CV Baru P To P
CV Baru P To P
DATA DIRI
Nama : ....................................................................................
Tempat, Tgl. Lahir : ....................................................................................
Agama : ....................................................................................
NIK : .................................................................................... FOTO
Pendidikan Terakhir : ....................................................................................
Alamat : ....................................................................................
….................................................................................
Nomor Telp/Hp : ....................................................................................
E-mail : ....................................................................................
Nama : ....................................................................................
Tempat, Tgl. Lahir : ....................................................................................
Agama : ....................................................................................
NIK : ....................................................................................
Alamat : ....................................................................................
….................................................................................
Nomor Telp/Hp : ....................................................................................
DETAIL DOKUMEN
Tempat
Nama Dokumen Nomor Masa Berlaku Masa Berakhir
diterbitkan
Passport
Buku Pelaut
Vaksin 1 Vaksin 2 Vaksin 3
Vaksin Covid-19
Tempat
Sertifikat Keahlian Nomor Masa Berlaku Masa Berakhir
diterbitkan
Basic Safety Training
PENGALAMAN BERLAYAR
Nama Kapal Perusahaan Jenis Kapal Bendera Kapal Sijil Naik Sijil Turun