CURRICULUM VITAE

PERSONAL DATA
Full Name : MOHAMMAD USMAN
Place, Date Of Birth : Bangkalan, April 1980
Martial Status : Married
Height / Weight : 170 cm / 70 kg
Size Of Trhooses : XL/42
Nationality : Indonesia
Address : Jl. Kampung Anyar Rt.000 Rw.000
Desa Labang Kecamatan Labang
Phone Number : 085231431735

EDUCATION BACKGROUND
Junior School SDN Kamal 2 Bangkalan 11 Maret 1994
Yunior School SLTP 1 Kamal Bangkalan, 2 Juni 1997
Senior High School SMU 1 Kamal Bangkalan 2000
College High School UTM Fak. Hukum Ilmu Hukum Bangkalan, 14 September 2007
Akta IV Sekolah Tinggi Agama Islam Qomaruddin Gresik 5 Desember 2008

DOCUMENT OF SEAFARER
No Name Of Document Number Place Date Of Issued Date Of Expired
1 Pasport A 5941485 Tanjung Perak 18 Jul 2018 18 Jul 2020
2 Medical check up (MCU) 21786 Surabaya 21 Sep[ 2018 21 Sep[ 2020
3 Seaman Book F 892611 Lampung 3 Apr 2018 3 Apr 2021

CERTIFICATE OF COMPETENCY
No Name Of Certificate Certificate Number Date of Issued
1 ANTD 6201590127N60711 Jakarta, 14 Apr 2011
2 RATINGS AS ABLE SEAFARER DECK 6201591091340516 Surabaya, 31 March 2016

CERTIFICATE OF PROFICIENCY
No Name Of Certificate Certificate Number Date of Issued
1 Basic Safety Training Revalidation 6201591091010521 Surabaya, 18 Mar 2021
2 Proficiency In Survival Craft Rescue Boats 6201591091040522 Surabaya, 09 Mar 2022
3 Advanced Fire Fighting Revalidation 6201591091060522 Surabaya, 08 Mar 2022
Tanker Familiarization 6201591091090517 Surabaya, 17 Jun 2017
4 Security Awareness Training 6201591091310515 Surabaya, 30 Apr 2015
5 Medical First Aid 6201591091070517 Surabaya, 27 Jun 2017
6 Medical Care On Board Ship 6201591091080516 Surabaya, 13 May 2016
7 Seafarers With Designated Duties 6201591091320515 Surabaya, 07 May 2015
8 Basic Treaining For Oil And Chemical Tanker Cargo Operations 6201591091080516 Surabaya, 28 Dec 2016

SEA SERVICE
PERIODE OF SERVICE
Name Of Vessel Rank TYPE GRT
SIGN ON SIGN OFF
KM. KARYA MEKAR KELASI CARGO 973 03.08.2008 29.09.2009
KAPUAS JAYA 231 KELASI TONGKANG 1510 23.04.2010 23.04.2012
KM. ABADI PRIMA A/B CARGO 657 21.12.2012 07.04.2013
KM. INTAN DAYA A/B CARGO 2380 23.04.2012 23.04.2013
MT. KENCANA 3 A/B MOTOR TANKER 2269 08.01.2013 15.05.2014
TB. BRAMA 10 A/B TUG BOAT 196 20.06.2014 30.12.2014
KM. SUMBER BERKAH A/B CARGO 3100 02.02.2017 02.08.2017
KM. MITRA USAHA A/B CARGO 2273 14.08.2017 02.08.2019
KM TIRTA SAMUDRA A/B CARGO
2273 08.08.2018 08.02.2019
XXX IV
KM BENUA SAKTI A/B CARGO 1228 10.12.2019 01.07.2021

BEST REGARDS

MOHAMMAD USMAN