CURRICULUM VITAE
1. PERSONAL DETAILS
| Full Name | | foto | ||
| Place,date of Birth | | |||
| Nationality | | |||
| Sex/Height/Weight/Blood | | |||
| Marital Status | | |||
| Address | | |||
| Country | | |||
| Phone | | |||
| E-Mail | | |||
| Formal Education | | |||
| Personal Document | Number | Place Of Issued | Date Of Issued | Date Expiry |
| PASSPORT | | | | |
| SEAMAN BOOK | | | | |
2. CERTIFICATE OF COMPETENCY
| No | CERTIFICATE | CERTIFICATE NUMBER | PLACE & DATE OF ISSUED | EXPIRE DATE |
| 1 | DECK OFFICER CLASS III (ANT-III) | | | |
| 2 | ENDORSMENT ANT-III | | | |
3. CERTIFICATE OF PROFICIENCY
| No | CERTIFICATE | CERTIFICATE NUMBER | PLACE &DATE OF ISSUED |
| 1 | BASIC SAVETY TRAINING | | |
| 2 | MEDICAL FIRST AID | | |
| 3 | ADVANCE FIRE FIGHTING | | |
| 4 | PSCRB | | |
| 5 | BASIC TRAINING FOR OIL AND CHEMICAL TANKER CARGO OPERATOINS (BOCT) | | |
| 6 | ADVANCED TRAINING FOR OIL TANKER CARGO OPERATIONS(AOT) | | |
| 7 | RADAR SIMULATOR | | |
| 8 | ARPA SIMULATOR | | |
| 9 | ECDIS | | |
| 10 | MEDICAL CARE ON BOARD SHIP | | |
| 11 | SHIP SECURITY OFFICER | | |
| 12 | BRIDGE RESOURCE MANAGEMENT | | |
| 13 | GMDSS | | |
| 14 | GENERAL OPERATOR CERTIFICATE (ORU) | | |
| 15 | IMDG Code | | |
4. SEA SERVICE EXPERIENCE
| No | NAME OF SHIP | FLAG | TYPE OF VESSEL | GT / HP | RANK | NAME OF COMPANY | SIGN ON/OFF |
| 1 | | | | | | | |
| 2 | | | | | | | |
| 3 | | | | | | | |
| 4 | | | | | | | |
| 5 | | | | | | | |
I hereby affirm that all the information provided by me In this form is true and correct to the best of knowledge
Best Regards
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