CURRICULUM VITAE

I intent to apply a Job in your company for the position as “Deck Officer” and I’m ready to
join on board with route of voyage determined by the company.

A. PERSONAL DATA
Name : Ayusman Surya
Place & Date Of Birth :Jakarta 11-02-1994
Gender / Height/Weight : Male / 165cm / 63kg
Home Address : Jl. Ratu Jaya Rt 06/Rw 04 Kec Cipayung Kota Depok Jawa Barat
Phone Number : +62813-9173-2594
E-Mail : Ayushasibuan@gmail.com
B. DOCUMENTS
NO Name Of Document Document Number Place & Date Of Issued Date Of Expiry
1 Passport E 2604161 Jakarta,08-052023 08-05-2033
2 Seaman’s Book H 065362 Jakarta,10-08-2022 10-08-2025

C. CERTIFICATE OF COMPETENCY
NO Name of Certificate Certificate Number Place & Date Of Issued Date Of Expiry

1 Ratings Forming Part A Navigational 6212217036330223 BP3IP Jakarta,13-04-2023 13-04-2028

2 Ratings As Able Seafarer Deck On Procces On Procces On Procces
D. CERTIFICATE OF PROFICIENCY
NO Name Of Certificate Certificate Number Place & Date Of Issued

1 Basic Safety Training (BST) 6212217036010222 BP3IP JAKARTA ,19-04-2027

2 Security Awareness Training (SAT) 6212217036310222 BP3IP JAKARTA ,18-05-2027
3 Medical First Aid (MEFA) 6212217036070222 BP3IP JAKARTA ,10-05-2027
4 Advanced Fire Fighting (AFF) 6212217036060122 STIP JAKARTA,11-08-2027
5 Seafarer with Designated Security Duties (SDSD) 6212217036320222 BP3IP JAKARTA,06-06-2027
6 Proficiency In Survival Craft And Rescue Boats 6212217036040124 STIP JAKARTA,07-02-2029
E.
N
Name of Type of Rank GT Period Trade Flag
O Vessel Vessel
MV Logistik Os 8407 18-09- 22-03- Indonesia Indonesia
1 Cargo
Nusantara V 2022 2023
Cargo 1998 10-05- 05-01- Indonesi
2 MV Intan Daya 6 AB Indonesia
Container 2023 2024 a

BEST REGARD

Ayusman Surya