PERSONAL INFORMATION

First Name : AHMAD

Last Name : KOSASIH

Date of Birth : 24 JULY 1972

Place of Birth : JAKARTA

Nationality : INDONESIA

Marital Status : MARRIED

Rank : MASTER / OFFICER

Religion : Moslem

Software Skill : Microsoft Word,Microsoft Excel

Height: 165 Cms

Weight: 63 Kgs

Shoes Size: 39

Coverall Size: M

English Competency

Write: MEDIUM

Speak: MEDIUM

Read: MEDIUM

Address: VILA MUTIARA BOGOR BLOK C1 NO. 11 KAYU MANIS BOGOR

KEC.TANAH SAREAL KEL. MEKAR WANGI - KOTA BGGOR - 16168

Mobile : 082********* 085*********

Email : ac7paf@r.postjobfree.com

Next of Kin: NINING HESTIANA

Relationship: WAFE

Phone: 081*********

Relationship & Phone no.

Details of Document

Number

Issued Date

Expired date

Place of Issue

Passport

B.4897258

OCT,06,2016

OCT,06,2021

BELAWAN

Seaman Book

C. 069326

JUNI,17 2017

JUNI,12 2019

JAKARTA

CERTIFICATE OF COMPETENCY (COC) as per STCW 2010

Grade

Number

Issue Date

Place of Issue

COC CLASS III managemant

6200003125N302214

OKT,03 2016

JAKARTA

Certificate of Endorsement managemant

6200003125NC0214

OKT,04 2016

JAKARTA

CERTIFICATES OF PROFICIENCY (COP) as per STCW 2010

Name of Certificates

Number

Issue Date

Place of Issue

Basic Safety Training

6200003125010115

APR,27 2015

JAKARTA

Proficiency In Survival Craft And Rescue Boats

6200003125060115

APR,27 2015

JAKARTA

Advanced Fire Fighting

6200003125040115

APR,,27 2015

JAKARTA

Ship Security Officer

6200003125240214

JUN,12 2014

JAKARTA

Medical First Aid

6200003125070213

APR,17 2013

JAKARTA

Medical Care On Board Ship

6200003125080213

APR,17 2013

JAKARTA

Arpa Simulator

6200003125020213

APR,02 2013

JAKARTA

Radar Simulator

6200003125030213

MAR,28 20013

JAKARTA

OFFSHORE NAVIGASI TRAINING

00135/ONT/PMTC/V/2OO4

MAY,22 2014

JAKARTA

Proficiency In GMDSS

6200003125210213

APR,08 2013

JAKARTA

Bridge Team Management Course

6200003125230215

JAN,28 2015

JAKARTA

Operational use of ECDIS training program

6200003125280214

JUN,27 2014

JAKARTA

Security awareness training

6200003125310214

AUG,27 2014

JAKARTA

Seafarers with designated security duties

6200003125320214

NOV,20 214

JAKARTA

BASIC TRAINING FOR OIL CHEMICAL TANKER CARGO OPS

6200003125390718

JAN,11 2018

JAKARTA

ADVANCED TRAINING FOR OIL TANKER CARGO OPERATION

6200003125410718

JAN,05 2018

JAKARTA

GENERAL OPERATOR CERTIFICATE

G. 045592

JUN,29 2015

JAKARTA

SEA SERVICES AS RECORDED IN SEAMAN BOOK / as per your experiences:

Vessel Name

And Flag

Vessel Type

HP

GRT

Service Period

Name of Company

Country

Rank

Reason for Leaving

From

To

MELATI

Harbour tag

361

22/04/96

13/10/97

PT.SUMATRA PUTRA

MASTER

FINISH CONTRACT

ARIA CITTRA 7

HARBOUR TAG

382

17/01/98

13/10/00

PT.ARIA INDONESIA

MASTER

FINISH CONTRACT

OCEAN DAIMON

TOWING

264

11/12/00

20/08/02

LABROYPTLTD S”PORE

C/O

FINISH CONRACT

TSS.API

LCT

640

10//08/01

12/12/01

PT.RIG TENDERS IND

C/O

MUTASION

SV.NATUNA

TOWING

466

12/12/01

30/08/03

PT.RIG TENDERS IND

C/O

FINISH CCNTRACT

TB.ERSIHAN JUMBBO

TOWING TAG

423

12/09/03

20/02/04

PT.ARUNG SAMUDRA

MASTER

FINISH CONTRACT

SV.OSAM CIVET

TOWING

482

09/03/04

10/11/05

PT.RIG TENDERS IND

MASTER

MUTASION

SV.OSAM EAGLE

SUPPLY BOAT

315

12/11/05

13/8/07

PT.RIG TENDERS IND

MASTER

MUTTASION

SV.OSAM TIGER

SUPPLY BOAT

315

13/08//07

04/09/07

PT.RIG TENDERS IND

MASTER

MUTASION

SV.OSAM JUMBO

SUPPLLY BOAT

687

26/09/07

01/03/09

PT.RIG TENDERS IND

MASTER

MUTASION

SV.RT ELANG

SUPPLY BOAT

365

29/04//09

23/03/10

PT.RIG TENDERS IND

MASTER

MUTASION

SV.OSAM TIGER

SUPPLY BOAT

315

27/04/10

26/04/11

PT.RIG TENDER IND

MASTER

MUTASION

SV.OSAM CIVET

SUPPLY BOAT

382

05/05/11

18/10/11

PT.RIG TENDER IND

MASTER

MUTASION

AWB. KASPADU 1

BARGE

8702

20/10/11

01/05/12

PT.RIG TENDER IND

MASTER

MUTASION

SV.CANOPUS

SUPPLLY

493

10/05/12

28/12/15

PT.RIG TENDER IND

MASTER

FINISH CONTTRACT

LCT. AYU 58

LCT

467

10/01/16

28/05/16

PT. AYU

MASTER

FINISH CONTtRACT

TB.TIRTA NIAGA V

TOWING TAG

204

10/07/16

20/08/16

PT.USDA SEROJA

MASTER

ONE WAY

MV. GJ 801

DREDGING

2995

25/08/16

15/12/16

PT.MARINDO MARITIME JY

C/O

FINISH CONTRACT

TB. SURYA WIRA 26

TOWING TAG

205

18/12/16

19/03/17

PT.TRASWIRA S”PORE

MASTER

FINISH CONTRACT

SV. OSAM DAISY 1

SUPPLY BOAT

498

20/03/17

01/12/17

PT. BAHTERA NIAGA INT

MASTER

ON BOAT

TB.BOMAS MAKMUR

TOWING TAG

249

06/12/17

26/02/18

PT.PULAU SEROJA JAYA

MASTER

MUTASION

TB.BOMAS VICTORY

TOWING TAG

299

26/02/18

PT.PULAU SEROJA JAYA

MASTER

ON BOARD

( AHMAD KOSASIH )

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