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    Ruko Royal Sunter Blok D No. 27 TELP: (021) 6521201, 6521202 - FAX (021) 65830459 Email

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    indoseafarer
    This document appears to be a seafarer's resume containing personal details such as name, date of birth, education history, certifications, sea service experience, language skills, and contact information. It includes sections for identification details, education, licenses and certificates, passport and visa information, medical exams, sea service history spanning 12 positions over various vessels, performance reviews, and a signature. The resume is submitted to PT. Abadi Mandiri International for evaluation and consideration of employment.

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    Ruko Royal Sunter Blok D No. 27 TELP: (021) 6521201, 6521202 - FAX (021) 65830459 Email

    Uploaded by

    indoseafarer
    43 views4 pages
    This document appears to be a seafarer's resume containing personal details such as name, date of birth, education history, certifications, sea service experience, language skills, and contact information. It includes sections for identification details, education, licenses and certificates, passport and visa information, medical exams, sea service history spanning 12 positions over various vessels, performance reviews, and a signature. The resume is submitted to PT. Abadi Mandiri International for evaluation and consideration of employment.

    Original Description:

    form deck

    Original Title

    Cv Deck Form

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    This document appears to be a seafarer's resume containing personal details such as name, date of birth, education history, certifications, sea service experience, language skills, and contact information. It includes sections for identification details, education, licenses and certificates, passport and visa information, medical exams, sea service history spanning 12 positions over various vessels, performance reviews, and a signature. The resume is submitted to PT. Abadi Mandiri International for evaluation and consideration of employment.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    43 views4 pages

    Ruko Royal Sunter Blok D No. 27 TELP: (021) 6521201, 6521202 - FAX (021) 65830459 Email

    Uploaded by

    indoseafarer
    This document appears to be a seafarer's resume containing personal details such as name, date of birth, education history, certifications, sea service experience, language skills, and contact information. It includes sections for identification details, education, licenses and certificates, passport and visa information, medical exams, sea service history spanning 12 positions over various vessels, performance reviews, and a signature. The resume is submitted to PT. Abadi Mandiri International for evaluation and consideration of employment.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 4

    PT.

    ABADI MANDIRI INTERNATIONAL


    RUKO ROYAL SUNTER BLOK D No. 27
    TELP : (021)6521201, 6521202 - FAX (021) 65830459
    EMAIL : [email protected]

    NAME

    NAME

    RANK :

    GIVEN NAME :
    DOMICILE :

    ADRESS

    PRESENT

    DATE OF BIRTH
    FAMILY RELATION

    HP : +62
    TELP : +62

    PHO

    PLACE OF BIRTH
    NAME

    ID. NO
    AGE

    ETC

    FATHER

    CIVIL
    STATUS

    MOTHER
    WIFE

    CHILDREN
    RELIGION
    DURATION

    SCHOOLING

    EDUCATIONS

    HEIGHT

    WEIGHT

    PHYSICAL EXAM DATE HOSPITAL


    CERTIFICATE / LICENSE
    QUALIFICATIONS / ETC

    DISTINGUISHING MARKS

    NUMBER

    INDONESIAN PASSPORT
    INDONESIAN SEAMAN BOOK
    VALID VISA

    INDONESIA LICENCE / ANT ENDORSEMENT LICENCE


    GENERAL OPERATOR CERT.
    ARPA SIMULATOR
    RADAR SIMULATOR
    GMDSS / ORU
    BST
    SCRB
    ADVANCE FIRE FIGHTING
    MEDICAL FIRST AID
    MEDICAL CARE CERT
    ISM CODE
    SSO
    BRIDGE TEAM MANAGEMENT
    OTHER CERT. :
    1. OIL TANKER
    2. TANKER FAMILIARIZATION
    3. CHEMICAL TANKER
    PANAMA SEAMAN BOOK
    PANAMA G.M.D.S.S OPERATOR
    LIBERIA SEAMAN BOOK

    RANK:

    CLOTHES
    SIZE

    BLOOD
    TYPE

    NAME :

    DATE ISSUED

    EXPIRY DATE

    ENGLISH LINGUISTICS
    ENGLISH
    READ & WRITE
    SPEAK & LISTEN
    OTHER LANGUAGE

    5. EXCELLENT
    5. EXCELLENT

    4. GOOD
    4. GOOD

    3. ACCEPTABLE
    3. ACCEPTABLE

    2. POOR
    2. POOR

    1. UNSUITABLE
    1. UNSUITABLE

    SEA SERVICES
    NO.

    VESSEL

    FLAG

    RANK

    VESSEL TYPE

    SIGN ON DATE
    SIGN OFF DATE

    GRT

    DURATION

    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
    10.
    11.
    12.
    INTERVIEW RECORD
    PERFORMANCE :
    ENGLISH :
    I certify that all statement given on this application are correct and true to my knowledge. I look forward to hearing from you soon.
    Faithfully yours

    Crew Dept

    1/2

    PHOTO

    SHOES
    SIZE

    ISSUED BY

    2/2

    UITABLE
    UITABLE

    COMPANY

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