c 7110406	21/12/2021	G 100014	19/08/2021	6212024542017420	23/11/2020							Booster 1	No		No
	kholilur rohman	22/05/2001	085645304452	c 7110406	21/12/2021	G 100014	19/08/2021	6212024542017420	23/08/2020							Booster 1	No		No
New / Fresh	Sahrulloh nurul mustofa	21/05/2001	081945729471	On progres		6212201058	14/02/2022	6212201085010522	17/01/2022							2 Doses	No	No	No
New / Fresh	Andra Pranata Kusuma	03/03/2000	087876951146	C1959736	14/11/2018	G 025422	23/09/2020	6212018884013720	03/09/2020	6212018884313720	28/09/2020	6212018884173720	07/10/2020	6212018884133720	07/10/2020	2 Doses	No	No	No
Other Cruise	Ni Nyoman Antari	04/02/1980	+6283116161117	C7563534	12/10/2021	G117233	30/09/2021	6212127895016921	20/09/2021	6212127895316921	05/10/2021	6212127895176921	06/10/2021	6212127895136921	05/10/2021	2 Doses	No	No	No
New / Fresh	Husain Hinduan	25/07/1999	085648485062	C1052573	01/08/2018	F308998	05/02/2020	6211946175010519	14/11/2019	6211946175310519	02/12/2019	6211946175174320	16/04/2020	6211946175134320	16/04/2020	2 Doses	No	No	No
Other Cruise	Ahmad Imadudin Arif	05/03/1990	081392023233	C4715786	23/09/2019	G 079471	25/09/2021	6211519370011819	23/08/2019	6211519370314619	20/09/2019	6211519370174619	26/09/2019	6211519370134619	26/09/2019	Booster 1	Yes	Yes
New / Fresh	syaiful risky	20/03/1999	085855652973	C830521	11/02/2022	H002737	17/06/2022	6212141746010521	29/11/2021			6212141746170522	01/03/2022	6212141746130522	01/03/2022	Booster 1
New / Fresh	Syamsul Arif	08/10/1994	087703250100	B 8935966	14/12/2017	F 076627	03/11/2017	6211744980016922	24/03/2022	6211744980310517	14/09/2017	6211744980170521	26/03/2021	6211744980130521	26/03/2021	2 Doses	Yes	No	No
New / Fresh	Fernanda Affandi Putra	20/06/2001	082228538030	C 8536233	18/04/2022	H 022129	24/03/2022	6212203794010522	04/02/2022	6212203794310522	12/07/2022	6212203794170522	12/07/2022	6212203794130522	12/07/2022	2 Doses	No	No	No
EX-CMV	I WAYANBl WESTRA WESTRA	03/10/1998	082146550697	C8249910	17/12/2021	F 101745	05/03/2021	CP2706054	30/01/2018	CP3054720	12/11/2018	CP2731699	21/02/2018	CP2731729	21/02/2018	Booster 1	Yes	No	No
Other Cruise	Ripai	27/03/1978	081211090197	C5117465	23/10/2019	H033967	11/07/2022	6211506294010719	06/11/2019	0052003072022	07/07/2022	6211506294170118	20/04/2018	6211506294130118	20/04/2018	2 Doses	Yes
New / Fresh	Abdul Aziz J	13/11/1994	081235836365	C 8303720	21/02/2022	F 268320	05/09/2019	6211915195010519	11/04/2019	6211915195310519	22/04/2019	6211915195170519	24/10/2019	6211915195130519	24/10/2019	2 Doses	Yes	No	No
EX-CMV	ARI EFFENDI SASTRIAWAN	10/09/1979	+6281331066111	C 0333604	24/04/2018	H 002791	19/01/2022	6201019132011120	05/08/2020	6201019132311119	08/05/2019	6201019132171119	15/04/2019	6201019132131119	15/05/2019	2 Doses	Yes
New / Fresh	MOCH. SUFRY BULQIAH	27/04/2000	+62 87842257779	AU370713	07/12/2018	On Process		6211861917010518	10/12/2018	6211861917310518	13/12/2018	On Process				2 Doses	No	No	No
New / Fresh	Abdurrahman kholiq	11/07/2022	62 857-0410-3735	C7207050	02/08/2021	H 003279	11/02/2022	6212201054O10522	03/01/2022	6212201054310522	08/02/2022	6212201054130522	14/02/2022	6212201054170522	16/02/2022	Booster 1	No
EX-CMV	Ngakan ketut Alit sandika	22/12/1982	081999966499	C2033110	21/12/2018	F202838	13/01/2022	CP2892873	25/01/2019	CP3162331	13/02/2019	CP3194611	18/02/2019	CP3194556	18/02/2019	Booster 1	Yes
EX-CMV	Yusuf Pristiwanto	09/10/1992	082280388725	B2070719	14/09/2015	D085528	10/06/2015	6211527036011815	04/06/2015			6211527036171819	11/07/2019			Booster 1
EX-CMV	Komang Alit Wiramahendra	15/12/1992	085933672242	C8247064	01/11/2021	F022621	03/11/2021	6211720703017621	08/11/2021	6211720703316919	11/01/2019	6211720703177621	19/11/2021	6211720703137621	19/11/2021	Booster 1	Yes	Yes
Other Cruise	Abdul Halim	01/01/1986	085258895241	B512896	25/08/2021	D009572	26/09/2021	6200347734010521	26/11/2021	6200347734774320521	01/10/2021	6200347734130521	25/10/2021	6200347734170521	13/10/2021	1 Dose	Yes	No	No
Other Cruise	Saryanto Narao	14/07/1989	+6281296290605	C5244971	05/11/2019	G108121	18/11/2021	6202082599011818	23/01/2018	6202082599310715	14/03/2015	6202082599171816	07/11/2016	6202082599131816	07/11/2016	Booster 1	Yes	Yes	No
EX-CMV	I putu agus Jaya pratama	24/03/1999	087755827041	C4351506	29/07/2019	F271021	20/09/2019	621193370206919	08/08/2019	CP3523086	29/08/2019	CP3523174	30/08/2019	CP3523204	30/08/2019	2 Doses	Yes	No	No
New / Fresh	Agus Darmawan	08/08/2000	085748758996	C8976326	22/03/2022	H021994	04/04/2022	6212210648010522	21/03/2022	6212210648310522	07/06/2022					Booster 1
New / Fresh	MOCHAMMAD HANIF	07/03/2000	082333644198	C8976365	22/04/2022	F324609	04/04/2020	6212007392010520	05/03/2020	6212007392310520	31/03/2020					Booster 1	No	No	No
New / Fresh	Hengky Teja	01/02/1997	082145485006	B9864895	11/04/2018			CP3761375	13/02/2019								No	No	No
New / Fresh	Andi Sastrawan	29/04/1995	082266251269	B8823411	17/01/2018	G114483	17/09/2021	Cp3321494	19/11/2018	Cp3321497	04/12/2018	CP3321496	29/11/2018	Cp3321495	30/11/2018	2 Doses	Yes	No	No
New / Fresh	I komang Sadwika	14/07/1988	081339804501					6212216844013722	14/04/2022							2 Doses		No	No
New / Fresh	gede juni arta	12/06/1999	087863136511	C6917599	21/12/2020			6212220995013722	18/05/2022							2 Doses	No	No	No
New / Fresh	I kadek wirya Yasa		081949717900	C6780855	18/05/2021	H049618	29/06/2022	Cp5013801		Cp5104431		Cp5104284		Cp5104303		Booster 1	No	No	No
New / Fresh	I dewa gede bintang satria Utama		085847961324	C8583504		H047211		6212221020013722		6212221020313722						2 Doses	No	No	No
New / Fresh	I wayan Suriyantara	07/01/1998	0895800246166	C8247537	07/11/2021	F332159	12/03/2020	6212006528016920	26/02/2020			6212006528176920	24/03/2020	6212006528136920	24/03/2020	2 Doses	Yes	No	No
New / Fresh	Waisul Qoroni	10/01/1999	+6283856012919	C3091846	04/02/2019	F 104873	05/10/2021	6211814256010518	20/03/2018	6211814256310518	25/03/2018	6211814256170519	21/06/2019	6211814256130519	14/06/2019	Booster 2	No	No	No
Other Cruise	Fajar Selvian	19/09/1989	087780003300	C 1979561	20/02/2019	E 096095	08/06/2016	CP 3505583	08/08/2019	CP 3371934	26/07/2019	CP 3371754	22/07/2019			Booster 1	Yes	No	No
New / Fresh	Abdul Aziz J	13/11/1994	081235836365	C 8303720	21/02/2022	F 268320	05/09/2019	6211915195010519	11/04/2019	6211915195310519	22/04/2019	6211915195130519	24/10/2019	6211915195130519	24/10/2019	2 Doses	Yes	No	No
New / Fresh	Bagus Setiadi	15/05/1998	088214525457	C6887050	04/09/2020	F324651	11/04/2020	6212007432010520	05/03/2020	6212007432310520	31/03/2020	6212007432176922	22/04/2022	6212007432136922	22/04/2022	2 Doses	No	No	No
EX-CMV	i wayan Juliana	01/01/1976	081236841090	C5322795	13/11/2019	E135942	03/02/2022	62115001116919	05/12/2019	6211500111316922	08/02/2022	6211500111176919	05/12/2019	6211500111136919	05/12/2019	Booster 1	Yes	No	No
EX-CMV	I Gede Made Iwan Setiawan	02/05/1997	0877 04714368	C4354911	27/08/2019	F 271329	03/10/2019	6211936739016919	17/09/2019	6211936739316919	03/10/2019		03/10/2019	6211936739136919	03/10/2019	Booster 2	Yes
Other Cruise	Muhaimin fnu	18/06/1980	+6281232275311	C6565181	11/02/2020	H022641	28/04/2022	6200119178010720	13/02/2020	6200119178310118	11/10/2018	6200119178170118	15/10/2018	6200119178130118	12/10/2018	Booster 1	Yes	Yes	Yes
Other Cruise	Andre Sri Setio	18/07/1990	+6281220803058	B9988674	22/03/2018	G 105999	30/09/2021	6202097781011519	08/04/2019							2 Doses	No	No	No
New / Fresh	Muhamad Sukmah Vijaya	12/07/1997	+6281294088840	C4274032	12/07/2019	E 134269	28/04/2021	6211603235010122	25/02/2022	6211603235310122	16/03/2022	6211603235170122	21/03/2022	6211603235130122	21/03/2022	2 Doses	No	No	No
Other Cruise	Hoiruddin Fnu	10/07/1995	+ 62 89696374070	C7150786	17/07/2020	E 067748	27/12/2021	6211507222010119	30/12/2019	6211507222310520	16/12/2020	6211507222170520	10/12/2020	6211507222130520	10/12/2020	Booster 1	No	No	No
	Ida bagus putu Kusuma darma	10/05/1980	085 333 480 938	C0500956	21/06/2018	H028679	13/05/2025	6211834467013518	26/07/2018	6211834467313518	02/08/2018	6211834467173518	21/08/2018	6211834467133518	21/07/2022	2 Doses	Yes
Other Cruise	Hoirul Mustofa	25/11/1993	+ 6282114275618	C0254808	24/05/2018	F 333670	20/08/2021	6211439358014319	26/07/2019	6211439358314319	15/07/2019	6211439358171821	24/08/2021	6211439358131821	24/08/2021	Booster 2	Yes	Yes	No
New / Fresh	Fhebiyola Dwi Putri Rambu Luba	20/02/2001	081239414848													2 Doses		Yes
New / Fresh	Andi Prasetyo	02/07/1999	082257706310	C8582035	24/05/2022											Booster 1	No	No	No
New / Fresh	I Gede Mas Cahya Friana	11/05/1998	087855184501	C8582470	27/05/2022
New / Fresh	I Kadek Agus Candra Wiguna	22/05/2000	087712609415	C8582034	24/05/2022												No	No	No
New / Fresh	I Gede Eka Bhuana Putra	26/01/2001	0895355465314	C4350882	22/07/2019											Booster 1	No	No	No
EX-CMV	I Wayan Suarna	14/07/1985	087797311306	C6464084	17/02/2020											2 Doses	No	No	No
EX-CMV	Riski hidayatullah Rahman	05/05/1994	+6281334146293	X 385216	12/10/2017	E 124546	01/12/2021	6201699129011821	06/09/2021							2 Doses	Yes	No	No
Other Cruise	Zaenal Arifin	23/01/1983	+6281298286857	C6970737	25/06/2021	F012430	05/04/2017	6201509301011519	05/09/2019	6201509301310715	07/05/2015	6201509301171519	06/09/2019	6201509301131519	06/09/2019	Booster 1	Yes	Yes	No
Other Cruise	Kadirun Fnu	06/07/1984	+ 6285230300057	C0759546	06/07/2019	C 011693	26/03/2018	6200358342011518	26/07/2018	6200358342311121	23/07/2021	6200358342173718	25/07/2018	6200358342133718	25/07/2018	Booster 2	No	No	No
Other Cruise	Chamil Fnu	14/11/1986	+ 6281383650054	C7152234	03/09/2021	G 138044	27/01/2022	6200349455010521	22/10/2021	6200349455313722	27/05/2022	6200349455173722	27/05/2022	62000349455133722	27/05/2022	2 Doses	No	No	No
Other Cruise	Musawir Fnu	22/07/1984	+6282140103343	C7207715	04/10/2021	F 142623	19/04/2021	6201317479010121	15/04/2021	6201317479310518	16/07/2018	6201317479171821	24/03/2021	6201317479131821	24/03/2021	2 Doses	Yes	Yes	No
New / Fresh	I Made Aditya Dwi Pranata	13/05/2002	083147643754	C8252682	04/02/2022	G 135876	08/02/2022	6212202499016922	03/01/2022	6212202499316922	19/01/2022	6212202499176922	21/01/2022	6212202499136922	21/01/2022	Booster 1
Other Cruise	Dawud Junaidi	03/04/1995	082232647080	C8519420	18/02/2022	F089330	15/12/2017	6211730980017622	23/02/2022	6211730980313717	29/12/2017	6211730980174618	04/01/2018	6211730980134618	04/01/2018	Booster 1	No	No	No
New / Fresh	Kadek Juliantara	26/07/1997	085955185855	C8247525	12/11/2021	F 312428	04/02/2020	CP3758589	14/01/2020	CP3802690	30/01/2020	CP3802719	30/01/2020	CP3802749	30/01/2020	2 Doses	Yes
Other Cruise	Mohammad Saini	05/11/1983	+62 81937364030	C4678033	19/08/2019	E 100414	16/10/2020	6200599206014319	28/11/2019	6200599206310221	04/07/2022	6200599206171821	12/08/2021	6200599206131821	12/08/2021	2 Doses	No	No	No
EX-CMV	I ketut pasek Adnyana	15/06/1992	081338422786	C8452554	27/05/2022	F127661	27/04/2022	6211801463016922	23/06/2022	6211801463316922	23/06/2022	6211801463176922	17/06/2022	6211801463136922	17/06/2022	Booster 1	Yes	No	No
EX-CMV	I Nyoman Budiarta	10/03/1993	085333869328	C8250436	27/12/2021	F038838	21/04/2022	6202099812013721	19/05/2021	6202099812313518	17/01/2018	6202099812173721	20/05/2021	6202099812133721	20/05/2021	Booster 1	Yes
New / Fresh	Iwayan dedik ceria ariawan	06/10/1993	085858472597	C7563336	06/10/2021	G 098492	19/07/2022	6212120436016921	27/07/2021	6212120436316921	12/08/2021	6212120436176921	10/08/2021	6212120436136921	10/08/2021	Booster 1	Yes	No	No
EX-CMV	Yusuf Pristiwanto	09/10/1992	082280388725	B2070719	14/09/2015	D085528	10/06/2015	6211527036011815	04/06/2015			6211527036171819	17/07/2019			Booster 1	No
New / Fresh	Kadek Kadek juliantara	26/07/1997	085955185855	C8247525	12/11/2021	F 312428	04/02/2020	CP3758589	14/01/2020	CP3802690	30/01/2020	CP3802719	30/01/2020	CP3802749	30/01/2020	1 Dose	No	No	No
New / Fresh	I WAYAN ANDI SUARTAMA	18/10/1998	087752532295	C8247539	12/11/2021	F312431	04/02/2020	6212000905016920	14/01/2020	6212000905316920	30/01/2020	6212000905176920	30/01/2020	6212000905136920	30/01/2020	2 Doses	Yes	No	No
Other Cruise	I Dewa Nyoman Wesana	11/09/1971	081239241439	B7773742	25/08/2017	F310443	26/12/2019	6201315130012616	11/04/2016	6201315130310116	13/07/2016	6201315130172616	07/04/2016	6201315130132616	07/04/2016		No	No	No
Other Cruise	Irsan Taufik	28/05/1979	085780126162/WA 081318476990	C1474184	22/10/2018	F 072415	16/10/2017	6201510580011519	11/12/2019							Booster 1	Yes	Yes	No
New / Fresh	I gede frans Galih wiratama Gede frans	12/04/2000	085969003488	C8582712	30/05/2022			6211912966013719	04/04/2019	On proses		On proses				2 Doses
New / Fresh	Bagus ritzki Arizona	01/01/2001	081338496704	C6779454	08/02/2021	On progress		6212005951013720	20/02/2020	On progress		On progress				Booster 1	No	No	No
Other Cruise	Fnu Supiani	14/04/1980		C3096091	07/05/2019	E158164	03/03/2022	6211431750011519	12/06/2024							2 Doses	Yes	No	No
EX-CMV	I Made Gitayana	09/05/1994	081236878384	C8580934	13/05/2022	H028109	21/04/2022	6211414881	20/02/2019							2 Doses	No	No	No
New / Fresh	Achmad fajar Zainuri	11/12/1998	087874223844	C7150087	30/09/2020	G 006588	23/06/2020	6211946141010519	14/11/2019	6211946141310519	02/12/2019	6211946141173722	27/01/2022	6211946141133722	27/01/2022	2 Doses	No	No	No
Other Cruise	FNU Narso	10/05/1980	+6282115532944	C7839157	23/03/2021	G 073073	09/04/2021	CP4244496	07/12/2012	CP0286365	26/03/2014	CP4062111	09/09/2020	CP4062105	07/09/2020	Booster 2	Yes	Yes	No
Other Cruise	Widhi Ari Christiawan	26/01/1983	+6281228031875	C5503039	07/11/2019	F087940	29/11/2017	6201589395010319	18/07/2019							Booster 1	Yes
EX-CMV	Antonius Funan	29/05/1981	(WA)+447916187179	C8317492	13/01/2022	E122042	27/10/2021	6201566241016919	16/05/2019	6201566241317622	27/01/2022	6201566241177622	27/01/2022	6201566241137622	27/01/2022
EX-CMV	Nyoman Suwirka	23/04/1970	+6282144025641	C9196216	28/06/2022	H041875	20/06/2022	6201505448016919	23/03/2019	3622/SSAT/BMTC/2018	23/06/2018	6201505448136919	27/03/2019	6201505448136919	27/03/2019
EX-CMV	Ida bagus putu Kusuma darma	10/05/1980	085 333 480 938	C0500956	21/06/2018	H028679	13/05/2022	6211834467013518	26/07/2018	6211834467313518	02/08/2018	6211834467133518	21/08/2018	6211834467173518	21/08/2018	2 Doses	Yes
New / Fresh	Tisen Wijaya	19/03/1988	081377932755	C7973142	19/11/2021			621201696801242	29/07/2020			6212016968172420	14/08/2020	6212016968132420	14/08/2020	2 Doses
New / Fresh	I Komang AGUS ARIANA	23/03/1998	087856786746	C8668975	23/06/2022											2 Doses	No	No	No
EX-CMV	Ngurah alit Nixen	02/10/1974	WA:087756032641/Tlp:085941351092	C7558324	03/06/2021	E151626	03/03/2020	6200467538017622	14/04/2022	6200467530317622	14/04/2022	6200467538177622	14/04/2022	6200467538137622	14/04/2022	Booster 1	Yes	No	No
New / Fresh	I made Budiarta	15/05/2001	+6287861684162	C8666764	14/03/2022											2 Doses	No	No	No
EX-CMV	Ketut Wiguna	06/06/1979	081237154543	C4777432	29/10/2019	F038209	06/07/2017	CP3597193	08/11/2019	0596150	15/03/2018	0596218	04/04/2018	0596108	14/03/2018	Booster 1	Yes	Yes	No
New / Fresh	I Wayan Agus Wahyudi putra	30/03/1999	087811150394	C5324117	21/11/2019	H 028667	12/05/2022	CP4921777	27/04/2022	CP5010580	12/05/2022	CP5014051	19/05/2022	CP5014021	19/05/2022	Booster 1	No	No	No
New / Fresh	Ni Kadek Meitriani	24/05/2001	082237305134													Booster 1	No	No	No
Other Cruise	masduki masduki	23/04/1977	085336235948	c7112079	29/12/2020	f016251	05/06/2017	6201572536010522	18/03/2022	6201572536313722	09/03/2022	6201572536173722	10/03/2022	6201572536133722	10/03/2022	2 Doses	No	Yes	No
EX-CMV	Yusuf Pristiwanto	09/10/1992	082280388725	B2070719	14/09/2015	D085528	10/06/2015	6211527036011815	04/06/2015			6211527036171819	17/07/2019			Booster 1	Yes	No	No
EX-CMV	I Wayan Tori Wijaya	29/08/1985	081952389723 / 081916724621	C6069548	13/02/2020	E055564	10/08/2021	6200416453016919	19/02/2019	6200416453316919	12/02/2019	6200416453176919	13/02/2019	6200416453136919	13/02/2019	Booster 1	Yes	No	No
EX-CMV	I PUTU SUDIARSANA	19/10/1992	085961511572. WA-087851039030	C8246795	27/10/2021	E135983	30/11/2016	6211591141016921	15/10/2021	6211591141316921	12/10/2021	6211591141173621	12/10/2021	6211591141133621	12/10/2021	Booster 1	Yes
New / Fresh	Galuh Sanjaya	02/11/1998	082150673081													Booster 1	No	No	No
New / Fresh	Komang Widana	08/04/1993	089697183806	C6779038	22/12/2022	G 083832	11/05/2021	CP4210951	09/02/2021							2 Doses	No	No	No
New / Fresh	I Wayan Ardana	15/12/1967	087857624451	C0911105	01/08/2018	E064589	22/06/2016	6200421019013516	19/07/2016	022328	03/12/2013	6200421019173519	11/09/2019	6200421019133519	11/09/2019	Booster 1	Yes	Yes	No
New / Fresh	Ketut Angga pramana	15/09/2002	0881038010116	C8388073	10/12/2021											Booster 1	No	No	No
New / Fresh	komang nusardi trija putra trija	26/03/1999	085737524635	B87994333	18/09/2017											2 Doses	No
New / Fresh	Kadek Arimbawa	16/05/1997	082417492416													2 Doses	No	No	No
EX-CMV	I Gede Setiawan	02/05/1997	0877 04714368	C4354911	27/08/2019	F271329	03/10/2019	6211936739016919	17/09/2019	6211936739316919	03/10/2019	6211936739176919	03/10/2019	6211936739136919	03/10/2019	Booster 2	Yes
EX-CMV	Erwin Rasyid	08/05/2022	085262835582	C.6118851	18/01/2022	F 213060	21/01/2019	6201506571011518	11/01/2019	6201506571310718	18/12/2018	6201506571171519	22/01/2019	6201506571131519	22/01/2019	Booster 1	No	No	No
EX-CMV	Fnu Qadrullah	31/12/1979	+62 81907075823	C2486058	18/01/2019	F160035	25/01/2019	6201199470016922	27/01/2022	6201199470316919	25/07/2019	6201199470176919	25/07/2019	6201199470136919	25/07/2019	Booster 1	Yes	No	No
Other Cruise	SUMANTRI WIBOWO	23/07/1975	0822 2383 3809	C4971171	26/09/2019	E138751	04/01/2017	6200495389010719	21/05/2019	6200495389310719	13/05/2019	6200495389170719	15/05/2019	6200495389130719	15/05/2019	Booster 1	Yes	No	No
Other Cruise	Dasuki Faisal Abdilah	06/09/1988	083805935510/081387264443	C1976931	06/12/2018	F198443	06/12/2018	6211748834011517	15/09/2017	6211748834311518	12/01/2018					Booster 1
New / Fresh	Devio Purwanto	17/12/1997	082269704372	X969264	19/12/2019	F 342262	20/03/2020	6211869601010118	19/12/2018	6211869601311520	29/04/2020	6211869601171520	23/07/2020	6211869601131520	23/07/2020	Booster 1	No	No	No
New / Fresh	Kadek adi Wida Pradika	03/04/1999	082146190497	C8668432	01/06/2022											1 Dose	No	No	No
New / Fresh	Wayan Wirawan	30/03/2002	081238868521	C8581961	24/05/2022											Booster 1	Yes	No
EX-CMV	Nyoman Wirata	27/07/1981	081916984371	C7560683	04/08/2021	F202118	21/01/2019	6200422044013521	23/07/2021	6200422044313519	03/01/2019	6200422044173519	11/01/2019	6200422044133519	11/01/2019	Booster 1	Yes
New / Fresh	hardiani Hardi	15/09/1989	+6281330562245	C7760699	08/06/2021	G_100384	30/06/2021	6212123338017421	20/08/2021	6212123338317421	28/09/2021					Booster 1	No	No	No
EX-CMV	I komang Suriawan	10/01/1987	+62 81908213512	C 4622555	17/09/2019	E136781	30/12/2016	6201562230013519	26/03/2019	6201562230316919	15/10/2019	6201562230176921	23/09/2021	6201562230136921	23/09/2021	Booster 1	Yes	Yes
New / Fresh	Fnu Anwar	15/05/1997	087816975738					CP3056856	22/11/2018							1 Dose	No	No	No
New / Fresh	Dewa Komang Sukayasa	18/01/1994	0895394076496	C8668966	23/06/2022											2 Doses	No	No	No
New / Fresh	Fnu Anwar	15/05/1997	087816975738					CP3056856	22/11/2018							1 Dose	No	No	No
EX-CMV	I Made Adi Wirawan	12/12/1987	081339450725 /wa. 087860472072	C3712028	23/05/2019	F286178	19/11/2019	6201313944016919	07/11/2019	6201313944316919	31/10/2019	6201313944176919	31/10/2019	6201313944136919	31/10/2019	Booster 1	Yes	No	No
New / Fresh	Agus Sarjana	05/01/2000	087761422412													Booster 1	No	No	No
New / Fresh	Gede Palguna	15/09/1999	081999498673													Booster 1	No	No	No
New / Fresh	MADE RIGA DARMAWAN	03/04/1996	085858261557													Booster 1	Yes
New / Fresh	MADE RIGA DARMAWAN	03/04/1996	085858261557													Booster 1	Yes
Other Cruise	Purwanto Gino	10/10/1986	082241957217	X 1015069		Y 050269		6201481858011520	02/12/2020							2 Doses	Yes	Yes	No
New / Fresh	MADE RIGA DARMAWAN	03/04/1996	085858261557														Yes
New / Fresh	Wayan Hendra Kusuma Jaya	29/06/1996	087784793365	C9195996	29/06/1996											2 Doses	Yes
New / Fresh	Budi Susilo	10/08/1996	+6287787592557	C8633361	30/03/2022	F148809	26/03/2019	6211627806010117	22/12/2017	6211627806316922	13/04/2022	6211627806176922	14/04/2022	6211627806136922	14/04/2022	2 Doses	No	No	No
New / Fresh	Wayan Hendra Kusuma Jaya	29/06/1996	087784793365	C9195996	29/06/1996											2 Doses	Yes
Other Cruise	Faozi Purwantoro	06/11/1971	081380015825	C8678515	27/04/2022	F 214319	24/01/2019	6201053771011520	07/01/2020	6201053771310714	19/08/2014					2 Doses	No	No	No
Other Cruise	Fnu Muhassin	31/12/1994	085850922511	C7107898	04/11/2020	E104573	26/10/2020	6211444619010519	27/06/2019							Booster 1	No	Yes	No
EX-CMV	Ngurah Wahyu	03/07/1990	085714137448	C9195710	22/06/2022	H041640	14/06/2022	6200362367017622	25/05/2022	6200362367317622	30/05/2022	6200362367177622	25/05/2022	6200362367137622	25/05/2022	Booster 1	Yes	No	No
New / Fresh	Fajaria Novery	08/11/1993	081366532739	C2319905	31/12/2018	F286511	27/11/2019	6211902634011519	14/02/2019	6211902634311519	28/03/2019	6211902634136919	27/11/2019	6211902634176919	27/11/2019	2 Doses	No	No	No
New / Fresh	Muhammad JuliYovan Hasdin	03/07/2000	081541180815	C 3785080	31/05/2019	F 296397	21/11/2019	6211938300010719	26/09/2019	6211938300310719	19/11/2019	6211938300170719	23/11/2019	6211938300130719	23/11/2019	Booster 1	No
New / Fresh	Muhammad JuliYovan Hasdin	03/07/2000	081541180815	C 3785080	31/05/2019	F 296397	21/11/2019	6211938300010719	26/09/2022	6211938300310719	19/11/2019	6211938300170719	23/11/2022	6211938300130719	23/11/2022	Booster 1	No	No	No
New / Fresh	i nyoman budiana	10/03/1988	+6285739490439	C8668191	28/05/2022			620146200607322	16/05/2022							Booster 2	Yes	No	No
Other Cruise	I MADE SUDARMA	08/06/1979	+6281338228005	C 4784216	03/12/2021	H 016574	05/03/2020	6201470768017222	24/02/2022	6201470168317222	11/02/2022	6201470768177422	11/02/2022	6201470768137422	11/02/2022	Booster 1	Yes	Yes	No
Other Cruise	Kamaluddin Kamaluddin	10/01/1969	+6281317187584	C6580423	28/08/2020	F187961	06/11/2018	6200271838011522	20/01/2022	6200271838314114	24/11/2014	6200271838170420	14/09/2020	6200271838130420	14/06/2022	Booster 1	Yes	Yes
EX-CMV	I KETUT SUARDANA	14/09/1982	+6285236015327	C4784222	03/12/2021	F264690	15/03/2022	6201578440017222	24/02/2022	6201578440317222	11/02/2022	6201578440177422	11/02/2022	6201578440137422	11/02/2022	Booster 1	Yes	Yes	No
New / Fresh	Dody Indra	10/07/1994	087759178807	C8667356	18/04/2022											Booster 2	No	No	No
Other Cruise	I Made Dwipayana	20/07/1997	085932241114	C6779148	05/01/2021	F280929	19/05/2021	6212108915013521	07/04/2021	6212108915313521	19/04/2021	6212108915173521	19/04/2021	6212108915133521	19/04/2021	Booster 1	Yes
Other Cruise	Daniel Hendra	01/01/1960	+62 82113857761	C0294506	25/05/2018	F024599	01/10/2021	6200265351010121	03/05/2021	6200265351311116	21/04/2021	6200265351170121	21/04/2021	6200265351130121	21/04/2021	Booster 1	Yes
Other Cruise	Iketut Nuada	23/02/1978	O881037000766	C6779375	02/02/2021	G046657	11/01/2021	6200477605013519	23/01/2019	6200477605313519	23/01/2019	6200477605173521	16/02/2021	6200477605173521	16/02/2021	Booster 1	Yes	Yes	No
Other Cruise	Gede Agus ariawan	07/09/1996	+6281238398285	B2622637	21/01/2016	E063853	28/03/2016	Cp 1278876	22/01/2016	Cp 2440898	11/10/2017	Cp 2351004	06/09/2017	Cp 2354067	13/09/2017	Booster 1	Yes	Yes	No
New / Fresh	Ervan Febriana	24/02/1996	088212802950	C3073528	18/03/2019	F 220798	19/02/2019	6211904723010719	13/02/2019	6211904723314621	27/07/2021	6211904723171821	27/07/2021	6211904723131821	27/07/2021	Booster 1	Yes	Yes
Other Cruise	Hendra Syarif	12/02/1984	+6281319758242	C6381310	04/09/2020	H 033380	27/06/2022	6200159517010117	29/10/2021	6200159517310220	23/10/2020	6200159517170116	10/05/2016	6200159517130116	04/05/2016	2 Doses	Yes	Yes	Yes
EX-CMV	I wayan Tori wijaya	05/09/1985	+6281952389723 / wa. +34611207319	C6069548	13/02/2020	E055564	10/08/2021	6200416453016919	19/02/2019	6200416453316919	12/02/2019	6200416453176919	13/02/2019	6200416453136919	13/02/2019	Booster 1	Yes	No	No
EX-CMV	Andus sahat Sihombing	03/07/1976	081310771751	C8675498	10/03/2022	F080717	04/10/2017	6211746840010122	04/02/2022	6211746840310118	30/05/2018	6211746840170118	05/06/2018	6211746840130118	05/06/2018	Booster 2	Yes	No	No
Other Cruise	Alvi Rizky	19/05/1996	085730828021	C3934247	01/07/2019	E048863	15/01/2016	6211561050010719	20/12/2019	6211561050310521	01/10/2021	6211561050170521	01/10/2021	6211561050130521	01/10/2021	Booster 1	Yes	Yes
New / Fresh	YOGA NUGRAHA	06/01/1989	+6282112763009	C 9053284	09/06/2022											1 Dose	No	No	No
New / Fresh	KURNIA ENGGAR FIRTRIANI	13/09/1998	+62 858 78821 269													Booster 1	No	No	No
EX-CMV	Ferdy Kurniawan	15/07/1991	+6282213228737	C7309747	03/09/2020	F139530	14/05/2021	6201463716010720	05/10/2020	6201463716310715	05/05/2015	6201463716171820	06/10/2020	6201463716131820	06/10/2020	Booster 1	Yes	No	Yes
New / Fresh	MUHAMMAD FAISAL	08/04/1999	+6287773524419			G 120341	08/10/2021	6212127616013721	16/09/2021							2 Doses	No	No	No
EX-CMV	mohamad kuswanto	21/12/1992	+6282298443431	B8587067	08/12/2017	F 134646	14/04/2022	6211818003011518	06/04/2018	6211818003311518	11/04/2018	6211818003171518	13/04/2018	6211818003131518	13/04/2018	2 Doses	Yes	Yes	Yes
New / Fresh	FNU SAHRULLAH	18/09/1996	089677206478	C7404902	23/02/2021	G048555		6212028616010520	23/12/2020	6212028616310521	15/02/2021	6212028616170521	10/03/2021	6212028616130521	10/03/2021	2 Doses	No	No	No
New / Fresh	FNU HADI	04/06/2000	+6287852314179	C7092881	02/09/2021	G 065384	05/04/2021	6212104345017421	25/02/2021	6212104345317421	24/03/2021	6212104345177421	24/03/2021	6212104345137421	24/03/2021	2 Doses	No	No	No
Other Cruise	Fnu Narso	10/05/1980	+6282115532944	C 7839157	21/03/2021	G 073073	09/04/2021	6200490122011821	24/03/2021	6200490122310714	15/09/2014	6200490122174620	18/09/2020	6200490122134620	18/09/2020	2 Doses	Yes	Yes	No
EX-CMV	Putu rika Prestika	22/12/1979	081239530022	C 8319466	15/03/2022	E 099538	23/12/2021	6202188835017221	23/11/2021	6202188835316922	27/05/2022	6202188835176922	08/06/2022	6202188835136922	08/06/2022	2 Doses	Yes	No	No
Other Cruise	KHAERUL SYAMSI	12/09/1996	+6289674308577	C7382485	11/06/2021	E 157836	27/02/2017	6211607844011521	09/04/2021	6211607844311522	14/03/2022	6211607844171521	09/04/2021	6211607844131521	09/04/2021	2 Doses	No	No	No
New / Fresh	SYAFII MAARIF	14/06/2001	+6285851957280													2 Doses	No	No	No
New / Fresh	TOHLANI HERNAN DELI	04/10/2001	+62857 2226 5648	C7093493	11/10/2021											2 Doses	No	No	No
Other Cruise	siman siman	16/03/1981	62 813 324 503 38	C7175057	25/08/2020	F142990	03/07/2018	620035966701122	23/05/2022	6200359667310715	09/07/2015	6200359667174621	03/03/2021	6200359667134621	10/03/2021	2 Doses	Yes	Yes
New / Fresh	FNU SAHRONI	02/03/1999	085785291749			G065381	05/04/2021	6212104343017421	25/02/2021	6212104343317421	24/03/2021	6212104343177421	25/03/2021	6212104343137421	24/03/2021	2 Doses	No	No	No
Other Cruise	Tessa Kirana Dwi Zulkarnain	05/05/1994	082120219004	C6869775	23/06/2020	F237892	07/05/2019	CP3147912	20/02/2019	CP3207128	03/05/2019	CP3206209	30/04/2019	CP3206190	29/04/2019	Booster 1	Yes	Yes	No
New / Fresh	KHOIRUR ROSIKIN	31/08/1999	087756202219	C8305600	15/03/2022	G100856	28/09/2021	6212005821010520	18/02/2020							2 Doses
New / Fresh	ROFII	05/04/1999	085648490604	C6782224	24/02/2020	f327777	12/02/2020	6212001579010520	21/01/2020	6212001579310520	27/04/2020	6212001579170520	18/05/2020	6212001579170520	18/05/2020	2 Doses
New / Fresh	IBNU MUSLIM HIDAYAT	25/02/2002	082332960318	C8463716	13/12/2021	F333809	17/11/2021	6212121104010121	04/08/2021	6212121104390121	26/11/2021	6212121104170122	03/02/2022	6212121104130122	03/02/2022	2 Doses
New / Fresh	MOCH.SULFI	09/05/1998	081803214694	C3935819	16/07/2019	F234734	14/06/2019	6211833074010518	18/07/2018							Booster 1
New / Fresh	MOHAMMAD IQBAL AMIRUL ADDAUSI	05/06/1994	082332992667	C8602898	19/04/2022	H021801	24/03/2022	6212141716016921	25/02/2022							Booster 1	No	No	No
Other Cruise	Fachmi Qurniawan	10/12/1989	087775518268	A235710	23/10/2014			CP 0475438	13/10/2014							1 Dose	Yes
New / Fresh	FNU WAHYUDI	18/10/2000	081232915813			H002699	14/01/2022	6212143566017421	27/12/2021	6212143566317422	11/01/2022	6212143566177422	11/01/2022	6212143566137422	11/01/2022	2 Doses	No	No	No
New / Fresh	MOH SALMAN AL FARIZI	05/05/2000	087758667464													2 Doses	No	No	No
New / Fresh	MOHAMMAD ADIL	11/11/2001	081217589488			H002700	14/01/2022	6212143570017421	27/12/2021	6212143570317422	11/01/2022	6212143570177422	11/01/2022	6212143570137422	11/01/2022	2 Doses	No	No	No
Other Cruise	Vicar Kinjoy	14/01/2001	0895327939550	C5993382	29/01/2020	G 072908	09/04/2021	6212026734014320	19/11/2020	6212026734314320	26/11/2020	6212026734174320	26/11/2020	6212026734134320	26/11/2020	Booster 1	Yes	No	No
Other Cruise	Happy yulius Purnama	11/07/1976	085695186802	C5350148	30/10/2019	F124616	07/03/2018	6201287752011521	04/02/2021	6201287752131516	01/06/2022	6201287752171516	01/06/2022	6201287752131516	01/06/2022	Booster 1	Yes
New / Fresh	Budi Susilo	10/08/1996	087787592557	C8633361	30/03/2022	F148809	26/03/2019	6211627806010117	22/12/2017	6211627806316922	13/04/2022	6211627806176922	14/04/2022	6211627806136922	14/04/2022	2 Doses	No	No	No
Other Cruise	Hary Prasetyo	20/10/1978	081311362939	C4492381	29/07/2019	E135818	16/11/2016	CP4965713	23/05/2022	CP0862406	21/05/2015					2 Doses	Yes	Yes	Yes
Other Cruise	Hary Prasetyo	20/10/1978	081311362939	C4492381	29/07/2019	E135818	16/11/2019	CP4965713	23/05/2022	CP0862406	21/05/2015					2 Doses	Yes	Yes	Yes
EX-CMV	Iswandi Iswandi	23/12/1976	082123580314	C 7001742	28/08/2020	F 228826	23/09/2021	6200478867010721	18/10/2021	6200478867310717	27/04/2017	6200478867171821	09/09/2021	6200478867131821	09/09/2021	Booster 1	Yes	No	No
EX-CMV	Eric Afrizal	12/04/1990	081373039427/081272157656	C5794227	06/12/2019	E 150995	15/11/2021	6211520568011819	19/12/2019	6211520568311121	11/11/2021	6211520568171819	19/12/2019	6211520568131829	19/12/2019	Booster 1	Yes	No	No
EX-CMV	Ketut teguh Sastra wijaya	09/02/1989	‪+62 878‑5800‑3842‬	C1449792	31/10/2018	F175460	24/02/2022	CP3055381	23/12/2018	CP3055411	23/11/2018	CP3057761	27/11/2018	CP3057735	27/11/2018		Yes
EX-CMV	Gede Bagiada	13/02/1989	081239134040	C8247352	04/11/2021	F100912	03/11/2021	CP4670322	23/11/2021	CP2892122	18/01/2019	CP2893164	22/01/2019	CP2893194	22/01/2019	2 Doses	Yes
New / Fresh	Ali Usman Gani	22/11/1985	+6281234422164	C7206644	26/08/2021			6200420221010121	24/09/2021	6200420221314621	28/09/2021	6200420221174621	24/09/2021	6200420221134621	24/09/2021	Booster 1	No	No	No
Other Cruise	HERU FAUZI	29/03/1996	081224445659	B7994531	14/09/2017	F066577	06/09/2017	CP2486385	24/07/2017							2 Doses	No	Yes	No
New / Fresh	Ahmad Nuryani	31/05/1978	085926223330	CO 176211	02/04/2018	X 007083		6200571429011514	31/10/2014	A08543	17/02/2014		27/09/2013		27/09/2013	Booster 1	Yes	No	No
Other Cruise	Muhamad Kuswanto	21/12/1992	081392119831 call / 082298443431 wa	B8587067	08/12/2018	F134646	08/03/2022	6211818003011518	26/03/2023	6211818003311518	11/04/2022	6211818003171518	09/04/2018	6211818003131518	09/04/2018	2 Doses	Yes	Yes	No
EX-CMV	Adi Heriwahyudi	18/02/1968	+62-81236978587	B5948448	09/01/2017	C 061434	07/09/2018	6200348399011517	25/01/2017	Malta Certificate No. SCU3471 Ref MS45/127/02 - ML-19145	19/08/2014	6200348399171507	10/12/2007	6200348399131507	10/12/2007	2 Doses	No	Yes	No
EX-CMV	I GEDE BAYU ADI PERNATA	28/05/1993	085738396213													Booster 1	Yes	No	No
Other Cruise	Arnes Candra	30/04/1976	0895384097210	C0252692	03/05/2018	F 043620	06/04/2022	6200392598011519	06/09/2019	1d698afcf7fa2053	08/08/2018	6200392598176922	18/05/2022	6200392598136922	18/05/2022	Booster 1	Yes	Yes
Other Cruise	Wayan Karya Saputra	01/09/1968	+62 85210415232	B5562560	25/11/2016	E127735	03/11/2016	6201555620011519	15/08/2019	38827DC3D471ADF0	23/06/2015	16CMHB-IH-0010A-013	25/10/2016	N/A	11/01/2017	Booster 1	Yes	Yes	No
New / Fresh	ROJAB DWI POERNAMA	22/10/1998	081318678020	C7308903	14/08/2020											Booster 1	No
Other Cruise	Helmi Pradika	15/01/1997	087873731417	C6092396	16/12/2022	F309622	16/03/2022									1 Dose	No	No	No
New / Fresh	Mohammad Rizal	30/03/2001	+62-856-4983-2382													2 Doses
Other Cruise	Muhamad juns Junispu	06/06/1983	081289682163	C6789006	24/03/2020	F097901	17/01/2018	CP2733328	02/03/2018							Booster 1	Yes	Yes	Yes
EX-CMV	Kriswanto Fnu	10/03/1978	+62 895607609944	C3444193	10/03/2019	G002510	24/06/2022	6201097961011516	20/08/2019	13996	18/06/2019	6201097961171516	20/05/2022	6201097961131516	27/05/2022	2 Doses	Yes	Yes
				C8675498	10/03/2022	F080717	27/09/2022	6211746840010122	04/02/2022	6211746840310118	30/05/2018	6211746840170118	05/06/2018	6211746840130118	05/05/2018
Other Cruise	Agus Poetra	22/08/1984	+6287784302224	C7447795	28/09/2021	H007106	18/02/2022	6200273103011521	16/12/2021	6200273103313722	04/03/2022	6200273103173722	04/03/2022	6200273103133722	04/03/2022	Booster 1	No	No	No
Other Cruise	Dendhi Rosyidin	09/11/1982	081220376831	C4534056	07/08/2019											Booster 1
EX-CMV	Atrisna Hariyanto	15/06/1988	087860121589	C8231645	22/10/2021	G117912	14/04/2021	CP4460283	21/08/2021	CP4460443	24/06/2021	CP4460335	12/08/2021			Booster 1	Yes	No	No
Other Cruise	Haidir Aslam Alfarisi	26/03/1989	+6287854485126	C7204926	04/05/2021	F 031697	20/04/2022	6201097934011522	13/05/2022	SAT-BS-21-021	24/06/2021			CMT-BS-21-021	24/06/2021	Booster 1	Yes	No	No
Other Cruise	Agus Herwanto	09/10/1988	081392955874	C6984305	16/04/2021	G027013	11/11/2020	6202085873011822	26/04/2022	6202085873310114	21/03/2014	62020858731718211	04/05/2021	62020858731821	04/05/2021	Booster 1	Yes	Yes	No
Other Cruise	Tintin Edi	15/05/1983	+6281229707552	C6977163	29/06/2020	F 239135	16/05/2019	6200472593010421	31/05/2021	6200472593310714	14/06/2014	6200472593174621	26/04/2021	6200472593134621	26/04/2021	Booster 1	Yes	Yes	No
Other Cruise	AHMAD FARHAN	29/06/1979	+6285883249208	C7444920	13/04/2021	F043398	31/07/2020	6201015666011522	04/03/2022	6201015666314117	17/03/2017	6201015666171519	17/10/2019	6201015666131519	17/10/2019	2 Doses	Yes	Yes	No
Other Cruise	Risma Gilang Angkasa	26/05/1990	081226131055	C6772837	11/03/2020	F250161	11/07/2019	6201484434011515	07/09/2015	6201484434310714	18/09/2014	6201484434171516	10/11/2016	6201484434131516	10/11/2016	2 Doses	Yes	No	No
Other Cruise	Muchamad hafid Alchusaini	14/05/1984	082137326576	C1188503	25/09/2018	F143672	25/05/2021	6211830815012618	28/06/2018	6211830815311118	24/07/2018	6211830815171118	07/08/2018	6211830815131118	03/08/2018	Booster 1	Yes	Yes	No
Other Cruise	ikadek laba supriadi	01/02/1980	082147113777	C7893855	12/08/2021	G 002520	20/08/2021	6212122365013621	12/08/2021	on progress		on progress				Booster 1	No	No	No
New / Fresh	Zidane Al Farezi	10/02/2000	081224228524	C1655856	22/11/2018											2 Doses	No	No	No
Other Cruise	ABD ROSID	13/12/1998	+62 85748071095	C 2671493	19/03/2019	F 200747	25/01/2019	6211855515010518	21/11/2018	6211855515310518	28/11/2018	6211855515170519	22/01/2019	6211855515130519	16/01/2019	1 Dose	Yes	Yes	No
EX-CMV	HERU NURDIANTO	09/02/1990	+6285870050424	C1201914	06/11/2018	E150151	16/01/2017	6202133909016919	19/02/2019	6202133909313517	19/10/2017	6202133909176919	21/02/2019	6202133909136919	21/02/2019	Booster 1	Yes
Other Cruise	Rendi Noor Yakub	30/03/1988	+6281288640248	C5395760	13/11/2019	E157440	23/02/2017	6201571810011519	05/12/2019	t822nG2Gqy	30/01/2014	6201571810171515	04/02/2015	6201571810131515	04/02/2015	Booster 1	Yes
EX-CMV	M RIZAL ARISANDY	22/04/1996	083852520522	C9305443	13/06/2022	F031969	06/07/2017	6211543452010520	27/04/2020	6211543452316922	21/01/2022	6211543452176922	20/01/2022	6211543452136922	20/01/2022	2 Doses	Yes
Other Cruise	Yudi Priatno	27/11/1973	+62 812 8938 9865	C7307899	23/07/2020	G 015823	27/07/2020	6200479459011521	20/08/2021	6200479459310719	10/10/2019	6200479459171521	23/08/2021	6200479459131521	23/08/2021	Booster 1	Yes	Yes
Other Cruise	NURMAYA NURMAYA	08/10/1977	081288828635	C1978682	12/02/2019	G095796	25/08/2021	6201004370011822	08/06/2022	62010043703110715	24/03/2015	6201004370171817	07/03/2017	6201004370131817	07/03/2017	Booster 1	Yes	Yes
New / Fresh	Syamsul Alamsah	14/11/1997	0882009040313	C5941372	27/12/2019	F307689	25/01/2022	6211946951010519	20/11/2019	6211946951310519	03/12/2019	6211946951170519	28/11/2019	6211946951130519	26/11/2019	Booster 1	No
New / Fresh	Ali Usman Gani	22/11/1985	+6281234422164	C7206644	26/08/2021			6200420221010121	24/09/2021	6200420221314621	28/09/2021	6200420221174621	24/09/2021	6200420221134621	24/09/2021	Booster 1	Yes	No	No
Other Cruise	Zeintul Komariyah	20/06/1995	083866220030/081329435210	C9004214	20/04/2022	F055429	27/09/2022	CP5028287	09/06/2022							Booster 1	Yes	Yes	Yes
Other Cruise	SUHUDIYANTO	20/02/1982	082132785004	B9959992	06/06/2018	E079264	09/07/2021	6201035070010320	18/12/2020	6201035070317621	03/08/2021	6201035070177621	03/08/2021	6201035070137621	03/08/2021	Booster 1	Yes
New / Fresh	Feka Lesmana	15/06/1993	087764970881	C8498014	02/02/2022	G 130492	02/01/2021	621214301 1014321	21/12/2021	6212143011314321	24/12/2021	6212143011174321	28/12/2021	6212143011134321	28/12/2021	2 Doses
Other Cruise	I Ketut Rio Andika	01/02/1984	081338750402	A 0788712	09/08/2011	Y 071260	05/09/2011	6201313945012611	19/08/2011			6201313945172611	22/08/2011	6201313945132611	22/08/2011	Booster 1	No	No	No
New / Fresh	Mega Irawan	20/03/1997	089682824626	C7928543	11/11/2021	F106047	07/08/2021	6202095399011518	09/08/2023	6202095399310321	08/12/2021	6202095399177622	04/02/2022	6202095399137622	04/02/2022	Booster 1	No	No	No
New / Fresh	Dicky Jamaludin	11/07/1997	081224846479 /0895379433890	X1095493	08/07/2020	G000650	03/07/2020	6212006122011520	26/02/2020	6212006122311520	29/04/2020	6212006122171520	14/04/2020	6212006122131520	14/04/2020	Booster 1	No
Other Cruise	MASDUKI	15/09/2022	+6285933555110	C3049608	06/01/2021	E140293	22/12/2019	6200492606010119	19/07/2019	A08106	12/02/2014	6200492606171817	17/10/2017	6200492606131817	17/10/2017	2 Doses	Yes	No	No
New / Fresh	Diyan Rinaldi	27/02/1997	085862911059													Booster 1	Yes	Yes	Yes
Other Cruise	TOBIBUL IHSAN	13/07/1998	081282682145	C9077793	23/05/2022	F091403	18/05/2022	6211805193016922	19/05/2022	6211805193310518	22/02/2018	CRO/WDR/0034/2022	30/01/2022	CRI/WDR/0033/2022	30/01/2022	Booster 1	No	No	No
New / Fresh	Mohammad Rizqi	26/11/1986	081903794548	C6772702	10/03/2020	F341950	17/03/2022	621200618011520	26/02/2020	6212006118311520	29/04/2020	6212006118173720	21/01/2022	6212006118133720	21/01/2022	Booster 1
EX-CMV	I Ketut Gede Basudewa	01/10/1987	081338514657	C 7561763	03/09/2021	E 121870	24/05/2022	6211538338016920	27/02/2020	6211538338316922	27/02/2022	6211538338176922	24/02/2022	6211538338136922	24/02/2022	Booster 1	Yes	No	No
Other Cruise	Endra Gunawan	14/10/1972	0812 19646419	C 1473732	17/10/2018	F 298000	28/02/2020	6200364627012420	13/04/2020	6200364627310717	13/01/2017	6200364627	03/07/2022	6200364627	10/07/2022	Booster 2	Yes	Yes	No
New / Fresh	Teguh Junian Dermawan	04/06/2000	08811336280	C7824819	13/10/2021			CP4613433	08/02/2022	CP4809580	24/02/2022					2 Doses
EX-CMV	Putu Gde Manik Hari Yuda	04/09/1983	+6281338862538	C7894072	26/08/2021	F127697	07/05/2021	6211818244013718	11/04/2018	6211818244313718	30/08/2018	6211818244173718	30/08/2018	6211818244133718	30/08/2018	Booster 1	Yes	No	No
Other Cruise	RAHMAN MUHAMNAD ATMAKUSUMAH	23/05/1978	+6281220457218	C2302739	17/07/2020	E141549	13/01/2020	6201302733011121	16/11/2021	6201302733316922	10/03/2022	6201302733176922	08/03/2022	6201302733136922	08/03/2022	2 Doses	Yes	No	No
EX-CMV	I gusti ngurah Wahyu widana	03/07/1990	085714137448					6200362367017622	25/05/2022	6200362367317622	30/05/2022	6200362367177622	25/05/2022	6200362367137622	25/05/2022	Booster 1
Other Cruise	Hendra Syarif	12/02/1984	+6281319758242	C6381310	04/09/2020	E053938	26/01/2016	6200159517010117	29/10/2021	6200159517310220	23/10/2020	6200159517170116	10/05/2019	6200159517130116	04/05/2019	2 Doses	Yes	Yes	Yes
EX-CMV	MADE HARY SANJAYA	16/11/1989	+6287864400588	C7562215	14/09/2021	F008616	17/04/2022	6200489863013621	07/10/2021	6200489863316921	17/09/2021	6200489863173621	14/09/2021	6200489863133621	14/09/2021	2 Doses	Yes	No	No
New / Fresh	Abdul Latif Ridwan Syarifudin	22/10/1997	085860097109	C4865369	20/11/2019											Booster 1	No	No	No
Other Cruise	ikadek laba supriadi	01/02/1980	082147113777	C7893855	12/08/2021	G 002520	20/08/2021	6212122365013621	12/08/2021	on progress		on progress				Booster 1	No	No	No
New / Fresh	Asep Suryo Nugroho	05/09/1988	081229914678													2 Doses
EX-CMV	Noverdi Rosdana	24/11/1971	+6283169181759	C8526013	22/02/2022	E141201	09/01/2022	6200492638011521	23/08/2021	6200492638311518	15/11/2018	6200492638171521	24/08/2021	6200492638131521	24/08/2021	Booster 1
Other Cruise	Wawan supriyanto	21/09/1993	085716667353 / 088215219671	C6708869	04/03/2020	f319323	03/02/2022	cp3760451	23/01/2020	cp3760844	06/02/2020	cp3760809	30/01/2020	cp3760865	06/02/2020	Booster 1
New / Fresh	Darmana	25/06/2022	085739698736	C6708963	05/03/2020	F319332	04/02/2020	CP 3760431	23/01/2020	CP3760835	06/02/2020	CP3760796	30/01/2020	CP3760851	06/02/2020	2 Doses
Other Cruise	Moh Sholeh	25/02/1995	+628170025644	C 8302450	24/02/2022	F 006215	20/03/2022	6211583583010120	15/09/2020	6211583583310120	07/10/2020	6211583583173722	20/05/2022	6211583583133722	20/05/2022	Booster 1	Yes	Yes
EX-CMV	Nurul Misbah	03/07/1982	085104046450	X615427	24/07/2018	E135750	22/11/2019	6200410570011121	22/01/2021	6200410570314620	17/09/2020	6200410570171120	22/12/2020	6200410570131120	17/12/2020	2 Doses
EX-CMV	I ketut Budiartana	06/07/1983	085964210550	C5323365	18/11/2019	F 075579	10/01/2018	6200484731017622	13/05/2022	6200484731313518	04/12/2018	6200484731177622	19/05/2022	6200484731137622	19/05/2022	Booster 1	Yes
Other Cruise	Agus Muklis	05/08/1994	087871262638	C 7095462	20/12/2021	F 130174	04/09/2020	6201343154010518	19/03/2018	6201343754310515	08/04/2015	6201343754171518	06/04/2018	6201343754131518	06/04/2018	2 Doses	Yes	Yes	No
New / Fresh	I Komang Putra Agus Yasa	13/08/1999	087859454803	C8247808	18/11/2021	G002680	04/11/2021	6212001068016920	15/01/2020	6212001068316921	29/10/2021	6212001068176921	04/11/2021	6212001068136921	04/11/2021	Booster 1	No	No	No
EX-CMV	I Wayan Tori Wijaya	29/08/1985	081952389723 / 081916724624	C6069548	13/02/2020	E055564	10/08/2021	6200416453016919	19/02/2019	6200416453316919	12/02/2019	6200416453176919	13/02/2019	6200416453136919	13/02/2019	Booster 1	Yes	No	No
Other Cruise	Muhammad Lukman	15/05/1989	081953719608	C 6862560	16/12/2020	G 078592	22/07/2021	6202077129014319	31/01/2019	6202077129014319	15/02/2019	6202077129014319	21/02/2019	6202077129014319	21/02/2019	Booster 1	Yes	No	No
EX-CMV	Ni Luh putu Risma yanti	19/04/1997	0895701495965	B 8824763	25/01/2018	F 202832	26/08/2021	6211900073013519	03/01/2019	6211900073313519	25/01/2019	6211900073133519	29/01/2019	6211900073173519	29/01/2019	Booster 1	Yes	No	No
Other Cruise	Esa Mey Davit Mohamad	08/05/1997	085200395475	C 7302676	13/08/2020	F 312895	20/10/2020	620200843001158	06/04/2018	620200843001156	02/11/2016	620200843001156	07/11/2016	620200843001156	07/11/2016	Booster 1	Yes	Yes	No
New / Fresh	Feliks Kristian Limbat Youce Limbat	03/02/1993	081252822183			F017042	21/04/2022	6211420546010319	11/07/2019	6211420546310719	18/12/2019					2 Doses	No	No	No
New / Fresh	Wilman Ari Firdaus	16/02/2001	085233136429	C 8612328	01/03/2022	G 118646	12/11/2021	6212134305016921	27/10/2021	6212134305316921	12/11/2021	6212134305016921	12/11/2021	6212134305016921	12/11/2021	2 Doses	No	No	No
EX-CMV	I wayan Juliana	01/01/1976	081236841090	C5322795	13/11/2019	E135942	03/02/2022	6211500111016919	05/12/2019	6211500111316922	08/02/2022	6211500111176919	05/12/2019	6211500111136919	05/12/2019	Booster 1	Yes	No	No
EX-CMV	Gede widiyasa Suputra	29/10/1990	081946355735	B7514017	24/07/2017	F100368	06/02/2020	6201575505016920	06/02/2020	6201575505313518	06/02/2020	6201575505176920	06/02/2020	6201575505136920	13/02/2020	Booster 1	No	No	No
Other Cruise	ERRIO PRATAMA	28/03/1987	+6287882820131 / +62 8892104253	C7890761	12/10/2021	H 031173	11/05/2022	6211557854011521	16/12/2021	MJ - 13210	28/07/2016	MJ- 13233	06/08/2017	MJ - 13233	06/08/2017	Booster 1
Other Cruise	Benny Cahyadi	13/11/1979	081806588004	C7934212	21/06/2021	G 105895	28/09/2021	6200409018011521	20/09/2021	6200409018314622	04/04/2022	6200409018171822	10/03/2022	6200409018131822	10/03/2022	Booster 1	Yes
New / Fresh	Ami Nuraisyiah	06/06/1999	089524443960	C4866416	27/11/2019											2 Doses	No	No	No
Other Cruise	Imade yana Adiarta	22/11/1994	081246519759	C7558484	07/06/2021	F 008408	11/04/2022	6211709908017221	27/07/2021	6211709908313717	25/04/2017	6211709908173717	25/04/2017	6211709908133717	26/04/2017	Booster 1			Yes
Other Cruise	Yudiharyanto Muhadi	28/06/1992	+6282194475080	X1354481	24/03/2022	H 005825	14/03/2022	6211511763010620	17/03/2020	6211511763310620	18/03/2020	6211511763170622	27/01/2022	6211511763130622	25/01/2022	Booster 1	Yes	No	No
EX-CMV	I komang Suriawan	10/01/1987	+62 81908213512	C 4622555	17/09/2019	E136781	30/12/2019	6201562230013519	26/03/2019	6201562230316919	15/10/2019	6201562230176921	23/09/2021	6201562230136921	23/09/2021	Booster 1	Yes	Yes
New / Fresh	Febi Rezaldi	04/02/1998	082120802900	C4088899	15/07/2019	F262188	05/08/2019	CP3278236	10/04/2019							2 Doses
Other Cruise	I kadek Kartawan	10/10/1989	+6283115655750	B5868855	23/12/2016	E15037	07/02/2017	6211702115012617	25/01/2017				07/11/2011	6201318393133511	07/11/2011	Booster 1	No	Yes	No
EX-CMV	I Dewa made Ardana	05/03/1975	087780426468	C3232772	22/04/2019	F201643	17/01/2022	6201340404016918	01/11/2018	6201340404316918	24/10/2018	6201340404176918	25/10/2018	6201340404136918	25/10/2018		Yes
New / Fresh	Kadek yuli Parwasih	31/07/1995	081237160967	C7562935	29/09/2021											Booster 1	No	No	No
Other Cruise	Antonius Indra Jaya	12/08/1977	+681916809168	C8311380	07/01/2022	F088439	03/01/2022	62000988510721	15/10/2021	6200098851310719	08/03/2019	6200098851171819	23/04/2019	6200098851131819	23/04/2019	2 Doses	Yes	Yes	Yes
EX-CMV	gusti putu robantara	24/11/1995	087866860284	C4625250	01/10/2019	F285949	11/01/2022	CP3623655	11/10/2019	CP3682144	29/10/2019	CP3624376	23/10/2019	CP3624406	23/10/2019	Booster 1	Yes	Yes
EX-CMV	Inyoman Rauh	30/12/1983	083857368291	C5510403	02/01/2020	E151570	01/03/2022	6200477231013521	29/07/2021	6200477231313521	29/07/2021	6200477231173521	25/08/2021	6200477231133521	25/08/2021	Booster 1	Yes	No	No
Other Cruise	MIFTAHUL HUDA	19/12/1978	+6281380201057	C 1484852	20/09/2018	H 021546	17/03/2022	6200409578010719	09/08/2019	6200409578310719	24/07/2019	6200409578170719	31/07/2019	6200409578130719	31/07/2019	Booster 2	Yes	Yes	No
Other Cruise	Candra Sudirman	07/06/1988	087786669353	C1649387	19/10/2018	F157125	11/08/2021	6211835627011518	31/07/2018	6211835627311518	05/10/2018	6211835627171518	05/10/2018	6211835627131518	05/10/2018	1 Dose	Yes	Yes
Other Cruise	Muhammad Andika hidayatullah	04/12/1998	087771651522	C 3899960	17/05/2019	F 152885	04/04/2022	6211913164010719	27/03/2019	6211913164310719	22/04/2019	6211913164170719	30/04/2019	6211913164130719	29/04/2019	2 Doses	Yes	Yes
EX-CMV	I Ketut Perdata	15/08/1980	081237877523	CB452637	30/05/2022	F203300	24/05/2022	6211901144016919	18/01/2019	6211901144316919	30/01/2019	6211901144136919	06/02/2019			Booster 1	Yes	Yes	No
EX-CMV	DEDDY BURMAN	15/06/1981	081351419102 and 081371541093	B 5562287		F057131		6200471740010716		6200471740316918		:6200471740170716				2 Doses	Yes	No	No
EX-CMV	I Gede Made Iwan Setiawan	02/05/1997	0877 04714368	C4354911	27/08/2022	F 271329	03/10/2019	6211936739016919	17/09/2019	6211936739316919	03/10/2019	6211936739176919	03/10/2019	6211936739136919	03/10/2019	Booster 2	Yes
EX-CMV	I ketut pasek Adnyana	15/06/1992	081338422786	C8452554	27/05/2022	F127661	27/04/2018	6211801463016918	16/01/2018	6211801463316918	27/09/2018	6211801463176918	05/06/2018	6211801463136918	05/06/2018	Booster 1	Yes
EX-CMV	Defi NOFRIZAL	23/11/1974	08128557083	C 7211610	15/02/2021	B 0212202	06/09/2019	6201320270011516	14/01/2021	6201320270314116	23/08/2016	620132027175320	01/12/2020	620132027175320	01/12/2020	Booster 1	Yes
Other Cruise	Tatang Sukarna	30/08/1978	085776185192	C8103582	25/11/2021	E 134919	07/12/2016	62005696940101117	14/12/2017	6200569694311115	12/10/2015	6200569694171516	19/12/2016	6200569694131516	21/12/2016	2 Doses	Yes	No	No
EX-CMV	Haryanto	19/12/1985	082266951001	C2586634	21/01/2019	F 158749	26/12/2021	6200385355010318	16/11/2018	6200385355310318	09/11/2018	6200385355170318	23/11/2018	6200385355130318	13/11/2018	Booster 2	Yes	No	No
Other Cruise	Rohman Abdul	22/08/1991	082112691668	C8098417	21/02/2022	G 065513	16/04/2021	6201393102010521	26/04/2021	620139310310718	09/02/2018	6201393102071118	31/12/2018	6201393102031118	31/12/2018	1 Dose	Yes	Yes	No
New / Fresh	I made yana Adiarta	22/06/2022	081246519759	C7558484	07/06/2021	F 008804	11/04/2022	CP4391384	27/07/2021	CP 2079986	25/04/2017	CP 2302507	25/04/2017	CP 2302521	26/04/2017	Booster 1	Yes	No	No
Other Cruise	Syaifun Maslul	19/03/1988	081515168238	C6 165628	13/07/2020	E156735	16/02/2020	6211618688010121	30/03/2021	6211618688310117	20/02/2017	6211618688171521	09/04/2021	6211618688131521	09/04/2021	Booster 1	Yes	Yes
Other Cruise	Wahyu Kuncoro	22/11/1977	082137703842	X814046	24/10/2019	F013711	25/04/2017	6201299252010315	30/06/2015	A09289	24/02/2014	14468	07/08/2017	14468	07/06/2017	2 Doses	Yes	Yes	Yes
EX-CMV	I Putu Stiawan	01/01/1991	082147130917	C7560732	05/08/2021	E099101	05/08/2016	6211538341016920	20/02/2020	6211538341316922	17/02/2022	6211538341176922	10/02/2022	6211538341136922	10/02/2022	Booster 2	Yes
EX-CMV	I Ketut Gede Basudewa	01/10/1987	081338514657	C 7561763	03/09/2021	E 121870	24/05/2022	6211538338016920	27/02/2020	6211538338316922	27/02/2022	6211538338176922	24/02/2022	6211538338136922	24/02/2022	Booster 1	Yes