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 : +628********** / +628**********
E-mail : ***********@*****.**.**
Next of Kind Emergency Contact : Suci Nurhandayani
Relation : Wife / Phone : +628**********
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