CURRICULUM VITAE

PERSONAL DATA
Name : MOHAMAD ATHOURROHMAN ISMAIL
Place, Date of Birth : Bangkalan, 15 July 2001
Marital Status : Single
Sex : Male
Religion : Moslim
Nationaly : Indonesia
Address : Bancaran RT.01 RW.06 Kel. Bancaran
Kec./ Kab. Bangkalan – East Java
Phone/HP : +62 812 3358 9042
Email : athour.rohman1127@gmail.com

❖ TRAVEL DOCUMENT
No Name of Document Number Place, Date of Issued Date of Expiry
1 Passport E 2082614 Tanjung Perak, 17 February 2023 17 February 2033
2 Seaman Book H 002855 Tanjung Perak, 19 January 2022 19 January 2025

❖ CERTIFICATE OF PROFICIENCY
No Name of Certificate Certificate Number Place Date of Issued
1 Basic Safety Training 6212141767010521 Surabaya 13 December 2021
2 Proficiency In Survival Craft And Rescue Boats 6212141767040523 Surabaya 02 February 2023
3 Advanced Fire Fighting 6212141767060522 Surabaya 14 March 2022
4 Medical First Aid 6212141767070522 Surabaya 25 March 2022
5 Security Awarenes Training 6212141767310522 Surabaya 22 February 2022
6 Seafarers With Designated Security Duties 6212141767320522 Surabaya 21 March 2022
7 Ratings Forming Part Of A Watch In Engine Room 6212141767350523 Surabaya 01 March 2023

❖ SEA SERVICE RECORD

GT / Period
No Name of Vessel Type Company Rank Flag
KW Sign On Sign Off
PT. Karunia Utama
1 KM. Adinusantara Cargo Oiler 445/570 Indonesia 24.06.2022 09.01.2023
Asia Timur

Yours Faithfully,

MOHAMAD ATHOURROHMAN ISMAIL