CURRICULLUM VITAE (CV)

PERSONAL IDENTITY
Name :
Registration number :
Department :
Place & datesof birth :
Sex :
Home address :
Instituation address :
Contact address :
E-mail address :

I. EDUCATIONAL BACKGROUND

No School Level Name of School Place Graduation Remark

1 Elementary school
2 Junior high school
3 Senior high school
4 Polytechnic/Diploma IV

II. DOCUMENTS

No Name of Serial Number Date of Place of Valid Until

Documents Issued Issued
1 Passpor
2 Seaman Book
3 Yellow Fever Book

III. CERTIFCIATES

N Name of Serial Certificate Number Date of Place of Issued

o Certificate Number Issued
1 BST
2 TFC
3 SAT
4 SCRB
5 RADAR
SIMULATOR
6 MFA
7 MC
8 AFF
9 ARPA SIMULATOR
1
STSDSD
0
1
ISM CODE
1

IV. ACADEMIC ACHIEVEMENS

N Semester GPA (General Point

o Average)
1 Semester I
2 Semester II
3 Semester III
4 Semester IV

V. FAMILY INFORMATION
Fathers Name :
Fathers Job :
Age :

Mothers name :
Mothers Job :
Age :

VI. OTHER RELEVANT INFORMATION

Hobby :
Blood type :
Your Faithfully
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