APPLICATION FOR EMPLOYMENT

Profile

Position Applied : 2nd Officer

Name : AGUS PAMUNGKAS

Place, Date of Birth : KARANGANYAR, 15 AUGUST 1991

Nationality : INDONESIAN

Marital Status : Singgle

Next of Kind : Yetty Nurhayati

Relationship : Sister

Mobile : +6281222466600

Emergency Call : (0271) 494818 / home

Email : ag.pamungkas.ap@gmail.com
Education Level
: Marine Academy ( ANT-III / Deck Officer Class III )
With GPA 3.70
Address : JUNGKE RT 3 RW 3 Kec. KARANGANYAR, Kab. KARANGANYAR, JAWA TENGAH, INDONESIA

Passport

Country Place of Issue Number Date of Issue Date of Expiry

INDONESIA Surakarta A xxxxxxx Xxxxx Xxxxxx

Seaman’s Book
Country Place of Issue Number Date of Issue Date of Expiry

INDONESIA JAKARTA A 061598

Certificate of Competency

Issuing Authority Grade of Licence Number Date of Issue Place issue

ANT - III MASTER BELLOW GT 500 6201493676N30315 22/04/2015 Jakarta - Indonesia

ENDORST-ANT- III CH.MATE BELLOW GT 3000 6201493676NC0315 22/04/2015 Jakarta - Indonesia

AGUS PAMUNGKAS | ag.pamungkas91@yahoo.com / +6281222466600 1

Certificate of Proficiency (STCW Course)

NO Issuing Authority Number Date of Issue Place issue

1 BST 6201493676012511 22/07/2011 Semarang - Indonesia
2 SCRB 6201493676042511 09/08/2011 Semarang - Indonesia
3 AFF 6201493676060312 25/06/2012 Semarang - Indonesia
4 MEFA 6201493676072511 19/08/2011 Semarang - Indonesia
5 MC 6201493676080312 08/10/2012 Semarang - Indonesia
6 RADAR 6201493676030312 12/10/2012 Semarang - Indonesia
7 ARPA 6201493676020312 16/10/2012 Semarang - Indonesia
8 GMDSS (GOC) Semarang - Indonesia
9 SSO 6201493676240315 05/06/2015 Semarang - Indonesia
10 SAT CO 09477 04/07/2013 Jakarta - Indonesia
11 STSDSD CO 09458 08/07/2013 Jakarta - Indonesia
12 BRM 6201493676234014 18/09/2014 Semarang - Indonesia
13 ECDIS 6201493676280315 07/02/2015 Semarang - Indonesia

Other Training Certificate

Date of
No Certificate Type Place issue
Issue
1 Best Student Program 13/04/2012 SEMARANG, INDONESIA

2 Bridge Simulator 19/11/2012 SEMARANG, INDONESIA

3 English Course for Elementary Levels 31/12/2008 SURAKARTA, INDONESIA

4 English Course for Intermediate Levels 20/04/2009 SURAKARTA, INDONESIA

5 Intensive Course of English (English Days) 05/2012 SEMARANG, INDONESIA

Vaccination Book/Yellow Book

Date of
No Description of Vaccination / Disease Targeted Place issue
Issue
1 Yellow Fever 18/03/2013 Jakarta, Indonesia
2 Typhoid 22/04/2013 Jakarta, Indonesia

Previous Sea Experience

Vessel’s Name Flag Gross Vessel Type Company’s Name Rank Period
Tonnage
MSI Pte.Ltd
OCEAN PHOENIX SINGAPORE 27011 BULK Deck Cadet 09/07/13-11/07/14
(PT. Indomaritime)

Yours Faithfully,

AGUS PAMUNGKAS
Seafarer Code: 6201493676

AGUS PAMUNGKAS | ag.pamungkas91@yahoo.com / +6281222466600 2