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To : CREWING MANAGER

Dear Sir,
Here with I would like to apply for joining in your good company for COOK on your vessel. To complete any application I also
communication following are my data

CURRICULUM VITAE

PERSONAL DATA

Name : Jaya
Place/Date of birth : Jakarta, 04 November 1980
Sex : Male
Age : 37
Marital Status : Married
Telp : + 62 21 56968495
Mobile Phone :+ 62 812 18088343
Height /Weight : 176 cm /73 kg
Religion : Moslem
Nationality : Indonesian
Address : Jl. Kampung Gusti Gg. No. 37 RT01/05

DOCUMENT
Document Name Number Place Date Of Issue Expire Date
Passport A 9247499 Jakarta, 24 October 24 October 2019
Seaman Book C 080303 Sunda kelapa,14 August 2014 13 August 2019

CERTIFICATE OF PROFICIENCY
Certificate Name Number Place Date of issue
Deck Watch Keeping 6200118272N60708 Jakarta, 28 May 2008
Rating Able as Seafarer Deck (ASDP) 6200118272340716 Jakarta,14 June 2016
Basic Safety Training (BST) 6200118272011114 Jakarta, 26 September 2014
Advanced Fire Fighting (AFF) 6200118272060716 Jakarta, 10 June 2016
Survival Craft and Rescue Boat (SCRB) 6200118272040713 Jakarta, 01 October 2013
Security Awareness Training (SAT) 6200118272311114 Jakarta, 24 November 2014
Seafarer with Designated Security Duties (SATSDSD) 6200118272321114 Jakarta, 24 November2014

SEA SERVICE RECORD


Name of Ship Type GT Position Service Period Company Flag Reason
Sign On Sign Off
MV Pisces Cruise Ships 40000 Ass.Cook 10.02.2002 12.12.2002 Star Cruises Bahamas EOC
Costa Romant Cruise Ships 56769 3rd Cook 15.10.2004 12.11.2006 Costa Spa Genoa EOC
Costa Atlantk Cruise Ships 85619 2nd Cook 02.01.2005 11.01.2006 Costa Spa Genoa EOC
Costa Romant Cruise Ships 56769 2nd Cook 25.02.2006 22.09.2006 Costa Spa Genoa EOC
Asian Helping Asian lift 571 1st Cook 11.12.2006 04.07.2007 Singapore ltd Singapore EOC
Bente General 2991 Cook 15.05.2009 14.12.2009 Moerman Dordrech EOC
Nordic Diana General 2740 Cook 30.03.2010 30.11.2010 Flinter Delfzul EOC
Nordic Erika General 2774 Cook 03.02.2011 17.10.2011 Flinter Maasdam EOC
M/V. Zaria Tug 147 Cook 22.07.2012 14.09.2012 TOS Lagos EOC
TB. Chome Tug 328 Cook 16.10.2012 04.01.2013 TOS ST.vinc EOC
MV.Hellenic Cargo 3150 Cook 05.06.2013 14.11.2013 Wagenborg Andijk EOC
Maimiti Cargo 2224 Cook 06.01.2014 26.07.2014 Wagenborg Delfjil EOC
Bente General 2991 Cook 27.10.2014 18.06.2015 Moerman Dordrech EOC
Lieke General 7580 Cook 30.10.2015 04.05.2016 Moerman Dordrech EOC
Delfborg General 6279 Cook 12.01.2017 16.08.2017 HJS Smith Delfjil EOC
Mv Mahajarafu Dredger 1500 Cook 29/09/2017 04/11/2017 TOS Delivery EOS
SL Africa Tug 451 Cook 21/12/2017 28/02/2018 TOS DELIVERY EOC
HALUL 100 Crew Boat 475 Cook 13/03/2018 24/04/2018 TOS DELIVERY EOC
SL MARABOU AHTS 1299 Cook 16/05/2018 07/07/2018 TOS DELIVERY EOC

Best Regard

JAYA