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CURRICULUM VITAE

 PERSONAL DATA

Name : KHOLIS MUHTADI


Place, Date of Birth : Blora, 16 November 1983
Nationality : Indonesia
Married status : Single
Sex : Male
Religion : Moslem
Address : Desa Bajo, Kec. Kedungtuban, Kab. Blora
Number Phone : 082137905977 / 08121999138
 DOCUMENT TRAVEL
Name Of Document Number Place, Date of Issued Date of Expiry
Passport A 258063 Semarang, 12 April 201 12 April 2017
Seaman Book D 021167 Surabaya, 20 Nov 2014 19 Nov 2017

 CERTIFICATE OF COMPETENCY
Detail of Document Serial No Certificate Number Place of Issued
ANT-D CC 110029206 6201642202N60712 Jakarta, 07 March 2012
ANT-V CC 033034 A 6201642202N50515 Surabaya, 20 Aug 2015
ANT-V Endorsement CE 030723 A 6201642202NE0515 Surabaya, 27 Aug 2015

 CERTIFICATE OF PROFICIENCY
Name of Certificate Serial No Certificate Number Place, Date of Issued
Oil Tanker Specialized Training Programme COP 0177316 6201642202100713 Jakarta, 12 April 2013
Medical First Aid COP 0277725 6201642202070313 Semarang, 27 March 2013
Tanker Familiarization COP 0176675 6201642202090713 Jakarta, 06 April 2013
Survival Craft Rescue Boats - Revalidation CP 1447122 6201642202040316 Semarang, 21 Maret 2016
Basic Safety Training - Revalidation CP 1444168 6201642202010316 Semarang, 21 Maret 2016
Security Awareness Training CP 0399806 6201642202310314 Semarang, 26 Nov 2014
Seafarers With Designated Security Duties CP 0399806 6201642202320314 Semarang, 27 Nov 2014
Advanced Fire Fighting CP 0478332 6201642202060314 Semarang, 03 Dec 2014
Radar Simulator CP 1548948 6201642202030516 Surabaya, 21 Juli 2016
Arpa Simulator CP 1552439 6201642202020516 Surabaya, 18 Juli 2016
Medical Care on Board Ship CP 0833783 6201642202080515 Surabaya, 20 May 2015
The International Safety Management Code SN 0003886 38860642015 Surabaya, 25 April 2015

 WORKING EXPERIENCE
Period
Name Of Vessel Type Company Rank GRT Flag
Sign On Sign Off
KM. Alken Persada Roro PT. Alken persada Kelasi 524 Indonesia 02.10.08 26.11.11
KM. Multi Expres Cargo PT. Multi Expres Kelasi 726 Indonesia 13.01.10 28.03.11
KM. Danny 10 Cargo PT. Danny Kelasi 1281 Indonesia 25.08.11 27.12.11
PT. AKT (Asmin Koalindo
LCT Republik 009 Cargo AB 670 Indonesia 01.06.12 19.11.14
Tuhup)
SPAJ 033 Tagboat PT. SPAJ Mualim II 216 Indonesia 30.12.15 31.03.16
REPUBLIK 015 Tagboat PT. SPM Mualim I 145 Indonesia 11.11.16 17.04.17

Your Faithfully

KHOLIS MUHTADI