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FREE OF CHARGE

CHECK LIST DOKUMEN


SEBELUM FAMILIARISASI

Nama Yusrijal
Jabatan 2ND OFFICER
Kapal
Nomor EKTP 1173011911720001
Nomor Kartu Keluarga 7311032609180003
Nomor BPJS Ketenagakerjaan 21013527417
Nomor BPJS Kesehatan 0001141113227
NPWP 41.091.549.0­802.000
FOTO COPY BUKU REKENING

KELENGKAPAN DOKUMEN
No DOKUMEN ISSUED EXPIRED NOMOR KETERANGAN
1 ACT C
2 AFF 27 Nov 2019 27 Nov 2024 6200565387060419 A
3 ALGT G
4 AOT T
5 Approval BOC Pertamina A
6 ARPA 20 May 2014 6200565387020614 A unlimited
7 BLGT G
8 BOCT T
9 BRM 17 Nov 2019 17 Nov 2024 6200565387230419 A
10 BST 29 Nov 2019 29 Nov 2024 6200565387010419 A
11 CTSTP T
12 CV A
13 ECDIS F
14 Endorse Ijasah 16 Jan 2020 16 Jan 2025 6200565387ND0420 A
15 ERM A
16 FRC S
17 GMDSS 14 Dec 2021 16 Dec 2026 6200565387GA0121 A
18 Ijasah 16 Jan 2020 19 Dec 2025 6200565387N40420 A
19 KONDITE A
20 LeaderShip & TeamWork F
21 Marlin Test A
22 MC 16 Jul 2024 6200565387070614 A unlimited
23 MCU A
24 MFA 10 Jun 2014 6200565387070614 A Unlimited
25 ORU 22 Nov 2021 22 Nov 2026 93903/SOU/XI/2021 A
26 PASPORT 24 Aug 2020 24 Aug 2025 C6704336 A
27 RADAR 09 May 2014 6200565387030614 A unlimited
28 RAGGER S
29 SBSOT T
30 SCRB 27 Nov 2019 27 Nov 2024 6200565387040419 A
31 SDSD & SAT 19 May 2014 6200565387310614 A Unlimited
32 SEA MAN BOOK 15 Jun 2020 15 Jun 2023 F336702 A
33 SSO 17 Jun 2014 6200565387240614 A unlimited
Ket. A : Semua Kapal C : Chemical F : Fakultatif G : Gas S : AHTS/Supply T : Tanker/OTB

Verifikasi Oleh PT. Peteka Karya Gapura


Staf Operasional Asesor Manager Usaha

Verifikasi oleh PT. Pertamina Trans Kontiental


Asisten Manager Crew Developer Asisten Manager Equipage Manager Manning

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