JOB APPLICATION FORM
Full Name POLMER NAIBAHO
Position Applied For Master
Place / Date of Birth Bahal Batu, 29 Mei 1975
Se...
MV.SWIBER EXPLORER
MARSHALL ISLAND
Swiber Offshore Marine
PteLtd
Master
AHT
4000 / 618
16-10-09
26-02-10
Contract
Complete...
of 2

Polmer Naibaho Application Form (1)

Published on: Mar 4, 2016
Source: www.slideshare.net


Transcripts - Polmer Naibaho Application Form (1)

  • 1. JOB APPLICATION FORM Full Name POLMER NAIBAHO Position Applied For Master Place / Date of Birth Bahal Batu, 29 Mei 1975 Sex Male Religion / Nationality Christian / Indonesia Permanent Address Jln.Nusa Indah XVI, Blok MR No.4 Harapan Indah Bekasi,Java West, Indonesia Hand Phone Number +6281319017781 / +6221 8872602 Email Address polmer.naibaho@yahoo.com Details of Document Name Number Place / Date of Issued Expire Date Passport A8162830 Brunei, Sep 16, 2014 Sept 16, 2019 Seaman Book B 029032 Jakarta, 22 January, 2013 January 21, 2016 Certificates of Competency Grade Certificate Number Place / Date of Issued Deck officer Class I / ANT I 6200064567N10209 Jakarta, Oct 05, 2009 Certificate of Endorsement Class I 6200064567NA0209 Jakarta, Apr 01, 2014 Certificates of Offshore Name of Certificate Number Place / Date of Issued Date Proficiency In Fast Rescue Boat 08PFRB-0019A-012 CTSI, Manila, July 23, 2008 T – BOSIET 0058550105121328580 ETSDC, Abu Dhabi, Dec 05, 2013 Basic H2S Training 0058901408121328779 ETSDC, Abu Dhabi, Dec 08, 2013 Basic Offshore Safety 36710 / 2013 ETSDC, Abu Dhabi, Dec 08, 2013 Certificates of Proficiency Name of Certificate Number Place / Date of Issued Date Basic Safety Training 6200064567010714 Jakarta, April 11, 2014 Survival Craft And Rescue Boat 6200064567040108 Jakarta, March 04, 2014 Medical First Aid 6200064567070108 Jakarta, March 04, 2014 Medical Care 6200064567080108 Jakarta, March 04, 2014 Radar Simulator 6200064567031114 Jakarta, June 30, 2014 Arpa Simulator 6200064567021114 Jakarta, June 30, 2014 Advance Fire Fighting 6200064567060108 Jakarta, March 04, 2014 Proficiency In GMDSS 6200064567211114 Jakarta, June 27, 2014 Ship Security Officer ( SSO) 6200064567240214 Jakarta, July 02, 2014 Bridge Resources Management 6200064567230213 Jakarta, Feb 01, 2013 Operational Use Of ECDIS Training Prog 6200064567280712 Jakarta, Dec 22, 2012 General Operator Certificate ( GOC ) 31685/SOU/T/II/2013 Jakarta, Feb 19, 2013 ISM CODE 4030909017105 Jakarta, Sept 09, 2005 Dynamic Positioning Basic Course S401/11 Singapore, Aug 25, 2011 Record Of Sea Services Name of vessels / Flag Company Rank Type of Vessel HP / GRT Sign On Sign Off Reason off MT. UNIPAC INDONESIA Unitama pacific lines Cadet Tanker 5200 / 4100 08-02-97 08-02-98 Contract Completed MT.PAN OIL-7 INDONESIA Pan Maritime Wira Pawitra 2Nd Officer Tanker 3800 / 3280 01-05-98 01-09-98 Promotion to Chief Officer MT.PAN OIL-7 INDONESIA Pan Maritime Wira Pawitra Chief Officer Tanker 3800 / 3280 02-09-98 16-09-99 Contract Completed MT.LAJU PRAKARSA INDONESIA Laju Prakarsa Indah Chief Officer Tanker 3600 / 3240 14-10-99 01-08-00 Contract Completed TB.PIONEERSA-II SINGAPORE Star Shipping Co. Ltd Chief Officer Tug Boat Towing 2800 / 420 02-09-00 09-09-01 Contract Completed MT.TIRTANIAGA-1 SINGAPORE Raffles Ship Management Co .Ltd Chief Officer Tanker 4200 / 3890 03-10-01 05-03-03 Contract Completed MV. KAIKO MARU NO.2 BLIZE Ocean Tankers Co. Ltd 2Nd Officer Supply Boat 8400 / 1090 23-08-03 03-02-04 Promotion to Chief Officer MV. KAIKO MARU NO.2 BLIZE Ocean Tanker Co. Ltd Chief Officer Supply Boat 8400 / 1090 03-02-04 24-12-04 Contract Completed MV.ZAIN U.A.E White sea Shipping & Supply ( L.L.C ) Chief Officer AHTS 5000 / 1282 22-11-05 21-04-06 Contract Completed MV.ZAMIL-7 BAHRAIN Zamil Operation & Maintenance Co. Ltd Chief Officer AHTS 5200 / 1267 28-06-06 10-11-06 Contract Completed MV.ZAMIL-15 BAHRAIN Zamil Operation & Maintenance Co. Ltd Chief Officer AHTSS 5600 / 1705 10-04-07 08-08-07 Contract Completed MV.ZAMIL-19 ( DP-1 ) BAHRAIN Zamil Operation & Maintenance Co. Ltd Chief Officer AHTS 10000 / 1621 27-09-07 15-01-08 Contract Completed MV.ZAMIL-20 BAHRAIN Zamil Operation & Maintenance Co. Ltd Chief Officer AHTS 8200 / 1313 15-03-08 26-06-08 Contract Completed MV.SWISSCO SINGAPORE SINGAPORE Swiber Offshore Marine PteLtd Chief Officer AHT 4750 / 977 01-08-08 02-11-08 Transferred MV.SWIBER NAVIGATOR SINGAPORE Swiber Offshore Marine PteLtd Chief Officer AHT 4000 / 618 04-11-08 12-03-09 Contract Completed
  • 2. MV.SWIBER EXPLORER MARSHALL ISLAND Swiber Offshore Marine PteLtd Master AHT 4000 / 618 16-10-09 26-02-10 Contract Completed MV. ASIA STAR 48279 FUNAFUTI Swiber Offshore Marine PteLtd Master AHT 4750 / 735 23-04-10 22-09-10 Contract Completed MV. SWIBER ADA MARSHALL ISLAND Swiber Offshore Marine PteLtd Master AHTS 5150 / 1537 14-02-11 02-08-11 Contract Completed MV. SWIBER BHANWAR SINGAPORE Swiber Offshore Marine PteLtd Master AHT 4750 / 735 09-10-11 06-03-12 Contract Completed MV.AMARCO CHEETAH PANAMA Amarco Services Sdn Bhd Master AHTS - DP.I 5000 / 1420 05-07-12 04-12-12 Contract Completed MV.AMARCO TIGER BRUNEI Amarco Services Sdn Bhd Master OSV 3100 / 908 28-02-13 27-04-13 Transferred MV.AMARCO CHEETAH PANAMA Amarco Services Sdn Bhd Master AHTS - DP.I 5000 / 1420 28-04-13 07-08-13 Contract Completed MV.JABBAR PANAMA Gulf Shipping Maritime Establish Master AHT 5450 / 625 02-12-13 13-03-14 Contract Completed MV. AMARCO RINTIS BRUNEI Amarco Services Sdn Bhd Master SURVEY 4400/954 17-06-14 18-09-14 Contract Completed MV.AMARCO RINTIS BRUNEI Amarco Services Sdn Bhd Master SURVEY 4400/954 06-10-14 13-12-14 Contract Completed MV.RAWABI 1 TUVALU Rawabi Swiber Offshore Services Master AHTS – DP 1 5150 / 1575 22-02-2015 Present YOURS FAITHFULLY ; POLMER NAIBAHO

Related Documents