Security Officer Medical

PERSONAL DETAILS

Name : KASIM

Date of Birth : Cilellang, April 18th 1977

Religion : Moslem

Nationality : Indonesia

Height : 160 cm Weight : 52kg Size Shoes: 40

Marital Status : Married Age : 40 Shirt Size : M

Address : Jl. Kalibaru Timur IV Rt. 006/013 No. 39 Kel. Kalibaru Kec. Cilincing, Jakarta Utara 14110

Phone Number : +628**********

DOCUMENT TRAVEL

Name of Document

Passport

Seaman Book

CERTIFICATE F COMPETENCY

CERTIFICATE OF PROFICIENCY

WORKING EXPERIENCES

Sign On Sign Off

MT. MOR 2nd Eng 30-Apr-2009 31-Oct-200*-****-**** Indonesia MT. Kimtrans 2nd Eng 15-Nov-2009 15-Feb-201*-****-**** Indonesia MT. Johran 2nd Eng 30-Nov-2010 31-May-201*-****-**** Indonesia LCT. S. Harapan Chief Eng 10-Jun-2010 1-Oct-2010 350x2 120 Indonesia TB. AAS V Chief Eng 1-Dec-2010 1-Jun-2011 1200x2 210 Indonesia TB. MBS 61 Chief Eng 1-Jul-2012 15-Dec-2012 1000x2 100 Indonesia TB. Teluk Mandar Chief Eng 30-Jan-2013 1-Jun-2013 1100x2 200 Indonesia TB. Wid Marine Chief Eng 30-Jun-2013 31-Oct-2013 1100x2 220 Indonesia TB. Prima Power 05 Chief Eng 15-Nov-2013 16-Apr-2014 1200x2 240 Indonesia TB. Semar 3 Chief Eng 20-Aug-2014 30-Mar-2015 1000x2 185 Indonesia TB. SSA Chief Eng 14-Apr-2015 30-Jul-2015 1000x2 215 Indonesia TB. Leo Power Chief Eng 26-Jul-2015 30-Nov-2015 1200x2 235 Indonesia Tanker Familiarization

Medical Care on Board Ship

Period

Vessel Name Type of Vessel Rank

Certificate Name

Basic Safety of Training

Survival Craft and Rescue Boat

Medical First Aid

Advance Fire Fighting

Oil Tanker

Security Awareness Training

Ship Security Officer

Engine Room Resource Management

HP GT Flag

Makassar, March 15th 2021

Jakarta, June 29th 2017

Certificate Number Place & Date of Expired

Makassar, March 14th 2021

Makassar, March 07th 2021

Makassar, March 24th 2022

Jakarta, Sept 23th 1016

6200400786010612

6200400786040616

6200400786270616

6200400786240616

6200400786310616

6200400786100712

6200400786080514

6200400786090514

6200400786060514

6200400786070514

Jakarta, June 13th 2019

Surabaya, June 12th 2019

Surabaya, June 11th 2019

Surabaya, June 12th 2019

Makassar, June 02nd 2021

Medical Certificate

ENDORSEMENT ATT-IV

ATT-IV MANAGEMENT 6200400786S40616

BKKP15064420

6200400786SD0616

A 8330570

C 054549

Jakarta, June10th 2016

Jakarta, June 07th 2016

Jakarta, May 20th 2014

Surabaya, April 24th 2017

May, 20th 2019

April 24th 2019

Certificate Name Certificate Number Place & Date of Issued Tug Boat

Tug Boat

Tug Boat

Tug Boat

CURRICULUM VITAE

Tanker

Tanker

Tanker

Tug Boat

Tug Boat

Tug Boat

Tug Boat

LCT

License Document Place and Date of Issued Date of Expired

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