WORKER'S INFORMATION SHEET

2023021285654
KURT BRYAN CARMEN GALANO
galanokurtbryan@gmail.com

Personal Information

Date of Birth
2000-12-17
Age:
22

Gender:
Male
Religion:
ROMAN CATHOLIC
Civil Status:
Single

Weight:
73
Height:
1.7

Address:
#13 Rizal Street, Centro West, Allacapan, Cagayan

Identification:
Identification Type Identification No Expiry Date

PASSPORT P2471941C 2032-11-22

SEAMAN'S BOOK (SIRB) A0241992 2033-01-18

DRIVER'S LICENSE B0819000157 2024-12-17

PHILHEALTH 062500291007 1900-01-01

Education:
Level School Course Year

COLLEGE GRADUATE CAGAYAN COLLEGES-TUGUEGARAO BACHELOR OF SCIENCE IN MARINE ENGINEERING 2022

Certificates
Title Cetificate No No. Hours Issued By Date Issued Expiry Date

SHIELDED METAL ARV WELDING 22021502030966 268 TESDA 03-24-2022 03-23-2027

Trainings

Training Certificate No Duration(HRs) Conducted By Skills Acquired

BASIC TRAINING FOR OIL AND CHEMICAL TANKER 52703423 40 RENAISSANCE TRAINING Oil and Chemical Tanker Cargo Operations
CARGO OPERATIONS CENTER, INC.

MARPOL 73/78 CONSOLIDATED ANNEXES I-VI 52370023 21 RENAISSANCE TRAINING Prevention of Marine Pollution
CENTER, INC.

ADVANCE FIRE FIGHTING 52475223 36 RENAISSANCE TRAINING Fire Fighting

CENTER, INC.

SURVIVAL CRAFTS AND RESCUE BOATS OTHER 52547423 32 RENAISSANCE TRAINING Survival Crafts and Rescue Boats
THAN FAST RESCUE BOATS CENTER, INC.

RATINGS FORMING PART OF ENGINEERING WATCH RFPEW221001129 48 PNTC COLLEGES MARITIME Watch Keeping
TRAINING CENTER

SHIP SECURITY AWARENESS TRAINING AND SDSD221000483 12 PNTC COLLEGES MARITIME Ship Security Awareness and Seafarers Designated Security
SEAFARERS WITH DESIGNATED SECURITY DUTIES TRAINING CENTER Duties

BASIC TRAINING BT221000134 77 PNTC COLLEGES MARITIME Personal Survival Techniques, Fire Prevention and Fire Fighting,
TRAINING CENTER Elementary First Aid, Personal Safety and Social Responsibility

Work Experience

Language Spoken

Language Competency Spoken Written

Iloko 9 9

Filipino 8 9

Job Preference

I hereby certify that all information stated above are true and correct.

KURT BRYAN CARMEN GALANO

Printed Name And Signature