PROFILE CRTL.NO.

DATE:
Full Name ARNEL LAGAPA PEREZ Rank 2
ND
ENGINEER
Home Address 10 SACRED HEART ST. PARADISE VILLAGE PROJECT 8 QUE.CITY Phone I 09069741470
Email Add: Phone II 09084357519
Next of kin Relationship Status
Date of Birth
JUNE 14, 1970 Birthplace Height
Religion
CATHOLIC Age Weight
SSS No. TIN No. Boiler Suit Size
PAG IBIG No. PHIL.HEALTH No. Size of Shoes
EDUCATIONAL BACK GROUND
COLLEGE Degree Obtained Yr / Graduate
HIGH SCHOOL
Degree Obtained

Yr/Graduate

ELEMENTARY
Degree Obtained

Yr / Graduate

DOC.UMENTS DATA
Passport No. XXX5622975 Expire Date 25 FEB 15 U.S. Visa Expire Date
Seaman Book No. B0188080 Expire Date 04 JUN 17 Panama License Expire Date
SRC No. Position Vanuatu License Expire Date
GOC No. Expire Date Bahamas License Expire Date
COC No.(TESDA) Expire Date Singapore MPA Expire Date
ENDORSEMENT 13-20903 Expire Date


LICENSE NO. E1-0029482 Expire Date


RECORD OF SEA SERVICE
Name Ship
Name of Company /
Agency
Rank Vessel Type
Grt /
BHP
Engine
Type
Sign On
Date
Sign Off
Date
Contract
CREST NAUTILUS STRATO MARITIME
2/ECOT FOUR PT
MOORNING
BHP
4400
WARTSIL
LA
20 FEB 10
25 NOV
10
FC
IOS CAPTAIN
IOS INTRAOIL
SERVICES
2/E AHTS BHP
10,000
STORK
WERK
POOR
15 JUL 09
10 JAN
10
FC
ATLANTIC CHALLENGER
ASETANTIAN
MARITIME SERVICES
2/E AHTS BHP
5,500
BLACKST
ONE
18 DEC 08
20 JUN
09
FC
IOS CAPTAIN
IOS INTRAOIL
SERVICES
2/E AHTS BHP
10,000
STORK
WERKPO
OR
20 JAN 08
23 JUN
08
FC
IOS CHAMPION IOS ITRAOIL
2/E AHTS BHP
10,000
STORK
WERKPO
OR
29 SEPT
07
21 DEC
07
FC
STCW95 TRAINING CERTIFICATES66403-30-08
Certificates Training School Cert. No. Date Certificates Training School Cert. No. Date
BST W/ PSSR 31 OCT 12 GTF
PSCRB D-WACTH
CCM ISPS
MEFA 21 NOV 12 PADAMS DEC 31,2012
SSA HUET
AFF 10 NOV 12 BOSET
ISM MARPOL 1-2 DEC 5-7 2012
SBFF 29 NOV 12 MARPOL VI DEC 10 2012



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Rank/Applicants Signature/ over printed name