COMPANY PROFILE

CV. JOGJA GEOLOGI SURVEY

Office Perum Villa Gading Indah Sleman Yogyakarta
Telp. 085323353108, Email : geosurveygeologi@gmail.com
 DAFTAR ISI
COMPANY PROFILE
CV. jogja geologi survey

1. Our Dear Partner

2. Vision and Mission
3. Bussines Field
4. Organization Struktur
5. Bussiner Partner
6. Collage Partner
7. Experience Company
VISION
Being a company that always puts the professional
in service and becomes a productive, innovative
company based on creativity, taste and intention.

MISSION
 Being a company that provides professional
services and goods
 Optimizing resources for the benefit of its
business partners and producing open financial
performance.
 Being a company with an insight into the
environment mining activities.
 Being a company that always maintains top
quality all products produced.
Bussines Field

Handling spatial survey work, mapping and

management of information systems related to
aspects of natural resources and environmental
aspects.

SURVEY, EXPLORATION AND MEASUREMENT

Oil and Gas Mining, Hydrology and Hydrogeology,
Geotechnics, Environment and Regional
Development.

GEOLOGY
 Surface and bottom geological mapping
 good surface of coal, minerals to geothermal.
 Geological modeling of exploration and
exploitation targets.
 Inventory of mineral and natural gas potential.
 Evaluation of mineral and energy resources.

GEOTECHNICAL ENGINEERING
 Survey and geotechnical drilling.
 Investigation of soil and rock mechanics.
 Measuring and stability testing of the site.
HYDROGEOLOGY
 Survey of potential springs
 Groundwater drilling.
 Test pumping and construction of production
wells
 Planning and design of drainage networks
 Inventory and evaluation of water resources

GEOCHEMISTRY
 Survey and mapping of geochemical anomalies
 Geostatistics of geochemical samples

GEODESY
 Terrestrial survey
 GPS surveys and measurements
 Engineering surveys and measurements

GEOPHYSICS
 Survey and estimation of coal, minerals,
geothermal with geoelectricity
 Geomagnetic survey and mapping (iron ore)
 Geoelectric and geomagnetic analysis and
modeling
 Akuifer survey with geoelectric method
 Geophysical analysis of drilling holes
 Microseismic survey, Gravity Survey,
Electromagnetic survey
MINING
 Measure the mine
 Estimas of coal, mineral and natural gas
reserves
 Mining engineering planning and design
 Survey and preparation of mining Amdal

PLANOLOGY
 General spatial planning
 Planning and design of facilities and
infrastructure
 Planning and structuring of the area design

SPATIAL INFORMATION SYSTEM

 Spatial Database Management
 Spatial Analysis and Modeling

TRAINING OF GEOLOGY AND MINE PROGRAMS

 Gis Arc 10
 Info folder 10
 Logplot 7
 Autocad Land Desktop 2009
 Mine modeling and design program
Agung Tri Bawana, ST

Ir. Dewarman Sitompul, MSC

DIVISION OF GEOLOGY AND GEODESY
Reza Kanino, ST
Andi Soedarmanto, ST
Joandry Sandy, ST
Syarif Hidayatullah, ST
Moh. Sutikno Hasi, ST
Rico Nataniel Radonkir, ST
Peterus Kea Seda, ST
Airlangga Virgianto, ST

GEOPHYSICAL DIVISION
Rizqi Prastowo, M.Sc.
Bussines Partner

1. CV. Geomap
2. CV. Asa Mitra Sejati (Project Bijih Besi) -
Kalimantan Tengah
3. PT. Chakung Prima Steel (Project Bijih Besi) -
Kalteng
4. PT. Paramita Persada (Project Nikel) - Sulawesi
5. PT. Indosement (Project perhitungan cadangan
data skunder)
6. PT. Chairil Sakti (Project Nikel ) - kalimantan
Timur
7. PT. Kayong Bumi Prima (Project bauksit) -
Kalimantan Barat
8. PT. Sarko Bungo Sedayu (Project Batubara) -
Jambi
9. PT. Mega Bintang Borneo (Project Nikel &
Bauksit ) - Solomon Island
10. PT. Golden Solomon Limited (Project Nikel &
Bauksit ) - Solomon Island
11. PT. Gresindo Aroma (Project Artesis) Bogor
12. PT. KUIMM (Eksplorasi Nikel) – Sulawesi
Tenggara
13. PT. Mineralindo (Project Quarry) – Tasikmalaya
14. PT. Anugrah Starindo Sakti (Project Quarry) -
Ciamis
15. CV. Pandawa Agrowisata (Project Geotec) –
Yogyakarta
16. Universitas Negeri Yogyakarta (Akuifer project) -
Yogyakarta
17. Atma Jaya University (Akuifer project) –
Yogyakarta
Collage Partner

1. UPN “Veteran” Yogyakarta

2. STTNAS, Yogyakarta
3. IST, AKPRIND, Yogyakarta
4. UII Yogyakarta
5. UGM Yogyakarta
6. Senior High School 2 Depok, Study
Program of Mining Geology
Experience Company

1. Nickel and Bauxite Exploration in the Solomon

Islands (2014 - Present) - PT Mega Bintang
Borneo
2. PT. Golden Solomon Limited (Nickel & Bauxite
Project) - Solomon Island (2014 - Present)
3. PT. Australia Resource Limited (Nickel & Bauxite
Project) - Solomon Island (2014 - Present)
4. Training in Geology - Mining Program (2013 -
Present) UPN, STTNAS and AKPRIND
Yogyakarta
5. GPS Training and Geological Compass (2013 -
Present) UPN, STTNAS, AKPRIND Yogyakarta
6. Exploration of Iron Ore Geomagnetic Method in
Central Kalimantan (2013) - CV. Asa MitraSejati
and PT. Chakung Prima Steel
7. Calculation of Clay Mineral Reserves from
secondary data (2013) PT. Indosement
8. Coal Exploration in Jambi (2013) - PT Sarko
Bungo Sedayu
9. Coal Exploration in East Kalimantan (2013) - PT
Sarana mandiri Utama
10. Gold Exploration in Johor Malaysia (2013) - PT.
West Kalimantan Resources Sustainable
11. Andesite Exploration and resources modelling
(2018)- Madiun.
12. Andesite Exploration and resources modelling
(2018)- Kulon Progo.
 PEMERINTAH REPUBLIK INDONESIA

PERIZINAN BERUSAHA BERBASIS RISIKO

IZIN : 21062200157580001

Berdasarkan Undang-Undang Nomor 11 Tahun 2020 tentang Cipta Kerja, Pemerintah Republik Indonesia menerbitkan Izin Usaha
Jasa Pertambangan (IUJP) kepada Pelaku Usaha berikut ini:

1. Nama Pelaku Usaha : CV JOGJA GEOLOGI SURVEY

2. Nomor Induk Berusaha (NIB) : 2106220015758
3. Alamat Kantor : Jalan Panumbangan, Desa/Kelurahan Cipondok, Kec. Sukaresik, Kab.
Tasikmalaya, Provinsi Jawa Barat,
Kode Pos: 46418
4. Status Penanaman Modal : PMDN
5. No. Telepon : 085323353108
6. Kode Klasifikasi Baku Lapangan Usaha Indonesia : 09900 - Aktivitas Penunjang pertambangan dan penggalian lainnya
(KBLI)
7. Lokasi Usaha : JL. Panumbangan, RT/RW 003/001 Desa Cipondok Kecamatan Sukaresik
Kabupaten Tasikmalaya, Desa/Kelurahan Cipondok, Kec. Sukaresik, Kab.
Tasikmalaya, Provinsi Jawa Barat,
Kode Pos: 46459
8. Status : Telah memenuhi persyaratan

Lampiran Izin ini memuat daftar persyaratan dan/atau kewajiban sesuai dengan kode KBLI Pelaku Usaha dan merupakan bagian
tidak terpisahkan dari dokumen Izin yang dimaksud. Pelaku Usaha dengan Izin tersebut di atas wajib menjalankan kegiatan
usahanya sesuai dengan ketentuan peraturan perundang-undangan.

Diterbitkan tanggal: 22 September 2022

a.n. Menteri Energi dan Sumber Daya Mineral

Menteri Investasi/
Kepala Badan Koordinasi Penanaman Modal,

Bahlil Lahadalia

Dicetak tanggal: 22 September 2022

1. Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh BSrE-BSSN.
2. Data lengkap Perizinan Berusaha dapat diperoleh melalui sistem OSS menggunakan hak akses.
 PEMERINTAH REPUBLIK INDONESIA

PERIZINAN BERUSAHA BERBASIS RISIKO

LAMPIRAN
IZIN : 21062200157580001

Lampiran berikut ini memuat daftar bidang usaha, persyaratan dan/atau kewajiban:

Kode Klasifikasi Bukti Lembaga Masa

Judul KBLI Persyaratan dan/atau Kewajiban
KBLI Risiko Pemenuhan Verifikasi Berlaku
09900 Aktivitas Tinggi Persyaratan: Telah Kementerian 5 Tahun
Penunjang - Daftar Tenaga Ahli, dalam bentuk tabel yang meliputi: a. memenuhi Energi dan
pertambangan Nama Tenaga Ahli b. Keahlian yang dibuktikan dengan persyaratan Sumber
dan sertifikat kompetensi atau sertifikat pelatihan *) c. KTP/Izin Daya
penggalian Mempekerjakan Tenaga Kerja Asing *) d. Ijazah *) e. Mineral
lainnya Curriculum vitae *) f. Surat pernyataan tenaga ahli yang
ditandatangani oleh tenaga ahli yang bersangkutan, yang
menyatakan bahwa tenaga ahli yang bersangkutan adalah
benar sebagai tenaga ahli pada badan usaha pemohon
IUJP
- Daftar pemegang saham sampai dengan perseorangan
penerima manfaat akhir (Beneficial Ownership)
- Daftar peralatan, dalam bentuk tabel yang meliputi: a.
Jenis b. Jumlah c. Kondisi kelayakan penggunaan yang
dinyatakan dalam persentase; dan untuk peralatan angkat,
gali, muat dan angkut melampirkan surat pernyataan
kelayakan (mechanical availability) yang ditandatangani
oleh kepala bagian mekanik/permesinan atau orang yang
berkompeten; d. Lokasi keberadaan alat e. Status
kepemilikan: 1) untuk peralatan dengan status sewa, salinan
dokumen perjanjian sewa peralatan harus dilampirkan, 2)
apabila belum mempunyai peralatan baik milik sendiri
maupun sewa, harus melampirkan surat perjanjian
kerjasama (MoU) atau surat dukungan dengan perusahaan
yang memiliki peralatan, 3) melampirkan surat pernyataan
yang ditandatangani oleh Direksi diatas materai apabila
status kepemilikan peralatan adalah milik badan usaha
pemohon
- Jenis Kegiatan Jasa Pertambangan (Bidang dan
Subbidang)

Kewajiban:
- Menyusun dan Menyampaikan Laporan Kegiatan kepada
Menteri atau Gubernur sesuai kewenangannya
- Wajib mengutamakan penggunaan kontraktor lokal dan
tenaga kerja lokal

1. Dengan ketentuan bahwa Izin tersebut hanya berlaku untuk Kode dan Judul KBLI yang tercantum dalam lampiran ini.
2. Pelaku Usaha wajib memenuhi persyaratan dan/atau kewajiban sesuai Norma, Standar, Prosedur, dan Kriteria (NSPK)
Kementerian/Lembaga (K/L).
3. Verifikasi pemenuhan persyaratan Pelaku Usaha dilakukan oleh Kementerian/Lembaga/Pemerintah Daerah terkait.
4. Lampiran ini merupakan bagian tidak terpisahkan dari dokumen Izin tersebut.

1. Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh BSrE-BSSN.
2. Data lengkap Perizinan Berusaha dapat diperoleh melalui sistem OSS menggunakan hak akses.
 PEMERINTAH REPUBLIK INDONESIA

PERIZINAN BERUSAHA BERBASIS RISIKO

LAMPIRAN
IZIN:21062200157580001

Lampiran berikut ini memuat data teknis Izin Usaha Jasa Pertambangan Baru, sebagai berikut:
1. Nama Pelaku Usaha : CV JOGJA GEOLOGI SURVEY
2. Jenis, bidang dan subbidang usaha jasa : Terlampir

Dengan Ketentuan:
1. Izin Usaha Jasa Pertambangan diberikan untuk jangka waktu 5 (lima) tahun sejak diterbitkannya Perizinan
Berusaha ini dan dapat diperpanjang untuk jangka waktu 5 (lima) tahun setiap kali perpanjangan sesuai dengan
ketentuan peraturan perundang-undangan.
2. Pemegang Izin Usaha Jasa Pertambangan mempunyai hak dan kewajiban serta dilarang melanggar larangan
sesuai dengan ketentuan peraturan perundang-undangan.
3. Pemegang Izin Usaha Jasa Pertambangan berhak mengajukan perubahan bidang dan subbidang usaha jasa
sesuai dengan ketentuan peraturan perundang-undangan
4. Pemegang Izin Usaha Jasa Pertambangan dapat diberikan sanksi sesuai dengan ketentuan peraturan
perundang-undangan.

0ggoWq/21062200157580001
1. Dokumen ini diterbitkan sistem OSS berdasarkan data dari Pelaku Usaha, tersimpan dalam sistem OSS, yang menjadi tanggung jawab
Pelaku Usaha.
2. Dalam hal terjadi kekeliruan isi dokumen ini akan dilakukan perbaikan sebagaimana mestinya.
3. Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh BSrE-BSSN.
4. Data lengkap Perizinan Berusaha dapat diperoleh melalui sistem OSS menggunakan hak akses.
SUSUNAN PENGURUS
NO. NAMA PENGURUS JABATAN NPWP PENGURUS
1 FAIDZIL CHABIB DIREKTUR UTAMA 41.696.147.2-425.000
2 YUNA GALING PANGDUGI KOMISARIS UTAMA 53.513.053.8-425.000

PEMEGANG SAHAM
NAMA PEMEGANG
NO. ASAL NEGARA NILAI INVESTASI PERSENTASE SAHAM (%)
SAHAM
1 FAIDZIL CHABIB INDONESIA 475.000.000 RP 90
2 YUNA GALIH PANGDUGI INDONESIA 25.000.000 RP 10

KLASIFIKASI BIDANG USAHA

NO. JENIS USAHA BIDANG USAHA SUB BIDANG USAHA
1 PELAKSANAAN EKSPLORASI PEMETAAN GEOLOGI
2 PELAKSANAAN PENYELIDIKAN UMUM SURVEI TINJAU (RECONNAISSANCE)
3 PELAKSANAAN EKSPLORASI PEMETAAN TOPOGRAFI
4 PELAKSANAAN EKSPLORASI GEOFISIKA

0ggoWq/21062200157580001
1. Dokumen ini diterbitkan sistem OSS berdasarkan data dari Pelaku Usaha, tersimpan dalam sistem OSS, yang menjadi tanggung jawab
Pelaku Usaha.
2. Dalam hal terjadi kekeliruan isi dokumen ini akan dilakukan perbaikan sebagaimana mestinya.
3. Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh BSrE-BSSN.
4. Data lengkap Perizinan Berusaha dapat diperoleh melalui sistem OSS menggunakan hak akses.
DATA PENGURUS DIREKTUR DAN NPWP PERUSAHAAN
DATA CV TENAGA AHLI
DAFTAR TENAGA AHLI (Terlampir)

Latar
Keahlian/
No Nama Belakang KTP Ijazah CV SP Asal Negara
sertifikat
Pendidikan
1 Willy Haikal T. Geologi GeoloGist ✓ ✓ ✓ ✓ Indonesia
2 Agung Tribawana T. Geologi POP dan POM ✓ ✓ ✓ ✓ Indonesia
3 Yudi Peramito T. Tambang Ahli K3 ✓ ✓ ✓ ✓ Indonesia
Ahli Teknik
4 Nurcholis Salman T. Lingkungan Lingkungan ✓ ✓ ✓ ✓ Indonesia
Dewarman
5 Sitompul, Msc T. Geologi GeoloGiist ✓ ✓ ✓ ✓ Indonesia
6 Fajar Setiyawan T. Geologi POP ✓ ✓ ✓ ✓ Indonesia
Lampiran Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
1. WILLY HAIKAL
 WILLY HAIKAL ST.
Jl. Tembaga Gg. Penggung No 2 Rt 02/04, Kel Karangtalun
Kabupaten Cilacap 53234, Jawa Tengah Indonesia
Mobile phone : 085725907402 ; 081328712084

CURRICULUM VITAE

Personal data

Name : Willy Haikal ST

Place & date of birth : Bangun Sari, March 30th 1985
Sex : Man
Status : Married
Nationallity : Indonesia
Address : Jl. Tembaga Gg. Penggung No 2 Rt 02/04, Kel Karangtalun Cilacap
Nomor Handphone : 0857-2590-7402 ; 0813-2871-2084
SIM : SIM A and C
E-mail : whaikal13@gmail.com

Education

Primary School : SDN 1 Bantan, Regency. OKU Timur Sumatera Selatan (1990 – 1996)
Junior High School : SMPN 1 Martapura, Reg. OKU Timur Sumatera Selatan (1996 –1999)
Senior High School : SMU Al Irsyad Al Islamiyyah Cilacap, Jawa Tengah (1999 – 2002)
College : Sekolah Tinggi Teknologi Nasional Yogyakarta
Faculty Of Mineral Technology Departement of Geological Engineering
(from September 2002 – Agustus 2008, with GPA 3.10 (Max Index 4.00))

SOFTWARE

Microsoft Office (Word, Excell & Power Point), Corel Draw, Global Mapper, Map Info, Surpac
(Pemula) dan ArcGis.

WORK EXPERIENCE
1. August 2008 – September 2008 : Geologist at CV Natresc Indonesia.
Job Description : Responsible in determining the drill point and the analysis of the drilling
cutting results and making the results of the Field report in Regency Maba north Maluku

2. October 2008 : Consultant Geologist at CV. Sellita Mineral

Job Deskription : Geologist in coal Eksploration in Nahaya sub-Dsitrict, Tanjung Selor
district, East Kalimantan.

3. November 2008 – Desember 2008 : Geologist at CV Geoworld Mapping Service.

 Job Description : Geologist in the Exploration of iron Ore Reserves in the District
Tenggalek East Java.

4. January 2009 – February 2009 : Wellsite Geologist at PT. Sinergi Heksa Utama.
Job Description : Monitoring of Drilling wells, Logging analysis, Reporting Daily and Final
Report in Kecamatan Melak Kabupaten Kutai Barat East Kalimantan

5. March 2009 – Desember 2012 : Mud Logger at PT. Exlog Sarana Indonesia.
Job Description : Monitoring drilling parameters from Data Acquisition system, total gas
analysis, chromatograph and gas composition analysis of the recording data system. Collect
and description of cutting samples, litology analysis and stratigrapic interpretation of oil and
gas drilling. Understanding sensors and mounting of petron units, calibration, error searching
of sensors, pneumatic systems, aqusition data systems.

6. January 2013 – August 2015 : Mud Logger at PT. Kerui Indonesia.

Job Description : Monitoring Drilling Parameters of the Data Acquisition System, total gas
analysis, chromatograph and gas composition analysis of the recording data system. Collect
and descriptions of cutting samples, lithology analysis and stratigraphic interpretation.
Preparation of Daily Reports and Reports on wells from Oil and Gas Drilling. Sensor
understanding and sensor installation from and inside the cabin unit of work along with
calibration.

7. January 2016 – April 2016 : Konsultan Geologist at CV Jogja Geologi Survey.

Job Descrition :
- Geologist in mapping for Hydrology of Klapanunggal sub-district Bogor Regency West
Java.
- Geologist in Andesite rock geology mapping as split base material in village
Pomutan District Kalipucang Pangandaran Regency.

8. May 2016 – June 2016 : Project Control at PT Dwijatek Perkasa.

Job Descrition : ((Project maintenance Housing at PT Chevron Pacific Indonesia, Duri Kab
Bengkalis Riau) Collecting progress data from the field and calculating progress on housing
renovation, coordinating schedule control and progress progress, attending meetings meeting
held by main contractor once a week coordinating project cost control so as not to exceed the
budget that has been determined, create documentation in the form of photographi during the
project, make project closing report.

9. July 2016 – September 2016 : Konsultan Geologist at CV Jogja Geologi Survey.

Job Description : Geologist in Gees Andesite geology mapping as split base material in
Karehkel village, Leuwiliang district, Bogor regency.

10. October 2016 –June 2017 : Spool and Document Control at Nastiti Karya Lestari.
Job Description : (Project Improvement Pier # 9 Piping work at Pertamina RU III Plaju,
Palembang, South Sumatra Provinces) Collect data from the field and assist progress
reports of work activities to the Project Engineer, calculate progress from each section of
Pipe linkage and overall job progress, documentation to in a form in the form of a
photographi during a running project, is responsible for helping the Project Engineer
report. Project finance and calculate the use of used materials and material waste during
Piping's work.
AREA JOB AT PT EXLOG SARANA INDONESIA

The name of the drilling Area Owner of well area (Operator)

well Drilling field Oil & Gas
Larashati Marine java - Offshore CNOOC
T-158, T-159, T-164 Tanjung, Kalimantan UBEP Pertamina Tanjung
TT-29, TT-269 Selatan
Bunga Matahari – 1 Lahat,Sumatera Selatan Bunga Mas International Company
SG-17, A- 8, A-11 Sungai Gelam, Jambi EMP Gelam
Siera-3 Musi Rawas, Sumatera Seleraya Merangin Dua (SRMD)
Selatan
KYM-1, JBS-A Cirebon, Jawa Barat Pertamina Cirebon
SHO-2 Banyuasin, Sumatera Medco Energy
Selatan
KW CBM-3 Samarinda, Kaltim Newton Energy Capital Limited
TEC BM-P01, Muralim- Muara Enim, Sumatera Dart Energy
X02 Selatan
ASDJ – 31T, ASDJ – 32 Ogan Komering Ulu, Pertamina – Talisman
Sumatera Selatan
MBR 2011 - 01 Tarakan, Kalimantan Medco Energy
Utara

AREA JOB AT PT KERUI INDONESIA

The name of the drilling Area Owner of well area (Operator)

well Drilling field Oil & Gas
Asap – 2X, Rajawali – 1X, Sorong Papua Barat - Genting Oil Company
Kido – 1X, Bedidi Deep – Onshore
1X, Merah – 2X.

Best Regards,

Willy Haikal, ST
NPWP WILLY HAIKAL
Lampiran Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
2. AGUNG TRIBAWANA
 CURRICULUM VITAE

PERSONALITY

Names : Agung Tribawana, ST

Address : Jl. Nusa Indah RT 01/RW 11 Ds Maos Lor Kec Maos Kab Cilacap-Central Java
Place / Date of birth : Ngawi, July 30th 1982
Citizenship : Indonesia
Sex / Status : Male / Married
Religion : Islam
High/Weight : 163 cm / 60 kg
Handphone : 081347227635
Email : agungtb.geos00@gmail.com

FORMAL EDUCATION

2000-2004 : Geological Engineering, Sekolah Tinggi Teknologi Nasional Yogyakarta (STTNAS Yogyakarta),
with GPA (Grade Point Average) : 3.38 (Very satisfactory)
1997-2000 : Senior High School (SMU) Negeri 1 Paciran, Lamongan – East Java
1994-1997 : Junior High School ( SMP ) Negeri 1 Paciran, Lamongan – East Java
1989-1994 : Elementary School ( SD ) Negeri Karanggeneng II, Pitu, Ngawi – East Java

SOFTWARE

▪ Software : - Able to operate Microsoft Office (Word, Excel, Powerpoint)

- Able to operate GIS software : Mapinfo, Map Source and Global Mapper
- Able to operate AutoCAD
- Able to operate Minescape 4.118 (Core Minescape, Stratmodel, Open Cut Coal) for
geological modelling, calculate resource, calculate reserve and mine design.
ORGANIZATIONAL

▪ Chief II of Association Geological Engineering Student “BUMI” STTNAS Yogyakarta (2001 – 2002)
▪ Chief of Association Geological Engineering Student ”BUMI” STTNAS Yogyakarta (2002 – 2003)

SHORT COURSE / COMPETENCY

▪ Training for Minescape (Core Minescape & Stratmodel) in Mitrais Jakarta (12 – 17 January 2009)
▪ Training for Minescape (Open Cut Coal) in Mitrais Jakarta (30 March – 1 April 2009)
▪ Competency Examination of Frontline Operational Supervisor (POP) in Samarinda (21-25 February
2012)
▪ Competency Examination of Middle Operational Management (POM) in Bandung (11-16 February
2013)

EMPLOYMENT

▪ March 2005 – April 2006 : Geologist in PT Karya Wijaya Sukses, Samarinda, East Kalimantan
Job Description :
- Wellsite geologist for coal drilling exploration activity
- Surface mapping for coal exploration
▪ July 2006 – Nov 2006 : Geologist in PT Sinomast Mining, Kab Barito Utara, Central Kalimantan
Job Description :
- Wellsite geologist for coal drilling exploration activity
- Surface mapping for coal exploration
▪ Nov 2007 – Okt 2009 : Database Geologist in PT Buana Surya Kusuma (Indika Group), Samarinda
- Wellsite geologist for coal drilling exploration activity
- Surface mapping for coal exploration
- Data processing for coal modelling, long term design open pit mining, calculate resource and coal
reserve
- Make project list for coal exploration
- Make resume and repot coal exploration
▪ Des 2009 – Feb 2011 : Geologist in PT Bahtera Anugerah Semesta, Kab. Barito Utara
- Surface mapping for coal exploration
- Quality control for coal production
- Make resume and repot coal exploration
 ▪ Feb 2011 – Feb 2013 : Engineering Head in PT Dewa Ruci Mandiri, Kab Nunukan,North Kalimantan
- Control data processing for coal modelling, long term design open pit mining, calculate resource and
coal reserve
- Control design open pit mining
- Planning, evaluation and control data for drilling exploration
- Control data of quality coal exploration and production
▪ Mar 2013 – Feb 2015 : KTT ( Mine Technical Head) in PT Dewa Ruci Mandiri, Kab Nunukan
- Responsibility post mine activity to government
- Make a report post mine activity (reclamation and revegetation) eks open pit mining.
▪ August 2015 – Now : Spv. Engineering in PT Aditama Energi, Samarinda, East Kalimantan
- Control data processing for coal modelling, long term design open pit mining, calculate resource and
coal reserve
- Control design open pit mining
- Planning, evaluation and control data for drilling exploration
- Control data of quality coal exploration and production
- Development area consession

ADDITIONAL INFORMATION

▪ Hobbies : Music, travelling, gardening

▪ Personal attitude : Honest, responsibility, not be busy and friendly.
▪ Language : Passive in English
Sertifikat POM dan POP Agung Tribawana
NPWP AGUNG TRIBAWANA
KTP AGUNG TRIBAWANA
Lampiran Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
3. YUDI PERAMITO
CV. YUDI PERAMITO

YUDI PERAMITO
INSPECTOR

Date of Birth : Palembang, July 19, 1986

Nationality : Indonesian
Total Experience : 10 year
Phone : +6285643481615 / +6281327773892
Email : yudiperamito@gmail.com
Present Employment :-

EDUCATION : Full Graduated in Mining Engineering at the

University of Pembangunan Nasional “Veteran”
Yogyakarta.

QUALIFICATION :
1. Welding Ispector
2. NDT UT Level II
3. NDT MT, PT Level II
4. Radiography Interpreter Level II
5. Crane Inspector certified by Migas
6. Rotating Inspector certified by Migas

TRAINING / COURSE / SEMINAR EXPERIENCE:

1. NDT MT, PT Level II (B4T)

2. NDT UT Level II (B4T)
3. Blasting Operator at Mining Activity Class I
4. General HSE (Star Safety)
5. Welding Inspector (B4T)
6. Tropical Basic Offshore Safety Induction Emergency Training (Barron)
7. Radiography Interpreter Level II (B4T) (Sertification in Process B4T)
8. Crane Inspector certified by Migas
9. Rotating Inspector by MIGAS
WORK EXPERIENCE
2010-2013 PT Permata Alam Guna Sejahtera
Application mineplan in field and control mining
2014 process.

Inspection visual, Corrosion and Thickness

measurement piping in PT. Pertamina RU IV Cilacap.

Inspection and Conduct Magnetic, Penetrant, and

Ultrasonic Testing

Inspection Visual and Conduct MT, PT for

Recertification Frog HC6-065 PT. PERTAMINA HULU
ENERGY ONWJ

Inspection Visual and Conduct MT, PT for

Recertification Lifting Lug Inspection and Green
Container in Marunda Jetty PT. PERTAMINA HULU
ENERGY ONWJ

Inspection visual and Conduct ultrasonic wall

thickness measurement for piping and pressure
vessel at KA, EJ, EB, AND ESA Platform PT.
PERTAMINA HULU ENERGY ONWJ

NDT Support and maintenance at TAR (Shutdown)

LIMA Platform for Finfan Cooler E-1000A&B E1000B,
E-1300A&B PT. PERTAMINA HULU ENERGY ONWJ

2016 Inspection Visual Cold Vent Tower to visually confirm

and observe the extent of corrosion, coating
breakdown and Damaged up to 20 meter in Muara
karang and Tanjung Priuk. PT. PERTAMINA HULU
ENERGY ONWJ

Inspection visual and Conduct ultrasonic wall

thickness measurement for piping at Zulu F/S PT.
PERTAMINA HULU ENERGY ONWJ

Inspection visual and Conduct ultrasonic wall

thickness measurement for piping at Zulu Nui PT.
PERTAMINA HULU ENERGY ONWJ

NDT Support and maintenance at Echo Platform for

Finfan Cooler 2B & 1B PT. PERTAMINA HULU ENERGY
ONWJ
 Inspection visual, and NDT Support MT, PT, UT, and-
2017
Maintenance TA (Shutdown) Train “C” PT. BADAK
LNG Bontang Kalimantan Timur.

Inspection visual and Conduct ultrasonic Flaw for

welding Storage Tank refer to API 650.

As Inspector on Jasa Pemborongan Inspektur

2018 Shutdown 2016-2017 PT BADAK NGL Bontang

As NDT Level II Reengineering/RLA, Inspection &

Certification PT Pertamina Ep Asset 3 Tambun,
Indramayu & Subang.

As NDT Level II Inspection & Recertification of 176

PV & 6 Crane PT Pertamina Ep Asset 4 Donggi
Martindok

As Inspector on Shutdown PT Pertamina Ru

Balongan-Indramayu

As Crane Inspector on Inspection of Lifting Gear &

Colour Coding PT Pertamina EP PT Pertamina Asset 4
Cepu
2019
As Crane Inspector on Inspection of Lifting Gear &
Colour Coding PT Pertamina EP PT Pertamina Asset 3
Subang

As NDT Level II Inspection Category III &

Assessment Rig PT Pertamina Ep Asset 2 Prabumulih

As Crane Inspector on Inspection of Lifting Gear &

Colour Coding PT Pertamina EP PT Pertamina Asset 2

As NDT Level II Inspection Category III &

Assessment Rig KSO PT Pertamina & PT Banyubang
Blora Energy

Inspection Category III & Assessment Rig PT

2020 - Present Pertamina Ep Asset 1 Jambi

As Crane Inspector for Inspecton and Certification PT

Pertamina EP Asset 4 Cepu
 As Inspector Quality Control TA 2019 Cilacap PT
Pertamina RU IV

As Rotating Inspector on Inspection and

Resertification at PT Pertamina EP Asset 3 Jatibarang
Field

As Crane Inspector on Inspection of Lifting Gear &

Colour Coding PT Pertamina EP PT Pertamina Asset 2
(Limau Field)

As Rotating Inspector on Inspection and

Resertification Fasprod at PT Pertamina EP Asset 1
Jatibarang Field

As Rotating Inspector on Inspection and

Resertification Fasprod at PT Pertamina Hulu Energi
Tuban East Java Field

As Crane As Crane Inspector on Inspection of Lifting

Gear & Colour Coding PT Pertamina EP PT Pertamina
Asset 1 (Ramba, Jambi, Lirik Field)

Yudi Peramito
Inspector
udi
 Career Resume

KTP YUDI PERAMITO

18 of 18
NPWP YUDI PERANMITO
Lampiran Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
4. NURCHOLIS SALMAN
Alamat : Jl. Sutan Syahril Lorong Kamboja RT 06 RW 02 Kelurahan 5 Ilir Kecamatan Ilir Timur II Palembang – Indonesia
No hp : 08562232621 atau 081377745304 · nursal_roses@yahoo.com

Daftar Riwayat Hidup

Data Pribadi
1. Nama : Nurcholis Salman
2. Jenis Kelamin : Laki - laki
3. Tempat/Tanggal lahir : Tasikmalaya / 11 Januari 1985
4. Status Pernikahan : Menikah
5. Alamat Sekarang : JL. Sutan Syahril Lorong Kamboja Rt/Rw 06/02 Kel. 5 Ilir Kec. Ilir
Timur II Palembang.
6. agama : Islam
7. Hobby : Baca buku, bermain musik
8. Mobile Phone : +62 856 2232 621
9. E-mail : nursal_roses@yahoo.com

Pendidikan
Institusi Masuk Lulus Keterangan

SMUN 1 TASIMALAYA Aug 2000 Jul 2003

Sarjana Teknik
UNIVERSITAS
Aug 2003 Nov 2007 Lingkungan dengan
PASUNDAN
IPK 3.41

Magister Teknik
INSTITUT TEKNOLOGI
Aug 2008 Mar 2010 Lingkungan (S2)
BANDUNG
denagan IPK 3.42

Bidang Keahlian
1. Manajemen Lingkungan (Environmental Management)
2. Konservasi Lingkungan (Environmental Conservation)

Pengalaman Kerja
- Staf Teknik di PDAM TIRTA GALUH (Kerja Praktek) Apr-Jun 2006
- Asisten Laboratorium Mikrobiologi UNPAS 2007
- Asisten Mata Kuliah PAM (Penyaluran Air Minum) UNPAS 2007
- FasilitatorPendidikan Lingkungan di GMPL 2005 - 2006
- Konsultan sanitasi Lingkungan di Kecamatan Antapani 2007
- Konsultan Lingkungan Pembuatan TPA Ciangir Kota Tasikmalaya 2010 - 2011
Alamat : Jl. Sutan Syahril Lorong Kamboja RT 06 RW 02 Kelurahan 5 Ilir Kecamatan Ilir Timur II Palembang – Indonesia
No hp : 08562232621 atau 081377745304 · nursal_roses@yahoo.com

- UKL – UPL Gudang Kopi Dinas Perindustrian Pagar Alam 2012

- Strategi Sanitasi Kota (SSK) Lahat 2012
- Masterplan Air Buangan Kota Sekayu 2012
- Masterplan Perbaikan TPA Sukawinatan Kota Palembang 2013
- Masterplan Persampahan Kab. OKU Timur 2014
- Masterplan Perbaikan Kawasan Kumuh Kota Palembang 2015 sd 2016
- Masterplan Air Limbah Domestik di Metropolitan Cirebon Raya 2016 sd 2017

Kemampuan Komputer
- Operating System (Microsoft Windows)
- Microsoft Office (Word, Excel, Power Point)

Kemampuan bahasa
- Berbicara dan Menulis Bahasa Indonesia
- Berbicara dan Menulis Bahasa sunda
- Berbicara dan Menulis Bahasa Ingris (EPT score : 88)

Pengalaman Organisasi
- Anggota HMTL (Himpunan Mahasiswa Teknik Lingkungan) UNPAS 2003 - 2007
- Kepala Divisi Humas HMTL UNPAS 2005 - 2006
- Ketua Dies Natalis ke 12 HMTL UNPAS 3- 4 Nov 2005

Pernyataan
- Tidak pernah dihukum penjara atau kurungan berdasarkan putusan pengadilan
- Tidak pernah diberhentikan dengan hormat tidak atas permintaan sendiri atau
tidak dengan hormat sebagai PNS/TNI/Polri atau diberhentikan tidak dengan
hormat sebagai pegawai swasta
- Tidak pernah mabuk atau kecanduan obat terlarang
- Tidak punya cacat fisik akibat sakit ataupun kecelakaan
- Tidak berkedudukan sebagai anggota atau pengurus partai politik;
- Informasi yang saya berikan adalah benar

Hormat Saya,

Nurcholis Salman, ST.MT

Contact:
No Hp : 08562232621
No Rumah : (0265)336184
Alamat E-Mail : nursal_roses@yahoo.com, nurcholissalman@gmail.com
 SERTIFIKAT KEAHLIAN
Berdasarkan Undang - Undang No. 2 Tahun 2017 tentang Jasa Konstruksi dengan ini Lembaga Pengembangan Jasa
Konstruksi menetapkan bahwa :
Nama : NURCHOLIS SALMAN, ST. MT
dinyatakan memiliki kompetensi dan kemampuan serta dapat melaksanakan kegiatan profesi konstruksi di seluruh
wilayah Republik Indonesia, sebagai :

Klasifikasi dan Kualifikasi Tenaga Ahli

AHLI TEKNIK LINGKUNGAN - MADYA

Nomor Registrasi
1.5.501.2.088.03.1114654

Sertifikat ini berlaku paling lama 3 (tiga) tahun terhitung sejak ditetapkan.
Ditetapkan di : Padang
Pada tanggal : 18 April 2019

Lembaga Pengembangan Jasa Konstruksi Provinsi Sumatera Barat

Badan Pelaksana

Ir. H. Syofyan Nur

Manajer Eksekutif
Keterangan:
QRCode dan Data yang tertera dalam SKA ini dapat diverifikasi melalui Aplikasi LPJK Certificate Scanner
 PERNYATAAN
Saya yang bertanda tangan di bawah ini menyatakan bahwa dalam berpraktek sebagai:

AHLI TEKNIK LINGKUNGAN - MADYA

Saya berjanji:

1. Akan patuh melaksanakan Kode Etik Asosiasi Profesi di mana saya menjadi anggotanya.
2. Akan mematuhi segala ketentuan hukum yang sah dan berlaku di tempat dilaksanakannya karya saya.

Dengan ini saya menyatakan bahwa:

Saya:

a. mengakui dan menerima sepenuhnya wewenang Asosiasi Profesi di mana saya menjadi anggotanya
untuk menilai pengaduan dan atau keluhan apapun dari masyarakat yang menyangkut janji
tersebut di atas.
b. menerima sanksi apapun apabila saya melanggar janji tersebut.

Saya yang berjanji:

NURCHOLIS SALMAN, ST. MT
Anggota Asosiasi Profesi INTAKINDO
No: 03.19.0017442

Ir. IRVIANDI BASUKI

KETUA UMUM

Keterangan:
Data yang tertera dalam SKA ini dapat diverifikasi melalui Aplikasi LPJK Certificate Scanner
Lampira Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
5. Dewarman Sitompul, MSC
 RESUME (CV)
Nama : DEWARMAN, MSc Health : Good
Address : Jl. Bromo, Lor Sosial No: 44 B Birthdate : March 20, 1963
Tegal sari III – Medan Area. Language : English (TOEFL 540)/
Religion : Christiant Indonesian.
HP/WA : 085274129637 / 085274582448 Licence : A (Car)/ C (Bike)
Email : dewar.dkk@gmail.com Status : Married

GEOLOGICAL – GEOTECHNICAL EXPERIENCES

1988 : Teaching Assistant of Optical Mineralogy – Univ. Kebangsaan Malaysia.

1989-1990 : Worked as a Mud Logging Engineer.

1991- 1998 : Managing several services contract worked for PT. Caltex PI

1999 – 2004 : Worked at Management Level in PT. Citra (as Operation Manager). The above
company is a local seismic services company.

2005 – 2006 : As Geotechnical Consultant with PT. Putra Sulung Mas – to handle their project
at Thiess – an Australian contractor company.

2007 – Feb 2008 : As a Geological Expert. For my geological works, I responsible in

prospecting and reserve calculation of the Coal/Minerals reserve. Includes Detail Geological
Structure Survey/Analysis as an approach to the resource/ reserve calculation.

1. Initial Geological Survey – Kec Rantau Keloyang – Muara Bungo – Jambi (about 100
Ha) For project owner: PT. Basmal Utama Nusantara (Late Nov 2007 – Feb 2008). –
It’s already mined.
Meanwhile, at certain time I also worked freelance (Part-time) as a Senior Geological
Expert for :

1 Coal Geology Investigation (Jan 2009) : – Desa Tibawan – Rokan IV Koto –

Kabupaten Rokan Hulu. Work as a Team Leader - Unpublished Report to PT.
BARA PRIMA PRATAMA(BPP) – Jakarta.

2 Report of Manganese Exploration (Nov 2009) - Unpublished Report to PT.

KARYA MAS – Pekanbaru. Submitted to Dinas Pertambangan dan Energi –
Kabupaten Kuantan Singingi.
 3 Pemetaan dan Penetapan Wilayah Pertambangan Rakyat – Kabupaten
Pelalawan,(Des 2009). Team Leader CV. Karya Dinamis – Pekanbaru, Report
submitted to Dinas Pertambangan dan Energi – Kabupaten Pelalawan.

UNDERGROUND GEOLOGICAL STUDIES

4 Survei Geolistrik Air Bawah Tanah, Desa Pangkalan panduk, kabupaten

Pelalawan, (March 2010) Team Leader CV. Karya Dinamis – Pekanbaru,
Report Submitted to Dinas Pertambangan dan Energi – Kabupaten Pelalawan,
Propinsi Riau.

5 Survei Bijih besi dengan menggunakan Geolistrik untuk PT. Ikhlas Bumi Sejati
Nusantara (IBSN) pada IUP Duta Marmer – di Lolo, Surian – Kabupaten Solok
– Sumbar (Mei 2011)

6 Survei Bijih Tembaga dengan metode Geo-reistivity dan IP, Taming Tongah
– Kabupaten Pasaman Barat – SUMBAR pada IUP CV. Rahayu Sejati. (Mei
2012)

7 Coal geological study (Surface mapping and underground investigation, using

a geophysical approach) at Panga – Aceh Jaya – NAD. ( from Nov 2011 – Dec
2012) for PT. Berjaya Mineral Kencana – Padang.

MINING EXPERIENCES

2011 – 2013 : PT. Berjaya Mineral Kencana – , as a Senior Geolgical Expert since Jan 2011
and finally trusted and placed in a managerial position as a Exploration Manager and also
acting as Kepala Teknik Tambang (KTT) for IUP Exploration in Aceh Jaya Residence -
since 18 Nov 2011 (Surat Keterangan is also attached herewith).

Besides, exploring Their own IUP in Aceh Jaya – and while waiting for processing IUP
Operation & Production, BMK also had been acting as Drilling service company (under
my control and my manangement) to several company, such as:
• PT. Danako Pratama – Sijunjung - SUMBAR(Jan 2013).
• PT. Daksa Elang Abadi – Sawah Lunto Area- SUMBAR (Feb 2013)
• CV. Bara Prima – Sawahlunto Area - SUMBAR(April 2013)
• PD. Basmal Utama Mandiri – Rantau Pandan – JAMBI (May 2013)
• PT. Bumi Natura Permata – Rantau Ikil – JAMBI (June 2013)
• Gasindo Group - @ Sijunjung-SUMBAR (Des 2013 – Feb 2014).

Exploration for Limestone:

• PT. Indo Tambang Semesta – Payakumbuh, SUMBAR (March – Ags 2014)
Manage Drilling and Exploration of Lead and Zinc Deposit for,
• PT. Galian Endapan Buana – South Solok, SUMBAR (Sept – Nov 2014)

2015 – Jul 2018: Working and approved as Kepala Teknik Tambang (KTT)/ Site Manager
at PT. Aceh Mineral Prima Development (AMPD) – Padang.. IUP-OP Limestone Quarry c/w
Drilling and Blasting Process. My responsibilities are as stated below:
➢ To make sure all the procedures and regulation regarding Safety, Health and Environment
aspects are obeyed by all parties. To always achieve Zero Accident and eliminate/reduce
the environment impacts.
➢ Perform and Monitor environmental aspects as planned within UKL/UPL.
➢ Prepare the RKAB/RKTTL for every year.
➢ Perform periodic HSE and Technical Inspection, Audit and follow up.
➢ Do and lead periodic HSE meeting with relevant employees
➢ Monitor and Control all of the mining activities (include cost/financial, safety &
environment protection) and to achieve targeted production so that it will be maintained to
schedule.
➢ Identify and solve Potential Problem (either Technical or Social) as an early anticipation
before the problem growing bigger.
➢ Prepare data, plan and control production as targeted by our Management..
➢ Report regularly on project status (Monthly, Tri-monthly) to the management and to ESDM
➢ Perform and monitor Quality Control of works and KPI/ Key Personnel Indicator
(Personnel and Products)
➢ Keep monitor all the mining activities and personnel comply to applicable codes, practice,
standard and specifications.
➢ Make good coordination, decision and leadership with all personnel in the mining area.
➢ Maintain and facilitate clear communication with stakeholders, suppliers with respect to
operational capability, performance and resource requirements.
➢ As KTT, myself is also get used to represent the company to deal with permits (IUP,
Environment Body, ESDM, or MABES POLRI for explosive permits) as well as maintain
good relationship with local related government unit).
➢ Besides, I have KTT certificates which endorsed by ESDM – Sumatera Barat Province, I
also have POP + POM Certificates, and Blaster Certificate (Attached).

Sept 2019 – Jan 2020 : Lecturer of Structural Geology and English I – in Geological
Engineering Dept – FTM – Institute Teknologi Medan. (First Semester)

Feb 2020 – Ags 2020 : Lecturer of Sedimentology and English II. And also as Sedimentology
Laboratory Head in Geological Engineering Dept – FTM _ Institut Teknologi Medan (Second
Semester).

Sept 2020 – Jan 2021 : Lecturer of Structural Geology, in Geological Engineering – FTM –
Institut Teknologi Medan.

Feb 2021 – Ags 2012 : Plan to teach Sedimentology and Environmental Geology, in Geological
Engineering – FTM – Institut Teknologi Medan.

April 2022 – Now : Honorer Lecturer in Civil Engineering, North Sumatra University - Medan

EDUCATION, TRAINING, PUBLICATION & CERTIFICATES

1982 – 1986: Geological Engineering Dept – Gadjah Mada University – Yogyakarta. Bachelor
of Engineering degree, 1986.

1985 : English Language Training International (ELTI) certificate in Yogyakarta.

ELTI Yogyakarta is affiliated to ELT BANBURRY, Oxfordshire – England, which is
recognized as efficient by the British Council.

1986 (Smstr II): Followed a pre-requisite course in Univ.Kebangsaan Malaysia to fulfill

admissions criteria before pursuing a post-graduate study in the University.
 1987 – 1990 : Geological dept – Univ. Kebangsaan Malaysia. Master of Science degree (MSc).
Majoring in Structural Geology and Sedimentology with a HIGH STANDING result. The
External Reader of my MSc Thesis was DR. T.O. Simanjuntak from Directorate General of
Geology and Mineral Resources – Bandung.

Oct 1990 : TOEFL SCORE : 540 and TWE SCORE 4. (Attached)

May-Jun 1996: Publication of; Deformational Style of the Kudat Formation – Sabah. Warta
Geologi, Vol 22 No: 3.(Attached).

2015 : Certificate of Pengawas Operasional Pertama (POP) – (Attached)

2015 : Certificate of Juru Ledak (Blaster) – (Attached)
2017 : Certificate of Pengawas Operasional Madya (POM) – (Attached)

Nov - End of Dec 2020 : Acknowledged as a manuscript translator into English an article
written by Muzambiq,S., Walid,H., Ganie, T.H., Hermawan, H. (2021). The importance of
Public Education and Interpretation in the Conservation og Toba Caldera Geoheritage.
Geoheritage, 13:3. https://doi.org/10.1007/s12371-020-00523-x

July – Sept 2021 : Co-author of an article title Geotourism and Rural Development, Baktiraja
Subdistrict – Case Study: Toba Caldera area, Humbang Hasundutan Regency – North Sumatra
Province, written by: Muzambiq,S., Gustanto.,Dewarman, S., Khair, H., Tiffani,G. (Under
process by: Journal of Environmental Management and Tourism).

2021 : Co-author of a Bilingual Book – TOBA CALDERA: The eye of Sumatera - a

Contribution to Sustainable Geotourism (Under preparation) written together with:
Muzambiq,S.,Dewarman,S., Gustam, L. and Special Contributor by: Prof. Dr. Craig A.
Chesner. (Eastern Illinois University).

REFERENCES FOR MY GEOLOGICAL KNOWLEDGE, MINING

EXPERIENCES AND CERTIFICATES

Able to operate: several Computer Software/Application :

• Microsoft Office and Microsoft Project
• MapInfo and Discovery
• Surpac
• Global Mapper
• Map Source
• Ramsay Plot
• RES2DINV
• Mineral Property

1. Dr. Ir. Said Muzambiq, MT

Engineering Study Prohram
North Sumatra University.
Hp/WA : 0811.627.363

2. Dr. Ir. Jatmiko Prio Atmojo

Geothermal Advisor
Upstream Technology Centre (UTC)
Dit Hulu PERTAMINA PUSAT
Gedung Kwarnas Pramuka
Jl. Meda Merdeka Timur 6, Jakarta
Hp/ WA: 08121287478
3. Irwansyah, ST
KaBid Pertambangan dan ESDM
Dinas Pekerjaan Umum – Kab. Aceh Jaya
Hp/WA : 081360028080

4. Ir. Azril Aziz

Kasie – Dinas ESDM Sumbar
Hp/WA : 08116645554

5. Abraham Pawaka, S.Sos

Kasie Pengusahaan
Dinas ESDM – Propinsi Lampung
Hp/ WA: 081272029872
KTP Dewarman Sitompul, MSC
NPWP Dewarman Sitompul, MSC
Lampiran Tenaga Ahli CV. JOGJA GEOLOGI SURVEY
6. Fajar Setiyawan
 DAFTAR RIWAYAT HIDUP DAN PENGALAMAN

I. DATA DIRI
Nama : Fajar Setiyawan
Jenis Kelamin : Laki-laki
Tempat/Tanggal Lahir : Sragen, 15 November 1991
Agama : Islam
Status Perkawinan : Belum Kawin
Kewarganegaraan : Indonesia
Alamat Lengkap : Gandurejo, RT. 05 RW. 03, Kelurahan
Gemolong, Kecamatan Gemolong,
Kabupaten Sragen
Telepon/HP : 0822 7160 4540
E-mail : setiyawanf@gmail.com

II. PENGALAMAN KERJA

• Bekerja di Dinas ESDM Provinsi Jawa Timur
Periode : Juni 2015 – Mei 2017
Posisi : Staff PTT bidang pertambangan
• Bekerja di PT. Pama Persada Nusantara
Periode : Juli 2017 – September 2017
Posisi : Operation Division
• Bekerja di PT. Javadwipa Jaya Abadi
Periode : Januari 2018 – Oktober 2019
Posisi : Geologist
• Bekerja di CV. Bumi Silika Jaya
Periode : Juni 2020 – April 2021
Posisi : Tim teknis eksplorasi
 III. RIWAYAT PENDIDIKAN FORMAL
• SD Negeri Gemolong 3 Tahun 1998 – 2004
• SMP Negeri 2 Gemolong Tahun 2004 – 2007
• SMA Negeri 1 Gemolong Tahun 2007 – 2010
• Teknik Geologi UGM Yogyakarta Tahun 2010 – 2015

IV. RIWAYAT PENDIDIKAN NON FORMAL

• Pelatihan Dasar – Dasar AMDAL (AMDAL A) – LPPM ITS Surabaya
• Pelatihan SHE Pintar (K3 Pertambangan) – PT. Pama Persada
Nusantara
• Pendidikan dan Pelatihan Pengawas Operasional Pertama (POP)

Demikianlah Daftar Riwayat Hidup tersebut saya buat dengan sebenar-

benarnya untuk dipergunakan sebagaimana mestinya.

Surabaya, 5 Agustus 2022

Fajar Setiyawan
TENAHA AHLI GEOFISIKA
 CURRICULUM VITAE

A. Personal Identity
1 Name Rizqi Prastowo,S.Pd., M.Sc.
2 Sex Man
3 Study program Mining Engineering
4 NIDN 0520059101
5 Place and date of birth Kulon Progo, may 20th 1991
6 E-mail rizqi@sttnas.ac.id
7 Phone number/ HP 085743887511

B. Educational Background
S1 S2
Name of college Yogyakarta state Gadjah Mada
University University
Knowledge field Physical education physics
Year of entry - pass 2009-2013 2013-2016

C. Publication of Scientific Articles in Journals in the Last 5 Years

the name of the Volume/ Nomor/
No Title of scientific article
journal Tahun
mapping of Thickness of
Sediment Layer of Klaten
1 KURVATEK Vol 2/ No.1/2016
Region with Mikrotremor
Data Analysis
scientific Vol. IX/ No.1/
evaluation of vulnerability
2 journals in space May 2017
of rectorate buildings to
technology
 earthquakes based on
microteor analysis
Vol 2, No 2
Modeling 2D resistivity rock
(2017)/
3 andesite mountain area KURVATEK
November 2017
steamer kulon progo

D. Field survey experience

Year : 21-31 Desember 2014

Instansi / Company : Research Grant of Doctoral Lecturer State University of Jember
Job Deskripsi : Field Assistant for Magnetic Measurement of Mount Lamongan

Year : 2017
Instansi / Company : Universitas Sarjanawiyata Tamansiswa
Job Deskripsi : Field Assistant Measurement Mikrotremor City D.I. Yogyakarta

Year : 2017
Instansi / Company : National High School of Technology
Job Deskripsi : Measurement of vulnerability of STTNAS Rectorate Building to
Earthquake based on microtractor analysis

Year : 2017
Instansi / Company : National High School of Technology
Job Deskripsi : Measurement Geolistrik Andesite Rock Nanggulan Kulon Progo

Year : 30 Januari – 4 Februari 2018

Agency : consultant
Job Deskripsi : Measuring Geolistrik Battery Measurement in Morang Village, Madiun,
East Java
 CURRICULUM VITAE

Name : AGRYANZIS CHEPTIAN GUSMA S.Si.

Place and Date of birth : Yogyakarta, September 14th 1991
Home address : Griya Arga Permai, Blok K-10, Rt.07,
Rw.36, Kwarasan, Gamping,
Sleman, Yogyakarta 55592
Mobile phone : (+62) 856 40 490 450
E-mail : agryanziss@yahoo.com

ACADEMIC INFORMATION

GPA : 3.52 (scale 4)

Toefl Score : 472

FORMAL EDUCATION

2009 – 2014 Geophysics Department, Universitas Gadjah Mada Yogyakarta

2006 – 2009 State Senior High School 2 Yogyakarta Science Class

ORGANIZATION AND MEMBERSHIP

2009 – 2012 Board on Keluarga Mahasiswa Fisika (KMF) UGM

2009 – present Member of Himpunan Mahasiswa Geofisika (HMGF) UGM
2010 – present Member of Society of Exploration Geophysicist (SEG)
2011 – present Board and member of Society of Petroleum Engineers (SPE) SC UGM

ORGANIZATION CAMPUS ACTIVITIES

May 2010 Physics Fun Game (PFG)

June 2010 Short Course ‘ Unconventional Petroleum System’
October 2010 Committee Orientasi Pengenalan Medan Geofisika 2010 (OPMG)
October 2010 Committee Sarasehan Dosen, Alumni, dan Mahasiswa Fisika (SDAMF)
December 2010 Committee Geophysics Healthy Life
May 2011 Upgrading KMF
June 2011 One Day Course “Integrated Reservoir Characterization”
October 2011 Committee Geophysics Healthy Life
November 2011 Committee Geophysics Student Competition

December 2011 One Day Course “Understanding Basic Petroleum Knowledge”

March 2012 Well Log Analyze SPE Workshop
February 2013 Guest Lecturer participant “Basic Reservoir Characterization Using Seismic Attribute and
Seismic Inversion”.

FIELD CAMPUS ACTIVITIES

2010 Geophysics Expedition in Grobogan, Central Java 3 days, implementation of gravitation

methods to identifying basin structure.
2010 Field Trip Geology in Yogyakarta and Bayat, Central Java 3 days, Phyroclastic, Igneous,
Sediment, Carbonate, and Metamorphic Rock
2010 Field Trip Geology Structure in Klaten, Central Java 1 day Structural Geology : Fault,
Joint, and Fold
2010 Mineralogy Field Trip in Bayat, Central Java 1 days, Minerals Identification : Isometric
Systems, Apperances, Physical properties, Environtment, Occurence, Uses
2011 Field Trip Petrology in Yogyakarta and Bayat, Central Java 3 days, Phyroclastic,
Igneous, Sediment, Carbonate, and Metamorphic Rock
2011 Kuliah Lapangan Geology in Bayat, Central Java 7 days implementation study igneous,
sedimentary and metamorphic rocks also fold and fault in a field.
2011 Technical Assistant of Basic Physics Laboratory of optical object for basic physics
laboratory
2011 Geophysics Expedition in Kulon Progo, Yogyakarta, magnetics method to determine
contact lithology of mangan.
2011 Field Camp in Parangwedang, Bantul, Yogyakarta as a volunteer CS AMT and seismic
refraction methods
2011 Geo-Electricity Survey in Sleman, Yogyakarta 1 day, Weener Configuration to
Determine Rock Properties
2011 Geophysics Nonseismik in Pacitan, Central Java, applied non seismic methods to identify
structures lies beyond surface
2012 Applied Geophysics methods for Volcano Activities Field Trip at Mt.Kelud, East Java.
2012 International Oil and Gas Symposium 2012 Smart Competition Participant at
Universiti Teknologi Malaysia
2013 Geophysics Field Camp in Grobogan, Central Java as a Resistivityl team leader, 10 days,
AMT, Gravity and GPS, Magnetic, Microseismic, Refraction Seismic Method, VLF, and
Resistivity to identify Hidrocarbon system.
2013 Assistant Geophysics Expedition in Magelang, Central Java, 3 days, Geoelectrical
Methods Assistant
2014 Assistant Geophysical Field Trip in Bayat HMGI Magnetic Methods
 WORK EXPERIENCES

1. Event Organizer Apkom New Year Expo 2010, 2011, 2012, 2013
2. Event Organizer Yogyakomtek 2010, 2011
3. Event Organizer All Graphic Expo 2012
4. Private Course Senior High School Students (2010)

1. Scientist at Marine Geology Geophysical PPPGL survey at Flores Sea as a operator marine magnetic and
seismic acquisition on survey vessel (June 2012)
2. Seismic Data 2D Line Pre-Processing at PPPGL using Promax (November 2012)
3. Installing Micro Seismic BMKG project at Mt. Merapi (November 2012)
4. Surveyor Geoelectrical Method PT Geosurvey Barokah Jaya Prasasta CEO Pertamina Program for
ground water ( January – February 2013)
5. Survey location and Installing Micro Seismic Institut de Recherche pour le Développement Domerapi
Project (June – December 2013)
6. Geoelectrical Sounding Survey to Identifying West Papua Gold Sedimentation PT Geosurvey
Barokah Jaya Prasasta (November – December 2014)
7. Assistant and Operator Geomagnetic Survey to Identifying Volcanic and Geothermal System at Mt.
Lemongan (December 2014 – January 2015)
8. Surveyor Geoelectrical Mapping PT Geosurvey Barokah Jaya Prasasta to Evaluating Andesite Basalt
Volumetric PT Momenta Agrikultura field at Cianjur, West Java (January – February 2015)
9. Geoelectrical Survey Operator to determining depth estimation of ground water in Sukoharjo (March
2015)
10. Geophysicist Operator IP and Geomagnetic PSDG Bandung to identifying mineral deposit in Teluk
Santong, West Sumbawa (June 2015)
11. Geophysicist Operator IP and Geomagnetic PSDG Bandung to identifying mineral deposit in Gunung
Rawan Kalimantan Barat. (September 2015)
12. Geophysicist Operator AMT PSDG Bandung to indentifying geothermal reservoar in Alue Calong, Aceh.
(February 2018)
13. Assistant and field operator Magnetic and Gravity PITTA Universitas Indonesia 2018 to identifying
basement and reservoar geothermal system Ijen Crater, Banyuwangi, East Java. (March 2018)
14. Assistant and Field Operator Magnetic Method ITERA Field Work in Karangsambung, Kebumen,
Middle Java. (April 2018)
15. Assistant and Field Operator Magnetic Method Universitas Indonesia Field Work in Cisolok,
Sukabumi, West Java. (April 2018)
 SKILL AND OTHERS

Language Good in English and Indonesian both in oral and written

Software Microsoft Office, Corel Draw, Adobe Photoshop, Progress, Rock Work, res2dinv,
Geosoft Oasis Montaj, Surfer, MagPick, MagMap, Mag2dc, HRS, Matlab , GPSurvey,
IP2Win, Promax, Pickwin&Plotrefa (SeisImager), Basecamp, Mapsource
Geophysical Methods

Gravitation Survey Fault Structure in Pacitan

Monitoring Kelud Volcanoes Lava Doom Deformation

Magnetic Marine Magnetic acquisition and processing at Flores sea using survey vessel

Assistant magnetic method for identification lithology contact at Bayat

Geoelectrical Ground water Pertamina CEO survey at Bojonegoro

Depth oil estimation at production well at Grobogan

Micro Seismic Installing at Merapi Volcanoes for hazard preventing

Survey and Installing Micro Seismic Institut de Recherche pour le Développement

Domerapi Project

Seismic Surveyor at Parangwedang to determine fault structure of hot spring sources

Marine Seismic acquisition and processing at Flores sea using survey vessel

AMT Mapping Kelud Volcanoes Lava Doom Deformation

IP Identification mineral mangan at Kulon Progo using Induced Polarization

SP Structure identification of continuation southern hill of java at piyungan

Thermal Thermal mapping at Kelud Volcanoes lava doom

THESIS

PERMODELAN SUSEPTIBILITAS BATUAN BAWAH PERMUKAAN DASAR LAUT PERAIRAN

BANGGAI-SULA UNTUK MENENTUKAN STRUKTUR SESAR BERDASARKAN RESPON
ANOMALI MEDAN MAGNET TERHADAP KORELASI DATA SEISMIK
SUBSURFACE SUCEPTIBILITY MODELING OF BANGGAI-SULA SEAFLOOR TO DETERMINE
FAULT STRUCTURES BASED ON MAGNETIC ANOMALY RESPONSE WITH SEISMIC DATA
CORRELATION

(November 2013 – April 2014)