Sat Angkatan 52.docx

No.

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.

. . .

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.

0.

1.

2.

3.

No. Dokumen No. Revisi Halaman Seaman Jaya MTC

Judul :

: : :

FRM/SJ/IK 04.001 00 3 dari 69

Tanggal Efektif : 14 Mei 2014

FORM. REGISTRASI DIKLAT FORM. REGISTRASI DIKLAT

NAMA DIKLAT ANGKATAN PERIODE Nama Peserta

JK

: SAT : 52 (LIMA PULUH DUA) : SELASA, 19 MARET 2019 Tempat/Tanggal Lahir BANYUMAS, 16 SEPTEMBER 1996

NIK

SEAFARER CODE

No. Telp/HP

3301221609960001

BST 365

081215987987

[email protected]

UMUM

081231751072

[email protected]

UMUM

082335288574

[email protected]

UMUM

081368973348

[email protected]

KUANTUM MARINA GLOBAL KUANTUM MARINA GLOBAL

AAN SETIAWAN AHMAD HANIF

L L

PALEMBANG, 09 MEI 1998

1671080905980007

BST 363

AJI BAYU SUTIRTO ANDREAN NUGGIE PRATAMA ANGGA PRAYUDA

L

PATI, 07 MEI 1998

3318150705980003

BST 363 BST 364

EMAIL

AGEN

L

BUMI JAWA, 02 FEBRUARI 2001

1807010202010008

L

PALEMBANG, 03 AGUSTUS 1997

1901020308970001

BST 364

082281794006

[email protected]

ARIYANTO

L

CIAMIS, 22 AGUSTUS 1992

3207292208920001

BST 364

08211976535

ASRAN DENDI NANDA YUSUF SAPUTRA DENI DEWI RISKA RIA WULANDARI DHIKA NUR ISWAN DOMESAJI SETIO BUDI UTOMO ENRICKO NAUFHAL IRFANO

L

NUNUKAN, 22 AGUSTUS 1995

7314042208950001

BST 364

085341544499

[email protected] UMUM KUANTUM MARINA GLOBAL [email protected]

L

CIANJUR, 15 JUNI 1994

3203040709940007

081223183927

[email protected]

082148057175

[email protected]

UMUM

08988899978

[email protected]

KUANTUM MARINA GLOBAL

083167690830

[email protected]

UMUM

081274835913

[email protected]

KUANTUM MARINA GLOBAL

08995577181

[email protected]

KUANTUM MARINA GLOBAL

L

BREBES, 14 OKTOBER 1988

3329171410880003

P

LANDONO, 27 JULI 1995

7405086707950003

L

CIAMIS, 23 JANUARI 1999

3207232301990001

L

JAWA TENGAH, 22 JULI 1999

1506050408982001

L

PATI, 05 JULI 2000

3318100507000002

BST 358 6211404400 BST 364 BST 364 BST 364 BST 364

UMUM

4. 5. 6. 7.

8.

9.

0.

1.

2.

3.

4.

5.

6.

7.

8.

9.

0.

FILAN GEN DIDA

L

TEGAL, 13 JULI 1999

3328101307990007

BST 364

085712777258

[email protected]

KUANTUM MARINA GLOBAL

JUNAEDY

L

CILACAP, 29 JULI 1983

3301222907830004

BST 364

085866449433

[email protected]

UMUM

087821114789

[email protected]

UMUM

08886017740

[email protected]

KUANTUM MARINA GLOBAL

08989287369

[email protected]

KUANTUM MARINA GLOBAL

085788102681

[email protected]

085802427808

[email protected]

SINDORO HOTEL

083111746140

[email protected]

UMUM

081231750989

[email protected]

UMUM

KHAIRUL ANANDA

L

KARANGANYAR, 25 JULI 1998

3313032507980002

BST 364

M. FIRLY FAUZI MUHAMMAD DANIL RIFANSYAH MUHAMMAD MUNTOHIR NAJIB MASYKUR PANJI KRISNA NUR BUANA RAJA ALI RENDRA WICAKSONO SUMERI RIF’AT TAUFIK SAEPUDIN RIZKI FAJAR PURNAMA ROY SYEVO AGIL SARWANA PUTRA SERLINA SEPTIAN RENITA SUKIRMAN VINCENTIUS CHRISNA YOGA ADIYANTO YOGA KURNIAWAN NOTE:

L

BANDUNG, 20 AGUSTUS 1996

3217012008960002

BST 364

L

BUMIHARJO, 25 MARET 2000

1807062503000001

L

BUMI AGUNG, 10 DESEMBER 1993

1808141012930003

L

TEMANGGUNG, 02 AGUSTUS 1994

3323020208940002

L

PONOROGO, 21 OKTOBER 1999

3502112110990002

L

ONEMALANGKA, 03 MEI 1999

7301070305990001

L

BANYUMAS, 24 APRIL 1995

3302272404950001

L

BANDUNG, 05 JANUARI 1995

3217020501950002

L

TANJUNG INTAN, 15 JUNI 2000

1807081507000001

L

TEMANGGUNG, 15 JUNI 1997

3323051506970003

P L L L

TASIKMALAYA, 02 SEPTEMBER 1992 CILACAP, 17 JULI 1992 KLATEN, 28 JUNI 1997

: 13 SISWA : 2 SISWA

Yang Membuat

(Sri Indah)

3301241707920001 3310242806970001

WAY JEPARA, 31 OKTOBER 2000

KUANTUM MARINA GLOBAL SINDORO HOTEL

3278064209920010

UMUM TOTAL

18070782812010003

BST 364 BST 363 BST 364 BST 363 BST 363 BST 364 BST 364 BST 364 BST 364 BST 364 BST 364 BST 363 BST 364

0821417777763 [email protected]

UMUM

UMUM

085793917571

[email protected]

KUANTUM MARINA GLOBAL

085266606106

[email protected]

KUANTUM MARINA GLOBAL

088216312103

[email protected]

SINDORO HOTEL

085797532725

[email protected]

KUANTUM MARINA GLOBAL

08157665100

[email protected]

UMUM

089639185810

[email protected]

085773335867

[email protected]

: 15 SISWA : 30 SISWA

Mengetahui

(Deasy Seidy Tangkulung)

UMUM KUANTUM MARINA GLOBAL