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Management Medical

Location:
Indonesia
Posted:
August 29, 2017

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CURRICULUM VITAE

Full Name : FATHORRASID

Place, Date of Birth : Sumenep, June 21st, 1982

Address : Dusun Gapurana Daya rt 001 rw 013

Gapurana – Talango - Sumenep, East Java, Indonesia

Phone : +6281931516461 / +6281333633567

E-mail : ac112j@r.postjobfree.com

Next of Kind Emergency Contact : Suci Nurhandayani

Relation : Wife / Phone : + 6281331414357

TRAVELLING DOCUMENT

Detail of Document

Number

Date of Issue

Expire Date

Place of Issue

Seaman’s Book

E 047956

March 03th, 2016

March 03th, 2019

Samarinda

Medical Check-up Record

378435

September 27th, 2016

August 04th, 2018

Surabaya

CERTIFICATE OF COMPETENCY

Name of Certificate

Certificate Number

Date of Issue

Place of Issue

Deck Officer Class 4 Management

6200107645M40516

November 30th, 2016

Jakarta

Cert.of Endorsement Class 4 Management

6200107645MD0516

November 30th, 2016

Jakarta

CERTIFICATE OF PROFICIENCY

Name of Certificate

Certificate Number

Date of Issue

Place of Issue

Basic Safety Training - Revalidation

6200107645010516

July 29th, 2016

Surabaya

Survival Craft & Rescue Boats - Revalidation

6200107645040516

August 15th, 2016

Surabaya

Advanced Fire Fighting - Revalidation

6200107645060516

July 12nd, 2016

Surabaya

Medical First Aid - Revalidation

6200107645070516

July 11st, 2016

Surabaya

Medical Care On Board Ship

6200107645080516

May 24th, 2016

Surabaya

Security Awareness Training

6200107645310516

May 24th, 2016

Surabaya

Arpa Simulator

6200107645020516

July 18th, 2016

Surabaya

Bridge Resource Management

6200107645230516

June 09th, 2016

Surabaya

Radar Simulator

6200107645030516

July 15th, 2016

Surabaya

SEA SERVICE

Name Of Vessel

Rank

Type Of Vessel

GT

Duration From / Until

Company

Flag

KW

KM. Tandjung Bahagia

2nd/off

General Cargo

GT 583

1000 pk

April 28th, 2004 / june 15th, 2005

Tanjung Redep Indah Perkasa ( TRIP ), PT

Indonesia

KM. Karya Abadi

2nd/off

General Cargo

GT 397

700 pk

June 27th, 2005 / june 09th, 2006

Intan Borneo Wisesa, PT

Indonesia

LCT. Arjuna

C/off

Ro-Ro

GT 221

2x240 pk

Feb 09th, 2007 / june 25th, 2008

Lintas Sarana Nusantara, PT

Indonesia

KMP. Dharma Bahari Sumekar II

2nd/off

Ro-Ro

GT 256

2x575 pk

April 16th, 2009/ Des 01st, 2011

Sumekar, PT

Indonesia

KMP. Dharma Bahari Sumekar II

C/Off

Ro-Ro

GT 256

2x575 pk

Des 01st, 2011 / october 16th, 2012

Sumekar, PT

Indonesia

KM. Express Bahari 3C

Master

Passanger

GT 163

2x1450 pk

october 17th, 2012/ sept 05th, 2014

Sakti Inti Makmur, PT

Indonesia

TB. Puma 09

C /Off

Tugboat

GT 169

2x 331 kw

Dec 02nd 2014 / August 14th 2015

Putra Utama Mandiri Line, PT

Indonesia

KM. Ekspress Mega

Pratama

Master

Passanger

GT 148

2x 119 kw

August 18th / Oct

31st 2015

Sumekar, PT

Indonesia

TB. Marino 189

C/off

Tugboat

GT 189

2 x 610 kw

January 18th / march 21st 2016

Sowohi Kentiti Jaya, PT

Indonesia

TB. Marino 189

Master

Tugboat

GT 189

2x 610 kw

March 21st / April 31st 2016

Sowohi Kentiti Jaya, PT

Indonesia

I here by certificate that all entries here in are correct and appeared on www.pelaut.dephub.go.id except for items that have an asterisk.

Best Regards,

FATHORRASID



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