To :

From : M. NASIR
RE : Job Application
Dear Sir,
I would to apply a job at your company for the position as Wipe, and I am ready to be plane on
board with route of voyoge determined by the company offer. Here are below my complete data.

Curriculum Vitae
I. PERSONAL INFORMATION
Name M. NASIR
Place/Date of Birth Lhokseumawe, 20 May 1990
Sex Male
Address Dusun Rancong Baroe Kec. Muara Satu Lhokseumawe
Phone/Mobile Phone +6212 6411 2977
Status Single
Nationality Indonesia
Hight 170 Cm
Weight 55 Kg
shoes 41

II. DOCUMENT HOLD

No Type of Document Serial Namber Place / date of issued Date of expired
1 Seamen Book Y041345 Belawan, 18 May 2016 28 April 2018

III. CERTIFICATE OF COMPANY

No Type of Document Serial Namber Place / date of issued
1 Engine Room Wacthkeeping 6201461498T60211 Jakarta, 18-08-2011
Aceh Besar, 07
2 Ratings As Able Seafarer Engine 6201461498423816
November 2016

IV. CERTIFICATE OF COMPANY

No Type of Document Serial Namber Place / date of issued
Aceh Besar, 06 June
1 Basic Safety Trining 62014614980103816
2016
Proficiency In Survival Craft And Rescue Aceh Besar, 07 June
2 6201461498043816
Boats 2016
Aceh Besar, 26
3 Advance Fire Fighting 6201461498063816
August 2016
Aceh Besar, 02 May
4 Medical First AID 6201461498073817
2017
Aceh Besar, 22 May
5 Medical Care On Board Ship 6201461498083817
2017
Aceh Besar, 07
6 Security Awareness Training 6201461498313817
February 2017
Seafarers With Designated Security Aceh Besar, 09 May
7 6201461498323817
Duties 2017

Sea service record

Sign
Name of Vassel Vassel Type Rank / Position DTW FLAG
On Off
KM. INDAH 980/2X790
CARGO WIPER 02-08-10 16-03-11 INDONESIA
VIRGO KW
3066/3200
KM. PASE JAYA CURAH OILER 04-05-12 16-03-11 INDONESIA
PK
TB. BLANG 367/2x2100
TOG BOAT OILER 13-12-13 S/D LOKAL
LANCANG III HP
TB. BLANG 367/2x2100
TOG BOAT OILER 01-09-13 S/D LOKAL
LANCANG I HP