Your Details Please use BLOCK capitals. Fields marked * must be completed.

Surname * Date of Birth *

Forename(s) * Known As
Title (e.g.Mr/Mrs) * Nationality *
Sex (delete as reqd) MALE National Ins No.
Address * Mobile Phone
Email Address
Passport No
Passport Expiry Date
Post Code * KITAS No (expat only)
Home Phone * Kitas Expiry Date
Emergency Contact Details Employment Details
Surname * Job Title *
Forenames * Employer *
Title (e.g.Mr/Mrs) * Telephone No *
Relationship * Fax
Is this your Next of Kin ? * YES / NO
Address * Address *
Post Code * Post Code *
Day Phone *
Night Phone *
Mobile Phone
Who in your company should we contact if
BP Passport Expiry date further information is required ? (for non BP employee only)
(for BP Employee only)
Special Trainings / Certificates
Name
Day Phone
Department
Data Protection Act Organisations completing this form on behalf of individuals, must inform the individual of the following:
The details you supply above will be recorded in the Vantage Personnel On Board (POB) system. The controllers of the VantagePOB system Leading Oil & Gas
Industry Competitiveness (LOGIC) are registered with the Information Commissioner for the relevant uses of your personal information. Formal agreements
are also in place between LOGIC and BP, supporting this use under the terms of the Data Protection Act. Under the terms of the act, you have the right to
obtain a copy of the information held about you, upon payment of the appropriate fee.
Kav 72 Slipi
Jakarta Barat
11410
SIDOARJO
081217595444
-
-
JAWA TIMUR
61253
Employers Email
Address
jln S.Parman BLOK EA/18 SEDATI
Menara Citicon,16th floor PERUM GRIYA CANDRAMAS
MRS
24hr Emergency
Response Phone
WIFE
081295387731
JAWA TIMUR
BLOK EA/18 SEDATI
JANUARI14, 2014
S834441
HANDAYANI First Officer
INDAH RETNO
-
61253
TANGGUH POB Registration Form
SUGIMAN DECEMBER 22, 1976
SUGIMAN
Mr. INDONESIA
SUGIMAN@CITILINK.CO.ID
SIDOARJO
PERUM GRIYA CANDRAMAS
LOGIC, Exploration House, Offshore technology Park, Aberdeen AB23 8GX
Tel: 01224 853456 Fax 01224 853429 Email vantagepob@logic-oil.com
Form : POB/PD/1 Version 1.0
Your Details Please use BLOCK capitals. Fields marked * must be completed.
Surname * Date of Birth *
Forename(s) * Known As
Title (e.g.Mr/Mrs) * Nationality *
Sex (delete as reqd) MALE / FEMALE National Ins No.
Address * Mobile Phone
Email Address
Passport No
Passport Expiry Date
Post Code * KITAS No (expat only)
Home Phone * Kitas Expiry Date
Emergency Contact Details Employment Details
Surname * Job Title *
Forenames * Employer *
Title (e.g.Mr/Mrs) * Telephone No *
Relationship * Fax
Is this your Next of Kin ? * YES / NO
Address * Address *
24hr Emergency
Response Phone
-
TANGGUH POB Registration Form
Post Code * Post Code *
Day Phone *
Night Phone *
Mobile Phone
Who in your company should we contact if
BP Passport Expiry date further information is required ?
(for BP Employee only)
Special Trainings / Certificates Name
Day Phone
Department
Data Protection Act Organisations completing this form on behalf of individuals, must inform the individual of the following:
The details you supply above will be recorded in the Vantage Personnel On Board (POB) system. The controllers of the VantagePOB system Leading Oil &
Gas Industry Competitiveness (LOGIC) are registered with the Information Commissioner for the relevant uses of your personal information. Formal
agreements are also in place between LOGIC and BP, supporting this use under the terms of the Data Protection Act. Under the terms of the act, you have
Employers Email
Address
Employment Details
TANGGUH POB Registration Form
Who in your company should we contact if
further information is required ? (for non BP employee only)
Organisations completing this form on behalf of individuals, must inform the individual of the following:
The details you supply above will be recorded in the Vantage Personnel On Board (POB) system. The controllers of the VantagePOB system Leading Oil &
Gas Industry Competitiveness (LOGIC) are registered with the Information Commissioner for the relevant uses of your personal information. Formal
agreements are also in place between LOGIC and BP, supporting this use under the terms of the Data Protection Act. Under the terms of the act, you have