Officer Medical

I. PERSONAL DATA

CURRICULUM VITAE

Name : HERU SUGIARTO

Place, Date of Birth : Tegal, 05 September 1974

Nationality : Indonesia

Religion : Moslem

Address : Jl. Raya Dampyak RT.02 RW.01 Kel. Dampyak Kec. Kramat Tegal

Contact Number : +628**********

E-mail : ************@*****.***

II. SEAFARER'S IDENTIFY DOCUMENT

DESCRIPTION DOCUMENT NUMBER PLACE, DATE OF ISSUED EXPIRED DATE Seaman's Book A 003857 Batam, 26 April 2012 25 April 2019 Passport B 2831740 Batam, 20 January 2016 20 January 2021 Medical Check Up Seafarer's 6200079326MC3116 Semarang, 23 March 2016 22 March 2018 III. CERTIFICATE OF COMPETENCY

CERTIFICATE CERTIFICATE NUMBER PLACE, DATE OF ISSUED Deck Officer Class IV 6200079326N40517 Jakarta, 19 June 2017 Endorsement Deck Officer Class IV 6200079326ND0517 Jakarta, 20 June 2017 Deck Officer Class V 6200079326N52409 Jakarta, 18 May 2009 Endorsement Deck Officer Class V 6200079326NE2409 Jakarta, 29 April 2014 Certificate of GMDSS Radio Operator 6200079326G10115 Jakarta, 05 February 2015 IV. CERTIFICATE OF PROFICIENCY

CERTIFICATE CERTIFICATE NUMBER PLACE, DATE OF ISSUED Basic Safety Training ( BST ) – Revalidation 6200079326010315 Semarang, 04 March 2015 Proficiency in Survival Craft and Rescue Boats ( SCRB) – Revalidation

6200079326040315 Semarang, 04 March 2015

Medical First Aid ( MEFA ) – Revalidation 6200079326070315 Semarang, 04 March 2015 Advanced Fire Fighting ( AFF ) – Revalidation 6200079326060315 Semarang, 04 March 2015 Radar Simulator ( RS ) – Revalidation 6200079326030315 Semarang, 04 March 2015 Arpa Simulator ( AS ) – Revalidation 6200079326020315 Semarang, 04 March 2015 Ship Security Officer ( SSO ) – Revalidation 6200079326240315 Semarang, 04 March 2015 Medical Care on Board Ship ( MC ) – Revalidation 6200079326080315 Semarang, 04 March 2015 Security Awareness Training ( SAT ) 6200079326310316 Semarang, 04 April 2016 Bridge Resource Management ( BRM ) 6200079326230517 Surabaya, 27 February 2017 Seafarer's with Designated Security Duties ( SDSD ) 6200079326320316 Semarang, 04 April 2016 Crowed Management ( CM ) – Revalidation 6200079326131115 Jakarta, 13 February 2015 Crisis Management and Human Behaviour ( CMHB ) –

Revalidation

6200079326171115 Jakarta, 13 February 2015

Operational Use of Ecdis Training Programme ( ECDIS ) 6200079326280517 Surabaya, 02 June 2017 Certificate of Endorsement COE-D0102536 Singapore, 03 June 2014 General Operator Certificate ( GOC / ORU ) 47591/SOU/T/X/2015 Jakarta, 05 February 2015 COE of GMDSS Radio Operator COE-R0100661 Singapore, 07 September 2015 Basic Oil and Chemical Tanker (BOCT) 6200079326394917 On Process Jakarta Advanced Oil Tanker (AOT) 6200079326414917 On Process Jakarta V. SEA SERVICE RECORD

VESSEL NAME VESSEL TYPE RANK COMPANY PERIODE OF SERVICE TB. HL 5 Towing Tug Ch. Officer Haiteck Marine Service 03.09.2009 – 01.05.2011 TB. HARMONY III Towing Tug Ch. Officer PT. Lintas Samudera 15.08.2011 – 03.04.2012 MV. BATAMFAST 20 Passenger Ship Ch. Officer PT. Batamfast Indonesia 05.04.2012 – 15.01.2016 Sincerely Yours,

( HERU SUGIARTO )

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