APPLICATION FORM
Position to Apply for : MASTER (Class I)
Name : Capt. Janner Wilmon Marihot M. Mar
Place/ Date of Birth : Medan, July 13th 1966
Religion : Christian
Meritial Status : Married
Nationality : Indonesia
Height/Weight : 166 cm / 70 kg
Address : Taman Nirwana Blok E No. 19 Bekasi Timur Indonesia
Sex : Male
Phone Number/Email : +62-821-****-****/************@*****.***
DOCUMENT
Name Document
Certificate Number
Place, Date of Issued
Date of Expire
Passport
B 2166320
Jakarta, September 30th 2015
September 30th 2020
Seaman Book
Y 016134
Jakarta, January 17th 2011
January 17th 2018
CERTIFICATE OF COMPETENCY
Name Certificate
Certificate Number
Place, Date of Issued
MPB –III
M.32.263/N/III/SMG/SCTW/89
Jakarta, October 16th 1989
MPB –II
DL.251/I/B/0676.IV/DII-95
Jakarta, April 20th 1995
ANT –II
6200018860N20102
Jakarta, March 01st 2002
ANT –I
6200018860N10207
Jakarta, September 21st 2007
Endorsement ANT -I
6200018860NA0207
Jakarta, February 21st 2013
ANT –I
6200018860N10214
Jakarta, July 16 th 2014
Endorsement ANT -I
6200018860N10214
Jakarta, July18th 2014
CERTIFICATE OF PROFICIENCY
Name Certificate
Certificate Number
Place, Date of Issued
Basic Safety Training
6200018860010114
STIP Jakarta, April 07th 2014
Advance Fire Fighting
6200018860060114
STIP Jakarta, April 07th 2014
Proficiency In Survival Craft and Rescue Boats
6200018860040114
STIP Jakarta, April 07th 2014
Operational Use Of ECDIS Training Programme
6200018860280111
STIP Jakarta, December 19th 2011
Radar Simulator
6200018860030215
BP3IP Jakarta, June 25th 2015
Arpa Simulator
6200018860020215
BP3IP Jakarta, June 26th 2015
Medical First Aid
6200018860070215
BP3IP Jakarta, July 08th 2015
Medical Care on Boat
6200018860080215
BP3IP Jakarta, June 26th 2015
Ship Security Officer
6200018860240215
BP3IP Jakarta, September 03rd 2015
GOC
42508/SOU/T/XI/2015
Jakarta, November 25th 2014
GMDSS
6200018860111105
Bina Sena Jakarta, November 5th 2015
BRM
6200018860230213
BP3IP Jakarta, May 23rd 2013
ISM Code
143/ISCM/IX/BP3IP04
BP3IP Jakarta, September 14th 2004
Tanker Familiarization
6200018860090109
STIP Jakarta, March 16th 2009
Oil Tanker
6200018860100109
STIP Jakarta, March 16th 2009
Chemical Tanker
6200018860110111
STIP Jakarta,January 24th2011
qSEA SERVICE RECORD
Vessel Name
Type of Vessel
Company/Flag
Rank
GT
Sign On
Sign Off
KM. Majapahit
Container
Djakrta Lloyd
Cadet
15000
11.07.1987
27.10.1988
MV. Ronjai
Cargo
KYC Line Singapore
2nd /Off
10000
27.04.1990
03.02.1992
MV. Equator
Passenger
Neptank Singapore
C/O
722
04.03.1992
01.03.1993
MT. Ruby
Tanker
Samta Ship Managemen Singapore
C/O
2836
03.03.1993
04.02.1994
MT. Ruby
Tanker
Samta Ship Managemen Singapore
Master
2836
09.10.1995
07.05.1997
MT. Hayini
Tanker
Hayini Diesel Singapore
Master
2844
03.06.1997
15.02.1998
MT. Ruby
Tanker
Samta Ship Managemen Singapore
Master
2836
15.02.1998
20.03.1999
MT. Ruby
Tanker
Samta Ship Managemen Singapore
Master
2836
25.05.1999
24.04.2000
MT. Fortune
Tanker
Samta Ship Managemen Singapore
Master
1833
12.10.2000
22.12.2001
MT. Maple
Tanker
Jurong Oceanic Singapore
Master
1957
25.02.2003
28.11.2003
MV. Amal
Tanker
Coral Shipping Greece Athena
Master
1433
10.02.2005
01.02.2006
MT. Orion
Tanker
IS Ship Management Singapore
Master
3167
25.03.2006
19.04.2007
MV. Halul 30
AHTS
Halul Ofshore Service Company WLL
Master
1218
09.11.2007
16.03.2008
MT. Amira
Tanker
Coral Shipping Greece Athena
Master
2973
26.04.2008
20.10.2008
MV. Oriental Courage
Tugboat
BALTIC Singapore
Master
655
04.04.2009
06.10.2009
MT. Maju Jaya
Tanker
Cahaya Shipping Singapore
Master
6379
27.11.2009
02.04.2010
MV. Standford Prince
AHTS
Standfort Marine Dubai
Master
680
22.04.2010
08.10.2010
MT. Asumi XXVI
Tanker
Aquarius Maritime Singapore /Jakarta
Master
3611
13.02.2011
30.10.2011
MT. Asumi XXVI
Tanker
Aquarius Maritime Singapore /Jakarta
Master
3611
30.05.2012
25.01.2013
MT.Amira
Tanker
Coral Shipping Greece Athena
Master
2973
30.06.2013
20.03.2014
MT. Almuntazah
Tanker
Coral Shipping Greece Athena
Master
3676
22.08.2014
23.05.2015
Best Regards, Capt. Janner Wilmon Marihot M. Mar