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    MOH SIDIK-Laundry Attendent

    Uploaded by

    Tretan Putra Pratama

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MOH SIDIK-Laundry Attendent

    Uploaded by

    Tretan Putra Pratama
    6 views3 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views3 pages

    MOH SIDIK-Laundry Attendent

    Uploaded by

    Tretan Putra Pratama

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    Recent

    Application Form passport size


    photograph

    Laundry Attendent
    Position Applied For :
    Laundry Attendent

    1. Personal Details
    First Name Moh Last Name Sidik

    Current Address City : Bangkalan Province / State : Jawa Timur

    Postal Code : 69115 Country : Indonesia

    Date of Birth 07 April 1987 Place of Birth Bangkalan

    Age 36 Nationality Indonesia

    Gender Male Marital Status Kawin

    Height 165 Cm Weight 75 Kg

    Contact No. +6287863134775

    Email Address Moh.sidik911@gmail.com

    2. Education Background

    No. Level School Commence Completed

    1. Jnr. High School SMP 05 Negeri Bangkalan 2000 2003

    2. Snr. High School SMK 02 Negeri Bangkalan 2004 2007

    3. University / College

    3. Employment History (Sea Service)

    No. Vessel / Company Vessel Type Position From To

    Passenger
    1.
    Job Scope:

    2.
    Job Scope:

    4. Employment History (Land)

    No. Company Name Hotel / Restaurant Position From To


    August
    Puri Darmo Hotel Laundry Attendent August 2022
    1. 2023
    Job Scope:

    P a g e |1
    AMPHITRITE PTE. LTD. Ship Manning and Management
    5. Documentations
    No. Type Document Number Place of Issue Date of Issue Expiry

    1. Passport E3851987 Tanjung Perak 25 July 2023 25 July 2033

    2. Seaman Book I 087435 Cirebon 04 September 2023 04 September 2026

    3. Yellow Fever L00-0512262 Tanjung Perak 22 February 2024 07 March 2026

    4. US C1/D Visa

    6. Certificates of Proficiency (STCW95)

    No. Certificate Document Number Place of Issue Issue Date

    1. Basic Safety Training (BST) 6212342959013723 Denpasar 21 August 2023

    2. Crowd Management 6212342959133723 Denpasar 07 September 2023

    3. Crisis Management 6212342959173723 Denpasar 07 September 2023

    4. Survival Craft Rescue Boat

    5. Security Awareness 6212342959313723 Denpasar 06 September 2023

    7. Next of Kin
    Name Nurul Jannah Safitri Relationship : Wife

    Address City : Bangkalan Province : Jawa Timur

    Postal Code : 69115 Country : Indonesia

    Contact No. +6285920006898 Email : Arshakaarshaka184@gmail.com

    I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge

    Date : 07 March 2024 Signature :

    P a g e |2
    AMPHITRITE PTE. LTD. Ship Manning and Management
    ANNEX – Certificates / References

    P a g e |3
    AMPHITRITE PTE. LTD. Ship Manning and Management

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