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JOB APLICATION FORM

TO : CREW DEPARTEMENT
ATT : ENGINE DEPARTEMENT
FROM : Mr. MUHAMMAD WIRA YUDHA PANGESTU

Dear Sir, s
I am intend to apply for a job at your company for the position as officer, here below my complete data :

Full name MUHAMMAD WIRA YUDHA PANGESTU


Place of date birth Aek Bange, 02 April 2000
Nationality Indonesia
Sex Male
Marital Status Single
Religion Moslem
Addres Dusun IV.A PASAR VII DESA MANUNGGAL , KEC : LABUHAN DELI,
KAB : DELI SERDANG
Phone +6285928866850
E-Mail muhammadwirayudha1415@yahoo.com

DOCUMENT

DETAIL OF DOCUMENT NUMBER DATE OF EXPIRED


Pasport C7182556 23 MARET 2026
Seamen Book F111059 30 MAY 2021

CERTIFICATE OF COMPETENCY

GRADE NUMBER PLACE DATE OF ISSUED


ENGINNER OFFICER CLASS IV OPRATIONAL 6211708183T43820 Jakarta, 18 February 2020
ENDORCEMENT CLASS IV 6211708183TD3820 Jakarta, 18 February 2020

CERTIFICATE OF PROFICIENCY

NO CERTIFICATE & QUALIFICATION NUMBER PLACE DATE OF ISSUET


1 Basic Safety Training 6211708183013820 Aceh Besar, 30 December 2020
2 Advanced Fire Fighting 6211708183063820 Aceh Besar, 30 December 2020
3 Medical First Aid 6211708183073817 Aceh Besar, 06 March 2017
4 Security Awareness Training 6211708183313820 Aceh Besar, 17 November 2020
5 Proficiency In Survival Craf And 6211708183043820 Aceh Besar, 23 December 2020
Rescue Boats
6 Engine Room Resource Management 6211708183273820 Aceh Besar, 25 November 2020
7 Ship Security Officer 6211708183243820 Aceh Besar, 17 November 2020
8 Crisis Management And Human 6211708183173820 Aceh Besar, 04 December 2020
Behaviour
9 Crowd Management 6211708183133820 Aceh Besar, 04 December 2020

SEA SERVICE/EXPERIENCE

PERIODE
NO NAME OF VESSEL TYPE NAME OF COMPANY RANK GT
FROM TO
1 KMP.JEMBATAN Ferry Roro PT.Jembatan Nusantara Cadet 506 20 April 10 Juni 2019
KAPUAS 2018
If you have reason about my application, please contact me +6285928866850. Thank you for your attention and
consideration.

Your Faithfully

Muhammad Wira Yudha Pangestu

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