DIREKTORATE GENERAL OF SEA TRANSPORTATION

DOCUMENT OF INDONESIA’ S SEAFARER

CURRICULUM VITAE

Personal Data

Full Nama : SULISMAN Marital Status : Single

Rank : ATT IV Address : Jln. Cut nyak dien RT/RW 08 Kab. Nunukan. Prov. Kaliamantan Ut
Pleace, Data of Birth : Sidrap, 06 Juni 2001 Phone : 085347446198
Sex : female Email : sulisman@smkp-samudera-plp.sch.id

TRAVEL DOCUMENT

Nama of Document Liecence No. Place Date of Issued Date of Expire

Seaman’s Book G 001261 Palopo,15 Juli 2020 15 Juli 2023

CERTIFICATE OF COMPETENCY

Nama of Document Certificate Number Place. Data of Issue

ATT-IV 6212006042T40622 Jakarta 12 Agustus 2022
Endorsement ATT-IV 6212006042TD0622 Jakarta 15 Agustus 2022

CERTIFICATE OF PROFICIENCY

Nama of Document Certificate Number Place. Data of Issue

Basic Safety Training 6212006042010620 Barombong, 24 February 2020
Advanced fire fighting 621200604260620 Barombong, 02 March 2020
Medical first aid 6212006042070620 Barombong,09 March 2020
Security awareness training 6212006042310620 Barombong, 05 March 2020
Engine room resource management 6212006042270620 Barombong, 17 September 2022
Basic training for oil and chemical tangker cargo opera 6212006042390620 Barombong, 03 September 2022
Proficiency in survival craft and rescue boats 6212006042040620 Barombong.08 Juni 2022
Seaf arers with designated security duties 6212006042320620 Barombong,08 Juli 2022

SEA SERVICE

Vessel Nama& Type GRT Rank Period Company/Flag

KM. Mandiri Jaya 8/ Cargo 1477 Cadet Engine 7/4/2020-16/6/2021 PT. CAKRA WARTI SAMUDRA /INDONESIA
TB. Equator/ Tug boat 141 Cadet Engine 18/6/2021-20/6/2022 PT.CINDRA PRATAMA LINES/ INDONESIA