Professional Documents
Culture Documents
DOCUMENTS
NO. NATIONAL LICENSE SERIAL NO. ISSUED DATE EXPIRE DATE PLACED ISSUED
1. Seaman Book F 141437 14-08-2020 14-08-2023 TANJUNG PRIOK
2. Passport B 5344355 16-11-2016 16-11-2021 TANJUNG PRIOK
CERTIFICATES OF COMPETENCY
No. Name of Certificates Certificates Number Date of Issued Place
1. Deck Officer Class II / ANT II 6201471356N20117 24-02-2017 STIP Jakarta
2. Endorsement Deck Off Class II / ANT II 6201471356NB0117 10-04-2017 STIP Jakarta
CERTIFICATES OF PROFICIENCY
NO Certificate of Proficiency SERIAL NO. CERTIFICATE NO. ISSUED DATE PLACED ISSUED
Basic Safety Training/ BST
1. CP 2226548 6201471356010117 27-03-2017 STIP Jakarta
Revalidation
2. Medical First Aid/ MFA Revalidation CP 2226631 6201471356070117 27-03-2017 STIP Jakarta
Medical Care On Board/ MC
3. CP 2226644 6201471356080117 27-03-2017 STIP Jakarta
Revalidation
Proficiency in Survival Craft and
4. CP 2226599 6201471356040117 27-03-2017 STIP Jakarta
Rescue Boat/ SCRB Revalidation
Advance Fire Fighting/ AFF
5. CP 2226617 6201471356060117 27-03-2017 STIP Jakarta
Revalidation
6. BOCT CP 3039400 6201471356390119 29-10-2018 STIP Jakarta
7. Ship Security Officer/SSO CP 2793258 6201471356240118 23-05-2018 STIP Jakarta
8. GMDSS CC 001315 B 6201471356G10115 18-12-2019 STIP Jakarta
9. Radar Simulator CP 2792519 6201471356030118 23-05-2018 STIP Jakarta
10. Arpa Simulator CP 2793260 6201471356020118 23-05-2018 STIP Jakarta
11. ECDIS CP 2793255 6201471356280118 23-05-2018 STIP Jakarta
12. GOC G 068005 68005/SOU/T/V/2018 24-05-2018 STIP Jakarta
13. AOT CP 2917905 6201471356410118 25-09-2018 STIP Jakarta
14. Bridge Resource Management CP 2793254 6201471356230118 23-05-2018 STIP Jakarta
Dangerous, Hazardous & Harmful
15. Cargoes (IMDG CODE) Training On Process On Process On Process STIP Jakarta
Programme
16. ACT CP 2990509 6201471356400118 09-10-2018 STIP Jakarta
17. SAT On Process On Process On Process BP3IP Jakarta
18. SDSD On Process On Process On Process BP3IP Jakarta
MEDICAL CERTIFICATE AND VACCINATION
No. Name of Vaccination Certificates Number Date of Issued Date of Expire Place
1. Yellow fever G00-0114114 29-10-2018 Live of Person Tanjung Priok