PT. Puradika Transnusa Utama

PERSONAL DATA

Full Name
Place / Date of Birth
Job Position
Address
Phone
Cellular Phone
Email
Religion
Height	CM
Weight	KG
Wearpack Size
Shoe Size
Status	Single Married
Nationality

DOCUMENTS

Type	Number	Place of Issued	Date of Issued	Date of Expire



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CERTIFICATE OF COMPETENCY

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CERTIFICATE OF PROFICIENCY

Type	Number	Place of Issued	Date of Issued	Date of Expire



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SEA SERVICE EXPERIENCE

Vessel Name	Flag	Type	DWT	Rank	Contract		Remarks
Vessel Name	Flag	Type	DWT	Rank	Start	End	Remarks



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UPLOAD PHOTO AND ATTACHMENT

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Security Code	Case Sensitif