Job Appliention

Dear Sir,
I Intend to apply for n job in your company as a positon and ready to be ptA0tted Foard
with route voyage determind by the company data arc as follows!
Full Name Mustital
Place Date of Birth I-hokscumawe, 08 Octobct t 985 sex Malc Religion

Nationalifi Indonesia
Address .11n. Samudlü Dsn. Pahjauan Kcl. I Cagu seratan
Kota Lhokscumau•e. Aech Utara
Contact Number : 462 82123999379 / 962 852 8094
2665
E-mail com
Document Travel
Namc Of Document Document Number Place Date of Issued Ex ired Date
Seament Book F 272478 Belawan 18 Des 2019 18 Des 2070
Certificate of Competency
Name of Document Certificate Number Place & Date Of (ssucd
Deck of Document 620031991 N53817 Jakarta 26 Ma 2017
Endorsement 620031991 1 NE3817 Jakarta 30 Ma 2017
Certificate Of Proficiency
Name of Document Certificate Number Place & Date of Issued
Basic Safetv Trainin 62003 1991 1013819 Aceh Besar 14 November 2019
Advanced Fine Fightin 62003 1991 1062819 Aceh Besar 14 November 2019
Security Awareness Tainin 62003 1991 1313815 Aceh Besar 02 march 2015
Medical First AID 62003 1991 1073817 Aceh Besar 30 March 2017
Medical Care On Board 62003 19911083817 Aceh Besar 10 A ril 2017
Shi
Prodficienc ' In Survival Craft and Rescue Boats 62003 1991 1043819 Aceh Besar 14 November 2019
Basic Training For Oil and Chemical Tanker Cargo
62003 19911393816 Aceh Besar 25 January 2016
O erations
Sea Experiences
Name of Vesel Shi in Com an GT/KW RANK Si n On Si Off
MT. Warembun an PT. Mul Ja a Samudera 1272/1492KW Kelasi 06 Oct 2006 15 A r2007
MT. Warembun an PT. Mul Ja a Samudera 1272/1492KW Pela an 15 Jun 2007 28 Ma 200S
MT. Warembun an PT. Mult Ja a Samudera 1272/1492KW Juru Mudi 28 Ma 2008 05 Au 2009
MT. Trust Honor PT. Mult Ja a Samudera 4565/3315 Juru Mudi 08 Au 2008 01 Des 2009
MT. Martha Global PT. Mul Ja a Samudera 2745/18600 Kelasi 02 Des 2009 07 Jun 2010
MT. Martha Global PT. Mul Jaya Samudera 2745/18600 Juru Mudi 07 Jun 2010 02 Nov 201 1
TB. Waruna I PT. Mul Ja a Samudera 243/2x970 Koki 03 Nov 2011 01 Feb 2012
TB. Waruna I PT. Mul Ja a Samudera 243/2x970 Juru Mudi 01 Feb 2012 23 A r2012
MT. Trust Honor PT. Mul Ja a Samudera 4565/3315 Kelasi 23 A r 2012 23 Jul 2013
TB. Waruna I PT. Mult Ja a Samudera 234.2x978 Juru Mudi 23 Jul 2017 17 2017
M V. Golden Destin PT. Mul Ja a Samudera 17935/5850 Juru Mudi 17 Au 2017 29 Oct 2017
M V. Golden Destin PT. Mult Ja a Samudera 17935/5850 Seran 29 Oct 2017 IS Des 2019
Sincerely Your,
( MUSRIZAL )