Professional Documents
Culture Documents
PERSONEL DATA
DOCUMENT
Name of Document Number Date of Issued Date of Expire Place of Issued
Passport B 7689186 16 Agustus 2017 16 Agustus 2022 Tanjung priok
Seaman Book E 134714 05 Desember 2019 05 Desember 2021 Tanjung priok
CERTIFICATE OF COMPETENCY
Name of Certificate Number Date of Issued Date of Expire Place of Issued
ANT III Operational 6211570097N30119 08 November 2019 - Jakarta
12 November
Endorsement / STCW 6211570097NC0119 12 November2019 2024 Jakarta
CERTIFICATE OF PROFICIENCY
No Course of Title Number Date of Issued Place of Issued
1 Basic Safety Training 6211570097010116 Jakarta In Proses
Proficiency In Survival Craft And
2 6211570097040119 Jakarta 01 Agustus 2019
Rescue Boats
3 Advanced fire Fighting 6211570097060116 Jakarta In Proses
4 Medical First Aids 6211570097070116 Jakarta In Proses
5 Medical Care On Board Ship 6211570097080119 Jakarta 06 Agustus 2019
6 Ship Security Officer 6211570097245319 Jakarta 16 Juli 2019
7 Bridge Resource Management 6211570097235319 Jakarta 06 Juli 2019
8 Security Awareness Training 6211570097310116 Jakarta 15 Februari 2016
Operational Use Of ECDIS
9 6211570097285319 Jakarta 31 Agustus 2019
Training Programme
Basic Training For Oil And
10 Chemical Tanker Cargo 6211570097390117 Jakarta 15 Juni 2017
Operations
11 Arpa Simulator 6211570097025319 Jakarta 21 Agustus 2019
12 Radar Simulator 6211570097035319 Jakarta 02 Juli 2019
Sincerely Yours
RIFALDI SIMPUTRA