PERSONAL CURICULUM VITAE I. PERSONAL DATA Name Place/ Date of Birth Religion Nationality Marital Status Address Contact No. Email
: DONI LUBIS : Tapanuli Utara / 08 December 1995 : Christian : Indonesia : Single : Jl. Pulau Sicanang Blok 7 Lingkungan VII Belawan Sicanang Medan Belawan : 082111679770 :
[email protected]
II. DOCUMENT Travel Document No of Document Passport B8359829 Seaman’s Book E019323
Place/Date Issued Belawan / 03 Nov 2017 Belawan / 21 Oct 2015
III. CERTIFICATE OF COMPETENCY Name of Certificate No of Certificate Deck Officer Class IV Operational 6201408706N43817 Certificate of Endorsement 6201408706ND3817 CERTIFICATE OF PROFICIENCY Certificate of Proficiency Basic Safety Training Revalidation Proficiency In Survival Craft and Rescue Boats Advanced Fire Fighting Medical First Aid Security Awareness Training
Date of Expired 03 Nov 2022 20 Oct 2018
Place / Date Issued Jakarta, 15 June 2017 Jakarta, 19 June 2017
IV.
EXPERIENCES Name of Vessel KM. Wiras Permata 02 KM. Pinang Jaya TB. Mega daya 33
No of Certificate 6201408706013817 6201408706043817 6201408706063814 6201408706073814 6201408706310116
Place / Date of Issued Aceh Besar, 22 May 2017 Aceh Besar, 04 May 2017 Aceh Besar, 21 May 2014 Aceh Besar, 16 May 2014 Jakarta, 06 June 2016
V.
GT/HP GT.947/600PK GT.1052/1400HP GT.135/2x450KW
Rank Cadet Deck Cadet Deck Mualim II
Flag Indonesia Indonesia Indonesia
From – Until 10 Feb 2016 – 14 July 2016 21 July 2016 – 24 March 2017 5 Jan 2018 – 17 Jan 2019
Your Sincerely
DONI LUBIS