I. PERSONAL DATE Nama Tempat Tanggal Lahir Jenis Kelamin Kewarganegaraan Alamat No. Hp E-Mail
II. Personal dokumen
No Type Nomor Tanggal Kadaluarsa Tempat
Dikeluarkan Seaman Book F 229419 08 Maret 2022 Jakarta Paspor C5348107 14 Oktober 2024 Jakarta MCU 62111404551MC9019 08 Mei 2021 Jakarta
III. Certificate of competency
No Nama Sertifikat Nomor Sertifikat Tempat/Tanggal Dikeluarkan
OFFICER CLASS V (Operasiaonal) 6211404551N50221 Jakarta, 22 Desember 2021 ENDORSMEN (Operasional Level) 6211404551NE0221 Jakarta, 22 Desember 2021
IV. Certificate of proficiency
No Nama Sertifikat Nomor Sertifikat Tempat/Tanggal Dikeluarkan
Ratings As Able Seafarer Deck 6211404551340219 Jakarta, 08 April 2018 Ratings Forming Part Of A 6211404551330217 Jakarta, 09 Agustus 2017 Navigation Watch Basic Safety Training Revalidation 6211404551210116 Jakarta, 31 juli 2017 Basic Training For Oil And 6211404551390117 Jakarta, 15 Agustus 2017 Chemical Tanker Cargo Operation Prociancy In Survival Craft and 6211404551040119 Jakarta 26 Februari 2019 Rescue Boats Security Awareness Training 6211404551310116 Jakarta, 22 Desember 2016 Seafarers With Designated 6211404551320219 Jakarta, 25 Februari 2019 Security Duties Advanced Fire Fighting 6211404551060116 Jakarta, 19 Desember 2016 Medical First Aid 6211404551070221 Jakarta, 29 Juli 2021
V. Working experience
No Nama Kapal Type GT Jabatan Sing On Sing Off Bendera Compeny
SM Tongkang 2816 Kelasi 18.07.2014 19.06.2017 INA PT. SMI independence 204 TB Albacore TugBoat 303 Jurumudi 29.11.2017 02.06.2018 INA PT. SMI Laut TB Sri Siak 7 TugBoat 95 Jurumudi 17.08.2018 08.09.2018 INA PT. SMI