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    Agus Kurniawan - CV Application Form1

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    aci aci

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    Agus Kurniawan - CV Application Form1

    Uploaded by

    aci aci
    16 views3 pages

    Original Title

    Agus kurniawan - CV Application Form1

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    Copyright:

    © All Rights Reserved
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    16 views3 pages

    Agus Kurniawan - CV Application Form1

    Uploaded by

    aci aci

    Copyright:

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

    APPLICATION FORM / PERSONAL INFORMATION – SHIP/HOTEL DEPARTMENT

    PERSONAL DETAILS:

    Applied Position Utility Galley Nationality Indonesia


    First Name Moh Ainur Home Airport Surabaya – Indonesia : SUB
    Last Name Rafik Home Address incl. post code Dsn. Pandiyan Selatan kec. Arosbaya
    Place & Date of Birth Bangkalan, 14 Desember 2000 Telephone No. 085748802402
    Weight & Height 64 & 173 Email address ainurrafik1412@gmail.com

    RECORDS OF PREVIOUS EXPERIENCES

    Ship, Hotel or Restaurant Name * Facility & services Address of the hotel, Position Salary Employment Employment Reason for
    rated (4 or 5 star)* restaurant or agency start date end date leaving or current
    Start End
    status
    1. Hotel puri darmo Kitchen 4.725.000 4.725.000 01 feb 2022 until present
    Steward
    Job a) dishwash all of area in galley
    Description b) cleaning floor and mopping
    c) dishwash all equipment in galley

    2
    Job a)
    Description b)
    c)

    3
    Job a)
    Description b)
    c)

    4
    Job a)
    Description b)
    c)

    5
    Job a)
    Description b)
    Page 1 of 3
    APPLICATION FORM / PERSONAL INFORMATION – SHIP/HOTEL DEPARTMENT
    c)

    *Starts from the most recent workplace. Facility services rating for hotel and restaurant.

    CERTIFICATES:

    Course Institution Place Cert. Number Date of Issue


    Basic Safety Training (BST) Poltekpel Surabaya Surabaya 6212265164010522 02 december 2022
    Crowd Management Poltekpel Surabaya Surabaya 6212265164130523 27 june 2023
    Crisis Management Poltekpel Surabaya Surabaya 6212265164170523 27 june 2023
    Security Awareness Training Poltekpel Surabaya Surabaya 6212265164310523 05 July 2023

    TRAVEL DOCUMENTS:

    Type of document Number Place of issuance Date of issuance Date of expiry


    PASSPORT E2070212 Tanjung perak Surabaya 19 jan 2023 19 jan 2033
    SEAMAN BOOK H093865 Kesyahbandar utama tanjung perak 03 jan 2023 03 jan 2026

    FORMAL EDUCATION BACKGROUND:

    School/Academy From (..Date/Month/Year..) To (..Date/Month/Year..) Qualification Attained


    Vocational High SMK 1 Arosbaya 2015 2018 Diploma
    School

    REFERENCES: Name, contact number of at least 2 (two) previous employers and the recommendation

    Employer’s name Address and contact number Recommendation

    Page 2 of 3
    APPLICATION FORM / PERSONAL INFORMATION – SHIP/HOTEL DEPARTMENT
    EMERGENCY CONTACT DETAILS:

    No. Name Relationship Contact Number E-mail address


    1 Siti Sulihah Mother Home
    Mobile 085854544383
    2 Desi andriana Home
    Mobile 082335221543

    NEXT OF KIN:

    No. Name Relationship Place / Date of Birth Phone No / Email


    kamelia tussholehah Sister

    Declaration:

    I hereby declared that the above mentioned information is correct.

    Place & Date :

    Signature : Li

    Page 3 of 3

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