Professional Documents
Culture Documents
SEAROnlineExcelForm 2017
SEAROnlineExcelForm 2017
* Mandatory Value
Personal Information
* Full Name Cerpandi Sidabutar
* Date of Birth 18-08-1996
* Gender Male
* Nationality Indonesia
* ID Type KTP
* ID No. 1208241608960003
ID Expiry Date
Passport Expiry Date
Visa (type)
Visa Expiry Date
* KITAS YES
KITAS City
SKJ No.
* Home Address Perumahan Rindang Garden Blok D2 No 6, Batu Aji, Batam Kota
Home Post Code
Home Phone
* Mobile Phone +6282361322611
* Email Address cherpandigmail.com
* Manpower Source 63. …. IP – Kampung 62
* Point of Hire Jakarta (Jabodetabek)
* MCU Expiry Date 2-Oct-22
* HSE Fundamental Site Induction Training Date
4-Aug-21
* Previous Visit Date 26 Oktober 2021
Emergency Contact
* Full Name Alpon Suradi Sidabutar
* Relationship Brother
* Contact Phone +6285264138270
Institution Information
* Institution Name PT. Gamma Buana Persada
* Position Title NDT Technician
* Institutional Classification BP Indonesia
* Contact Phone 021 4893456
Agenda
Access ID Requested
Vantage ID
* Purpose of visit Business
Operation / Project Name
Shoe/Coverall/Uniform (State the Size)
* Plan of Work LNG Site
* Site Office Base Admin Bldg
* Accomodation Dormitory
Arrival
Arrival Date at Site
(1) Travelling From & Date Halim
(1) Travelling To Babo
(2) Travelling From & Date Babo
(2) Travelling To LNG
Departure
Departure Date from Site
(1) Travelling From & Date LNG
(1) Travelling To Babo
(2) Travelling From & Date Babo
(2) Travelling To Halim
Remark
* Attachments
NESIA SEAR ONLINE FORM
Notes
Kampung 62
Buana Persada