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PERSONAL DETAILS

Name : WIJI SUPRAPTOLIB


Place/Date of Birth : Kediri, 07 Agustus 1979
Address : Dsn. Grompol RT/RW: 004/001
Kel / Desa : Ngebrak
Kec : Gampengrejo
Kab : Kediri
Marital Status : Single
Nationality : Indonesian
Religion : Moslem
Mobile : +62 812 5047 666
Seaferer Code : 6200147855
Email : talitajihantalita18@gmail.com

SEAFERERS DOCUMENT

Name of Document Number Issued Date Expire Date Issuing Authority

Seaman’s Book A 067992 September, 7 2017 September, 7 2017 Surabaya

Medical Check Up 6200147855MC6417 November, 16 2016 November, 16 2018 Surabaya

CERTICIFATE OF COMPETENCY

Type of Certificate Certificate Number Place / Date of Issued


ANT - IV 6200147855N40517
WORKING
No. Type of Certificate Certificate Number PlaceJuly,
/ Date
3 of Issued
2017
ENDORSEMENT 6200147855N40517 Period
1 BST 6200147855010517 July, 6 2017
No. Name of Vessel Type of Vessel GRT/HP Rank Surabaya/ June 13 2017
2 SCRB 6200147855040517 Sign On Sign Off Company
Surabaya/ June 12 2017
1
3
TB. TAMBAT
AFF
TUG. BOAT 249/2X1040
6200147855060517
A/B 5 NOV. 2007 19 NOV 2010 PT. MBP CERTICI
Surabaya/ June 12 2017
2 SPB LEBAM SPB 249/2X1040 A/B 19 NOV 2010 5 MAY 2011 PT. MBP
4 MEFA 6200147855070517
3 TB. TAMPAN TUG. BOAT 7099/2X1324 A/B Surabaya/
5 MAY 2011 30June
MAY 122011
2017 PT. MBP
5 SAT 6200147855310517
4 TB. MBP 3201 TUG. BOAT 254/2X883 A/B Jakarta/ 4June
30 MAY 2011 SEPT06 2012
2016 PT. MBP
6 MC 6200147855080517
5 TB. MBP 3202 TUG. BOAT 296/2X1200 A/B 30 AGST 2016 2 SEPT07
Surabaya/Januari 20162017 PT. MBP
7 BRM 6200147855230516
6 TB. MBP 3221 TUG. BOAT 296/2X1190 A/B 2 SEPT Surabaya/
2016 10 OKT2016
November 16 2017 PT. MBP
87 TB. MBP 3222 RADAR TUG. BOAT 6200147855030516
296/2X1190 A/B 28 AGST 2017 3 MAR 2018 PT. MBP
Surabaya/ December 17 2017
9 ARPA 6200147855020516
Surabaya/ December 13 2017
Your Faithfully.

WIJI SUPRAPTOLIB

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