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Position GRT/BHP Flag

Engine Cadet 61619 / 21140BHP Indonesia 6-Apr-16

on progress

D. MARITIME LICENSE

Security Awareness Training

Description

6211551271400110

6211551271410118

6211551271060115

6211551271390115

Medical Care

U.S Visa

Date of issue

14.10.2015

Weight

Size of working cloth

Imediately

170 cm

Advanced Tanker Safety - Gas

Tanker Familiarization

6211551271240118

6211551271270217

Medical First Aid Training

Advanced Fire Fighting

Engine Resource Management

Ship Security Officer (SSO)

18.12.2017

09.02.2023

18.12.2022

27.12.2022

01.02.2018 01.02.2023

27.12.2017

09.02.2018

27.10.2015

C. COURSES

41

02.11.2015

Basic Safety Training

Survival Craft Rescue Boat

09.11.2020

02.11.2020

14.10.2020

6211551271310115

6211551271040118

22.10.2020

Issued by

Validation

6211551271070115

09.02.2023

27.10.2020

22.01.2023

6211551271010115

Christian

Binjai Street, North of Sumatera - Indonesia

Date of expiry

B2963564

07.01.2016

07.01.2021

Engine Cadet

M

Name

Date of Birth & Place

Nationality

Religion

ac6kgv@r.postjobfree.com

Address

Telephone number

Bintang Lard Togu Sinaga

27/08/1993 Purwodadi

Indonesian

+62-821********

Alternative

Date of Availability

Weight

Description Number Date of issue

Position applied

Rini MZ Sinaga

09.02.2018

Certificate No.

Passport

11.05.2018

Advanced Tanker Safety - Oil

Advanced Tanker Safety - Chemical

Management

Soechi Lines

Endorsement

Engineer Officer Class III

Mt Fortune Villa XLIII 9138604 8-May-17

on progress

Type Certificate No. Date of issue

Marital Status

Flag State License

Single

+62-852********

E. SEA SERVICE RECORD

Vessel IMO type Period

6211551271080217

11.05.2021

22.10.2015

22.01.2018

09.11.2015

Number of children

Next of Kin (NOK)

Address

Telephone number

Seaman's Book

Binjai Street, North of Sumatera - Indonesia

Size of Shoes

70 kg

APPLICATION FORM

A. PERSONAL

E019399

B. PERSONAL DOCUMENT

Date Expiry Date Taken

18/03/2018 17/03/2016

18/03/2018

18/03/2018

18/03/2018

18/03/2018

17/03/2026

Date Expiry

Typhoid

18/03/2016

18/03/2016

Applicant / Signature

Medical

Test Drugs

Form

Simple

MCIS

Date,

18/03/2016

Extensive

Date Taken

18/03/2016

18/03/2016

F. MEDICAL RECORD

Last Medical Check Up:

Yellow Fever

Cholera

Vaccination

Contact this candidate