CREW INFORMATION

First Name:RAMLI Sur Name:MALLI [INSERT PHOTO]

Rank/Post:2nd ENGINEER Nationality:INDONESIA
Permanent Address: SUL - SEL MAKASSAR /
LINK BONTO KAPETTA II RT/RW/002/002 Current Address:
/MAROS null
INDONESIA
Date of Birth: CINENNUNG 20 MEI 1985 Age: : 34 Years old
Height: – ( 170 cm ) Weight: ( 65Kg)
Coverall Size: ( MEDIUM ) Shoe Size: ( 42 )
Religion:MOSLEM Next of Kin: SUBAEDAH
Contact No.:+6281 241 506 339 Details of NOK:

E-mail:ramlimalli85@yahoo.com

DATE OF EXPIRY DATE PLACE OF

DOCUMENTS NUMBER ISSUE ISSUE
(DD-MM-YY) (DD-MM-YY) (DD-MM-YY)
Passport B9363407 28 FEB 2018 28 FEB 2023 MAKASSAR
Seaman Book CO123808 03 DES 2013 02 DES 2020 AMBON
DATE OF EXPIRY DATE PLACE OF
COC NUMBER ISSUE ISSUE
(DD-MM-YY) (DD-MM-YY) (DD-MM-YY)
COC 6201022015T20517 24 AUG 2017 NA SURABAYA
COE 6201022015TB0517 07 SEP 2017 07 SEP 2022 JAKARTA
[Endorsements]
[Endorsements]
[Others]
DATE OF EXPIRY DATE PLACE OF
STCW CERTIFICATES NUMBER ISSUE ISSUE
(DD-MM-YY) (DD-MM-YY) (DD-MM-YY)
Passport B9363407 28 FEB 2018 28 FEB 2023 MAKASSAR
Seaman Book CO123808 03 DES 2013 03 DES 208 AMBON
COC (STCW 2010) 6201022015TB0517 07 SEP 2017 07 SEP 2022 JAKARTA
COE from vessel's Flag
E/G80405095922/G 05 APRIL2018 07 SEP 2022 GENEVA
State
COE from vessel's Flag CD-14644936-E 16 NOV 2018 07 SEP 2022 DOMINICA
State

SAT or SDSD (Security 6201022015310414 16 SEP 2014 16 SEP 2019 MAKASSAR

 CREW INFORMATION

Awareness)
Advance Fire Fighting 6201022015060517 01 JUNE 2017 01 JUNE 2022 SURABAYA
Proficiency Survival Craft
and Rescue Boats
6201022015040616 20 SEP 2016 29 SEP 2020 MAKASSAR
FRC (Fast Rescue Craft)
Medical Care On Board 6201022015080517 01 JUNE 2022 01 JUNE 2022 SURABAYA
Medical First Aid 6201022015070517 01 JUNE 2022 01 JUNE 2022 SURABAYA
SSO 6201022015240517 01 JUNE 2022 01 JUNE 2022 SURABAYA
Engine Resource
Management (engine 6201022015270419 27 SEP 2019 27 SEP 2024 MAKASSAR
officers)
Basic safety training 6201022015010517 01 JUNE 2017 01 JUNE 2022 SURABAYA
Basic Training For Oil And
Chemical Thanker Chargo 6201022015390115 25 AUG 2015 25 AUG 2020 JAKARTA
Operations
Advanced Training For Oil
Tanker CargoOperations
6201022015410115 07 SEP 2015 07 SEP 2010 JAKARTA
 CREW INFORMATION FORM

Sea Service History

Vessel Sign-on Sign-off
Type/Make GRT/HP/KW Rank Type of Trade Company Area of Operation (DD-MM- (DD-MM-
Name YY) YY)
MALAYSIA.
TAWINDO 1 PASSENGER 147/850 CD E N.C.V ANDISBA SDN BHD 26-04-04 21-07-04
INDONESIA
MALAYSIA
TAWINDO 1 PASSENGER 147/850 0ILER N.C.V ANDISBA SDN BHD 21-07-04 30-07-05
.INDONESIA
FIKRI RORO 153/1500 2ND E N.c.v PT. KALLA LINE INDONESIA 15-09-06 10-02-09
MEGA TIEM
TUB BOAT 145/1300 2ND E N.C.V PT MTM.SDN.BHD MALAYSIA 14-02-09 29-08-09
1
ELANG LAUT
LCT 450/500X2 CH.E N.C.V PT.PTR INDONESIA 28-10-09 04-12-09
2
0CEAN JAYA
AHT 345/600X2 CH.E OIL FIELD PT.PTR INDONESIA 21-12-09 01-07-10
X
KBT IX LCT 945/605X2 CH.E N.C.V PT ARIANDI INDONESIA 02-07-10 20-08-10
ASIA TIRTA PT.ASIA TIRTA
TUB BOAT 260/600X2 CH.E N.C.V INDONESIA 09-10-10 16-08-11
1202 PERDANA
BARUNA RAYA
GLATIK CREW BOAT 123/1.710X2 CH.E OIL FIELD LOGISTIK INDONESIA 27-06-12 28-06-13
OFFSHORE
INDONESIA
MITRAH 26 AHT 260/1.200 X2 CH.E FG PT.AWB OFFSHORE MALAYSIA 02-07-13 31-08-15
TIMUR LESTE
CINDARA
AHTS 1279/2138X2 2ND.E OIP FIELD PT.CPL OFFSHORE INDONESIA 27-11-15 05-08-15
312
PU 2414 TUG BOAT 248/1.200X2 CH.E N.C.V PUN UNITED SINGAPORE 05-08-16 05-12-16
 CREW INFORMATION

BOURBON AHTS MAX HP 2ND /E FG ALLIANZ MIDDLE UAE 05/03/18/ 10/06/18

GULF101 2X1920 KW EAST ABU DHABI
ALLIANZ AHT CAT 3516B 2ND /E FG ALLIANZ MIDDLE UAE 09/07/18 08/12/18
TITAN 2X1920KW EAST
BOURBON AHTS MAX HP 2ND /E FG ALLIANZ MIDDLE UAE 09/02/19 0/07/19
GULF101 2X1920 KW EAST ABU DHABI