APPLICATION FOR THE POST OF: = *ND ENGINEER
CURRICULUM VITAE (CV)
A. PERSONAL DATA
* **** (Exactly As in Passport) Achmad Ikrom Handphone +628*******
* ***** ** ***** ****** Nationality & Race Indonesian
3 Date of Birth 13.07.1980 Home Telephone No. +628213705
4 International Passport No. A.6587716 Passport Exipry Date 07-Oct-2018
5 Seaman Book No. E.157534 Seaman Book Expiry Monday, Feb
6 Working Coverall Size Midium Working Shoe Size 29/7
7 Body Weight in KG 58 Kg Religion Islam
8 Medical Cert issue Date Tuesday, October 28, 2014 Medical Cert Expiry 28/10/2016 E
9 Email Address ******.*******@*****.*** Drug & Alcohol Date NIL
10 Main Airport Name Ahmad Yani Semarang
11 Home Address D/A:Sendang Kulon Gg.Jambu Rt/Rw-03/01 kec kangkung - kab kendal jateng Indonesia
12 Continue Home Address Indonesia Home Telephone No. +628*******
13 Sri Megawati Relationship Wife
14 Emergency Contact Name Sri Megawati Contact No +628*******
CERTIFICATE OF
B. COMPETENCY
Certificate No. Issued Date Expiry Date
Description of Certificate Certificate Class
1 Engineer Officer AMKPT Mei-15-1999
DL.251/II/E/072/V/SMG.99
Agus-09-1999 Agus-09-2003
5531/AMK.PT/PST/VIII/1999
2 Engineer Officer ATT V Mei-15-2002
6200001426T50302
COC Endorsement Jun-06-2002 Jun-06-2007
6200001426T50302
3 Engineer Officer ATT IV Sep-01-2006
6200001426T40306
COC Endorsement 6200001426TD40306
4 Engineer Officer ATT III Oct-27-2009
6200001426T30309
COC Endorsement Mar-19-2014 Dec-31-2016
6200001426TC0309
COE Singapore Nov-17-2009 Nov-02-2014
6200001426T30309
5 Engineer Officer ATT II Oct-22-2015
6200001426T20315
COC Endorsement Management Oct-29-2015 Oct-29-2020
6200001426TB0315
COE Singapore 6200001426T20315 Feb-15-2015 Oct-29-2020
COURSE ATTENDED &
C. CERTIFICATES OBTAINED
Certificate No Issued Date Expiry Date
Description of Certificate
1 Basic Safety Training 6200001426010316 Nov-30-2016 Nov-30-2021
2 Advance Fire Fighting 6200001426060309 Dec-01-2016 Dec-01-2021
3 Survival Craft & Rescue Boat 6200001426040316 Dec-01-2016 Dec-01-2021
4 Medical Care 6200001426080316 Dec-07-2016 Dec-07-2021
5 Medical First Aid 6200001426070316 Dec-01-2016 Dec-01-2021
6 ISM Code 25.092/ISM/PIP.SMG/1/06 Jun-02-2006
7 BOCT 6200001426390315 Dec-22-2015 Dec-22-2020
8 AOT 6200001426410310 Jan-06-2016 Jan-06-2021
9 ACT 6200001426400717 Mar-03-2016 Mar-03-2022
10 ERRM 62000001426270316 Dec-08-2016 Dec-08-2021
11 SAT/SDSD IMETA/COP/STSDSD/2014/1661 Jan- 28-2014
12 SAT 6200001426310215 Mar-06-2015 Mar-06-2020
13 SDSD 6200001426320215 Mar-06-2015 Mar-06-2020
14 SSO Certificate 6200001426240215 Mar-06-2015 Mar-06-2020
15 HUET(BOSIET&SbB) 939257070309144687 Sep-03-2014 Sep-03-2018
16
SEA SERVICES RECORD AS IN
E. MUST BE TRUE and HONEST SEA SERVICES and Previous RANK.
SEAMAN BOOK. INDICATE Sig
DP1
MAXIMUM
Type of Engine ned Signed
/DP
Vessel Name Company & Country Vessel GRT Type Rank On Off
2
1 TB Raja wali II 95
Top Nice 3nd Eng
Tagboat Yanmar 15/07/1999 25/07/2000
2 TB Jaya Able 250
Jaya Offshore 3nd Eng
Tagboat Nigata 19/09/2000 17/10/2001
3 TB Jaya Sanergi 258
Jaya Offshore 2nd Eng
Tagboat Wartsila 05/12/2001 22/08/2002
4 TB Jaya Sea Hock 258
Jaya Offshore 2nd Eng
Tagboat Wartsila 13/11/2002 16/06/2003
5 SV Jaya platinum 1350
Jaya Offshore 3nd Eng
AHTS Caterpillar 20/08/2003 27/05/2004
6 SV Jaya Amarah 2 1500
Jaya Offshore 3nd Eng
AHTS Max 19/07/2005 28/12/2005
7 SV Jaya Emetis 2 2250
Jaya Offshore 3nd Eng
AHTS Caterpillar 09/12/2006 10/05/2007
8 SV Jaya Coral 2 2250
Jaya Offshore 3nd Eng
AHTS Max 24/08/2007 17/01/2008
9 SV Jaya Cheftain 2 2300
Jaya Offshore 3nd Eng
AHTS Max 28/09/2009 16/02/2010
10 SV Jaya Voyager 2 2300
Jaya Offshore 3nd Eng
PSP Nigata 16/04/2010 29/12/2010
11 SV Jaya Marinir 2 2 1350
Jaya Offshore 3nd Eng
AHTS Caterpillar 06/02/2011 25/12/2011
12 SV Jaya Amarah 1 1500
Jaya Offshore 3nd Eng
AHTS Max 03/12/2012 23/04/2013
13 SV Djm Fortune 3 2 1650
Jaya Offshore 3nd Eng
AHTS Wartsila 11/12/2014
14 SV Jaya Defender 2 1500
Jaya Offshore 3nd Eng
AHTS Max 22/06/20015
15 MMA Privilege 3 6363
MMA 2nd Eng
PSP Wartsila 07/08/20015 18/03/2016
16 MMA Brewster 3 3804
MMA 2nd Eng
PSP Caterpillar 04/06/2016 02/01/2017
17
INDICATE SOME ENGINE MODEL
F. EXAMPLE OF ENGINE MODEL AS BELOW
NUMBER.
1 Hitachi B&W 2 Yanmar 3 Yanmar 4 Akasaka
6 Caterpillar 3516 7 Wartsila 6L26 8 Caterpillar 3516 9 Caterpillar 3516
11 INDICATE SOME ENGINE MODEL 12 Nigata 8MG28HLX 13 Wartsila 9L32 14 Mitshubisi
NUMBER.
R
EC
EN
T
PH
O
TO
IN
JP
EG
628********** / +628**********
ndonesian
7-Oct-2018
onday, February 24, 2020
9/7
slam
8/10/2016 Expeyer
IL
onesia
ife
y Date Country Issue
Semarang
Jakarta
09-2003
Jakarta
Jakarta
6-2007
Jakarta
Jakarta
Jakarta
Jakarta
1-2016
Singapore
2-2014
Jakarta
Jakarta
9-2020
Singapore
9-2020
y Date Country Issue
Semarang
Semarang
Semarang
Semarang
Semarang
Semarang
Semarang
Semarang
Jakarta
Semarang
Batam
Jakarta
Jakarta
Jakarta
Batam
BHP/K- Reason For
Flag WATT Leaving
1500 Finished Contract
Singapore
1250 Finished Contract
Singapore
2250
Singapore Finished Contract
2250
Singapore Finished Contract
4550
Singapore Finished Contract
8500
Singapore Finished Contract
5000
Singapore Finished Contract
6500
Singapore Finished Contract
11500
Singapore Finished Contract
6500
Singapore Finished Contract
5850
Singapore Finished Contract
8500
Singapore Finished Contract
5250
Singapore Transfer
11500
Singapore Finished Contract
12000
Australia Finished Contract
11500 Finished Contract
Australia
5 Hitachi B&W
10 Wartsila 9L26
516
15