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2240-C Ground Floor, Palm Court Street cor. F.B. Harrison St.

, Pasay City, Philippines


Tel. No.: (632)511-1599
Website: www.fil-crew.com

DATE APPLIED: _ __
PERSONAL INFORMATION

NAME JESBERT B. TEJOSO AGE: 30


POSITION A/B HEIGHT:5’10
CIVIL STATUS SINGLE WEIGHT: 84KG
DATE OF BIRTH 12/24/1988
PLACE OF BIRTH LUBANG OCC.MINDORO
MOBILE NO. 09489351152
HOME NO. 09489351152
ADDRESS 1871 FEB ST. F VARONA TONDO MANILA
SSS NUMBER 34-1285249-0
PAG-IBIG NUMBER
PHILHEALTH NUMBER 01-0509426000-2

AGE DATE OF BIRTH ADDRESS


SPOUSE’S NAME
FATHER’S NAME CARLITO GARCIA TEJOSO 62 MAY 23 1956 LUBANG OCC.MINDORO
MOTHER’S NAME MARITES VILLAS DE LARA 55 JUNE 06 1963 LUBANG OCC.MINDORO

DEPENDENT’S NAME GENDER AGE DATE OF BIRTH ADDRESS


CARLITO GARCIA TEJOSO MALE 62 MAY 23 1956 LUBANG OCC.MINDORO
MARITES VILLAS DE LARA FEMALE 55 JUNE 06 1963 LUBANG OCC.MINDORO
CHARRY D. TEJOSO FEMALE 31 APRIL 27 1987 TONDO MANILA

EDUCATIONAL BACKGROUND

NAME OF SCHOOL ADDRESS YEAR GRADUATED


ELEMENTARY TAGBAC ELEM. SCHOOL LUBANG OCC.MINDORO 2001
HIGH SCHOOL LUBANG VOC. HIGH SCHOOL LUBANG OCC.MINDORO 2006
COLLEGE PMI COLLEGES STA CRUZ MANILA PHIL. 2009
VOCATIONAL

DOCUMENTS / LICENSES

TYPE OF DOCUMENT DOCUMENT NUMBER DATE OF ISSUE EXPIRY DATE

SEAMAN BOOK C0809720 MARCH 17 2016 MARCH 11 2021


E-REGISTRATION 8812240032
PHILIPPINE PASSPORT P0542405B FEB 04 2019 FEB 03 2029
OTHER VISA
MARINA ID (OFFICERS)
MARINA COP (OFFICERS)
MARINA COE (OFFICERS)
MARINA GMDSS (DECK OFFICERS)
MARINA COP (RATINGS) ANW 20000004819 MARCH 01 2019

COURSE/CERTIFICATE NUMBER/DATE ISSUED COURSE/CERTIFICATE NUMBER/DATE ISSUED

BT MBTR-081-19-7802/02-
07-2019
PSCRB REF-PSC-019-19-31922
SDSD MSDS-008-19-
31922/01-29-2019
MARPOL CONSO MARPOL-0035-0080/12-
20-2013
RFPNW DW1309113/09-19-2013
RATING AS ABLE SEAFARER DECK ABSD-19-0149

FMOSI-QF-OPS-001/18
REV. 01
WORK EXPERIENCES

START FROM YOUR LATEST SEA GOING EXPERIENCE

VESSEL DESCRIPTION WORK EXPERIENCE

TYPE OF VESSEL FROM TO


COMAPANY VESSEL NAME LOCATION WORK/ RANK GRT/KW LAST ENGINE TYPE/
DD-MM-YYYY DD-MM-YYYY
VESSEL OPERATING SALARY BHP
AREA
GLOBAL MARITIME RAZAN 1 LCT YEMEN,AFRICA AB 969 CUMMINS 1214 29-DEC-2016 10-NOV-2018

GLOBAL MARITIME SHEWELEH LCT YEMEN ,AFRICA GP UTILITY 924 CUMMINS 1214 09-NOV-2016 28-DEC-2016

MORETA SHIPPING MV MORETA CARGO MANILA/ PALAWAN OS 3810/2201 25-NOV-2012 24-AUG-2013


LINES CARGOES
MORETA SHIPPING MV LOVE 1 CARGO MANILA/ PALAWAN OS 3184/6266. 06-JUNE-2012 14-SEPT-2012
LINES PASSENGER 40

This is to certify that the information given on this form is complete and accurate to the best of my knowledge.
______________________
Applicant’s Name & Signature