DATE : 17-07-2022 1/2

PERSONAL HISTORY RECORD

NO. RANK VESSEL
(CURICULUM VITAE)
1 - CODE NEW 1 C/E
NAME INDONESIA TEGUH
DUKUH BULAK BANTENG 2 PANDU 4. NO. 23
DOMICILE
SURABAYA 60127. (EAST JAVA). INDONESIA
ADDRESS
PRESENT HP.+6282228057799 / +6282228029988
DATE OF PLACE OF
JUL, 17, 1957 KULON PROGO ID. NO
BIRTH BIRTH
FAMILY
NAME AGE ETC
RELATION
WIFE HERLINA 50 HP. +6281235432329 CIVIL STATUS MARRIED
CHILDREN 3
RELIGION MOESLEM
DURATION SCHOOLING
EDUCATION 3 YEARS MERCHANT MARINE ACADEMY

BLOOD CLOTHES MEDIUM (32 SHOES

HEIGHT 162 CM WEIGHT 60 KGS 40
TYPE A SIZE INCH) SIZE
PHISYCAL EXAM DATE, DISTINGUISHING
HOSPITAL MARKS
CERTIFICATE / LICENSE
NUMBER DATE ISSUED EXPIRY DATE ISSUED BY
QUALIFICATION / ETC
INDONESIA PASPORT C. 6475084 MAY, 20, 2020 MAY, 20, 2025 BLK. PADANG
INDONESIA SEAMAN BOOK F. 140848 MAY, 23, 2018 MAY, 23, 2023 TG. PRIOK
MALAYSIA SEAMAN BOOK 201123015080 FEB, 22, 2012 FEB, 21, 2013 PEL. KLANG
PANAMA SEAMAN BOOK CTB 833391 MAY, 16, 2013 JUNE, 24, 2014 PANAMA
BELIZE LICENCE
U.S VISA
INDONESIA C.O.C / ATT 1 6200083651T10216 NOV, 21, 2016 - JAKARTA
ENDORSEMENT C.O.C / ATT 1 6200083651T10216 MAY, 20, 2021 MAY, 20, 2026 JAKARTA
BST 6200083651010318 NOV, 13, 2018 NOV, 13, 2023 SEMARANG
BOCT 6200083651390318 NOV, 16 2018 NOV, 16 2023 SEMARANG
WATCHKEEPING LICENCE
ADVANCE FIRE FIGHTING 6200083651060318 NOV, 13, 2018 NOV, 13, 2023 SEMARANG
SCRB 6200083651040318 NOV, 13, 2018 NOV, 13, 2023 SEMARANG
MEDICAL FIRST AID 6200083651070309 MAY, 17, 2014 - SEMARANG
MEDICAL CARE CERT 6200083651080309 MAY, 17, 2014 - SEMARANG
ISM CODE 10.166/ISM/PIP.SMG/X/01 OCT, 28, 2001 - SEMARANG
MEDICAL CERTIFICATE NO. 4 /5/21/57 MAY, 04, 2021 MAY, 04, 2023 SEYCHELLES
YELLOW FEVER 91473 JUL, 09, 2019 JUL, 09, 2029 YEMEN
OTHER CERTIFICATE :
1. OIL TANKER 6200083651100309 MAY, 17, 2014 - SEMARANG
2. CHEMICAL TANKER 6200083651110109 JUN, 01, 2009 - JAKARTA
3. SHIP SECURITY OFFICER 6200083651240314 MAY, 17, 2014 - SEMARANG
4. ERRM 6200083651270221 APR, 08 2021 - JAKARTA
5. CERTIFICATE PANAMA CTB 833391 MAY, 16, 2013 JUNE, 24, 2014 PANAMA
6. M.P.A. SINGAPORE COE-E0103559 FEB, 03, 2015 DEC, 31, 2016 SINGAPORE
7. C.O.R. MALAYSIA 6200083651T10209 FEB, 22, 2012 FEB, 21, 2013 PEL. KLANG
RANK : C/E SEA SERVICE 2/2
NO VESSEL FLAG RANK VSL. TYPE GRT HP/KW SIGN ON COASTAL COMPANY
ENG. TYPE SIGN OFF FOREIGN GOING
1 MV. SOEMANTRI INA CDT/E BULK CARRIER 7500 5000 SEP 18, 1980 P.T. PUSRI
BRODJONEGORO DAIHATSU OCT 02, 1981 FOREIGN GOING PALEMBANG
2 MT. PERMADANI INA 3/E TANKER 2800 2000 JAN 08, 1985 PT. B.P.B. JKT.
MAKITA JAN 10, 1986 COASTAL
3 MT. PERMAISURI INA 2/E TANKER 3000 2200 MAR 31, 1986 PT. B.P.B. JKT.
HANSIN MAY 18, 1987 COASTAL
4 MT. PERKASA INA C/E TANKER 3200 2400 MAY 18, 1987 PT. B.P.B. JKT.
HANSIN OCT 27, 1988 COASTAL
5 S.V. BHAITA LIMA INA C/E SUPPLY VESSEL 386 2X1800 NOV 29, 1988 P.T. BHAITA
DAIHATSU GT = 3600 JAN 16, 1990 COASTAL JAKARTA
6 MV. MERRY CPR C/E CARGO 8900 6000 FEB 25, 1990 P.T. MERATUS
CHIARA DMR JUL 17, 1990 FOREIGN GOING SURABAYA
7 MV. MELISA INA C/E CONTAINER 5500 3000 JUL 18, 1990 P.T. MERATUS
COCKERILL AUG 08, 1992 FOREIGN GOING SURABAYA
8 MV. MELINA II INA C/E CARGO 3200 2400 AUG 08, 1992 P.T. MERATUS
MIRLESS AUG 26, 1994 COASTAL SURABAYA
9 MV. CARAKA JAYA INA C/E CONTAINER 3600 2050 SEP 22, 1994 P.T. MERATUS
N B&W AUG 05, 1995 COASTAL SURABAYA
NIAGA III-17
10 MV. MARTAPURA INA C/E CONTAINER 3200 2000 JAN 22, 1998 P.T. MERATUS
PIONEER DEUTZ JUN 26, 1998 COASTAL SURABAYA
11 MV. CARAKA JAYA BLZ C/E CONTAINER 3600 2050 JUL 12, 1998 P.T. MERATUS
N B&W SEP 14, 1999 COASTAL SURABAYA
NIAGA III-17
12 MV. MARIANA GRC 2/E CARGO BULK 26000 12000 DEC 18, 1999 SUNLIGHT
DMR JUN 18, 2001 FOREIGN GOING C.N.S.A
13 TB. TOPNICHE 5 SPR C/E OCEAN TUG 250 2x1200 SEP 01, 2002 TOPNICHE
YANMAR GT = 2400 SEP 13, 2003 FOREIGN GOING ASSOCIATES
14 S.V. DANUM 8 MLY C/E A.H.T.S 384 2x1800 DEC 27, 2003 SHINYANG
CATERPILLAR GT = 3600 JUN 27, 2004 FOREIGN GOING SHIPPING
15 S.V. MELANA 69 MLY C/E SUPPLY VESSEL 282 2x1030 JUN 29, 2004 SHINYANG
MITSUBISHI GT = 2060 AUG 06, 2005 FOREIGN GOING SHIPPING
16 MV. SIRI BHUM SPR C/E CONTAINER 5894 6000 SEPT 29, 2005 P.T. PUSRI
PIELSTICK JUL 24, 2006 FOREIGN GOING PALEMBANG
17 MV. LILA BHUM SPR C/E CONTAINER 8443 7200 OCT 04, 2006 R.C.L. SPR
AKASAKA JUN 19, 2007 FOREIGN GOING
18 MV. NITHI BHUM SPR C/E CONTAINER 11665 8400 OCT 14, 2007 R.C.L. SPR
KOBE JAN 02, 2009 FOREIGN GOING
19 MV. MORNING PNM C/E BULK CARRIER 6210 3300 JUL 18, 2009 R.C.L. SPR
CARRIER ITO NOV 23, 2009 FOREIGN GOING
20 MV. BHATRA INA C/E CONTAINER 10782 7300 MAR 01, 2010 P.T. B.B.N
BUM PIELSTICK DEC 22, 2010 FOREIGN GOING MEDAN-INA
21 MV. PDZ MASYHUR MLY C/E CONTAINER 4007 3000 AUG, 25, 2011 APEX
M.A.K AUG, 03, 2012 FOREIGN GOING SHIPPING
22 MV. SOUTHERN C.I/N.Z C/E CONTAINER 5025 4320 SEPT, 23, 2012 REEF SHIPPING
REEF M.A.N. B&W FEB, 25, 2013 FOREIGN GOING CO. LTD. NZ
23 MT. ASPHALT PNM C/E TANKER 1893 2200 MAY, 02, 2013 LILLY MARITIME
MERCHANT AKASAKA DEC, 26, 2013 FOREIGN GOING PVT. LTD.INDIA
24 MT. TANTO STAR INA C/E CONTAINER 13156 7480 MAY, 02, 2014 P.T. TANTO

M.A.N. B&W AUG, 28, 2014 COASTAL INTIM LINE

25 MT. TANTO INA C/E CONTAINER 10969 10725 AUG, 29, 2014 P.T. TANTO

TENANG M.A.N. B&W JAN, 17, 2015 COASTAL INTIM LINE

SPR C/E CONTAINER 16705 16680 FEB, 03, 2015 SEA CHANGE
26 MV. SANYA
M.A.N. B&W SEP, 01, 2015 FOREIGN GOING MARITIME PTE. LTD

MV.MERATUS INA C/E CONTAINER 16705 16680 NOV, 30, 2016 P.T. MERATUS
27
MEDAN 5 M.A.N. B&W MAR, 19, 2017 FOREIGN GOING SURABAYA
MV.MERATUS INA C/E CONTAINER 25674 20930kw MAR 30, 2017 P.T. MERATUS
28
JAYAWIJAYA M.A.N. B&W MAY, 15, 2018 FOREIGN GOING SURABAYA
MV.MERATUS INA C/E CONTAINER 9942 3000hp NOV 27, 2018 P.T. MERATUS
29
WAIGEO MITSUBISHI APR, 05, 2019 FOREIGN GOING SURABAYA
30 MV.FAN ZHOU 15 CHN C/E HEAVY LOAD 44574 16930kw APR 09 2019 JIANGSU
CARRIER FANZHOU SHPG
M.A.N. B&W CO LTD
 M.A.N. B&W MAY, 15, 2021 FOREIGN GOING
MV.FAN CHN C/E HEAVY LOAD 48292 15414kw SEP. 25 2021 JIANGSU
31 CARRIER
ZHOU 10 FANZHOU SHPG
M.A.N. B&W JUN, 13, 2022 FOREIGN GOING CO LTD