1. CURRICULUM VITAE
Name : Eddy Purnomo
Date & Place Birth : Surabaya, May, 10th
1976
Nationality : Indonesian
Marital Status : Married
Religion : Moslem
Blood : O
Address : 24 Mayjen Sungkono, RT/RW;02/03, Village: Buring,
Sub-district: Kedung Kandang
Post Code : 65136
City : Malang – East Java
Country : Indonesia
Home Phone : +62 341 716 718
Mobiles : + 62 81 555 730 293 And +62 81 136 51 093
EMAIL : eddy.purnomo@ymail.com
SKYPE : eddy.purnomo4
TRAVEL DOCUMENT
CERTIFICATE of COMPETENCY
No. Name Of Certificates License Numbers Date Issued Expire Date
01. Engineer Officer Class I 6200063807T10214 Dec, 03rd
2014 Unlimited
02. Endorsement 6200063807TA0214 Dec, 04th
2014 Dec, 04th
2019
CERTIFICATE Of PROFICIENCY
Name Of Certificates Number Of Certificates Date Issued Expire Date
Basic Safety Training 6200063807010711 Jun, 15th
2011 Jun, 15th
2016
Proficiency in Survival Craft and Rescue Boat 6200063807040711 Jun, 08th
2011 Jun, 08th
2016
Medical First Aid 6200063807070111 Jun, 20rd
2011 Jun, 20rd
2016
Medical Care on Board Ship 6200063807080311 Jun, 16th
2011 Jun, 16th
2016
Advanced Fire Fighting 6200063807060111 Jun, 20th
2011 Jun, 20th
2016
Tanker Familiarization 6200063807090711 Jun, 09th
2011 Jun, 09th
2016
Oil Tanker 6200063807100311 Jun, 16th
2011 Jun, 16th
2016
Ship Security Officer 6200063807240214 Nov, 04th
2014 Nov, 04th
2019
ERM 6200063807270214 Oct, 30th
2014 Oct, 30th
2019
ISM CODE 28.309/ISM/PIP.SMG/XII/06 Dec, 11th
2006 Dec, 11th
2006
Converteam ‘A’ series Maintenance Course S133/11 Mar, 18th
2011 Mar, 18th
2016
Tropical BOSIET with EBS &Travel Safety By
Boat- Coat 5906
13480001 Dec, 28th
2013 Dec, 27th
2017
NEXT Of KIN
Name / Relationship Shofiatul. Faizah
Any dependents / Children (incl age) Two children, 8 and 10 years
Address Same as above
Contact Number +62 341 716 718 & +62 85 755 351 193
LAST RECENT EMPLOYERS
Name of company Miclyn Expreess Offshore
Name Person to be contacted Alezs Wong, Group manager (Crewing)
Address 3 Harbour Front Place # 11 – 01 / 04 Harbour Front Tower 2 Singapore 099254
Tel No +65 6545 6211
Email Alezs.wong@miclynexpreessoffshore.com
Name of company Tidewater Marine International INC
Name Person to be contacted Capt. Peter Aldred / Harry - Rebbeca Vernom
Address Papua New Guinea - Australia
No. Name Of Document Numbers Place date Of Issued Expire Date
01. Passport A 5517018 Malang - May, 30th
2013 May, 28th
2018
02. Seaman’s Book X 002168 Surabaya – Aug, 24th
2014 Dec, 08th
2016
2. Tel No +675 325 2766 - - +61 41 74 1 7690
Email pngops@tdw.com
Name of company Broron Oil & Gas LTD
Name Person to be contacted Olufemi. Olutayo
Address Plot 15, Block110, Henry Ojogho Crescent, Lekki Phase 1, Lagos - Nigeria
Tel No +234(1) 454 4250, 262 7840
Email info@broronoil.com / olufemi.olutayo@broron group.com
SEA SERVICE RECORD
No. Name of ship Type of ship Rank GRT Engine /
KW
Company Period
From Until
01 MV. Resolution DP2. OSV Support –
Construction
maitenance Vessel
C/E 2423 Nigata/
3677
Miclyn Expreess
Offshore Pte td
Mar, 10th
2014
Jul,23rd
2014
02. MV. D’souza
Tide
DP1
MPSV
C/E 1678 Caterpillar/
3842
Tidewater
Marine
International Inc
Nov, 14th
2013
Dec, 18th
2013
03. MV. D’souza
Tide
DP1
MPSV
C/E 1678 Caterpillar/
3842
Tidewater
Marine
International Inc
Aug, 27th
2013
Sept, 23rd
2013
04. MV. Avianna DP2. DSV Support –
Construction
Maintenance Vessel
C/E 2039 Wartsila/
3693
Broron Oil &
Gas Ltd
Dec,07th
2012
Mar,21st
2013
05. MV. Offshore
Supporter
DP1. ROV -
Construction
Maintenance Vessel
C/E 612 Mak/2984 Deep Sea
Offshore
International
Corps
Dec,10th
2011
Jul,05th
2012
06. MV. Topaz
Khobar
DP1
MPSV
2nd
/E 1678 Caterpillar/
3842
Topaz Marine Nov,10th
2010
Feb,10th
2011
07. MV. Bluestone
Topaz
DP1. PSV, ROV
Support – Construction
Maintenance Vessel C/E
2113 Caterpillar/
4088
Bluestone Ltd Sep,23rd
2009
Dec,04th
2009
08. MV. Deena
Tide
DP1. Crew Boat
2nd
/E
494 Cummins/
5222
Tidewater
Marine
International
Feb,23rd
2009
Jul,13rd
2009
09. MV. Travalgar
Service
Supply
C/E
391 EMD/1865 Tidewater
Marine
International
Jul, 21st
2008
Nov, 07th
2008
10. MV. Trafalgar
Service
Supply
C/E
391 EMD/1865 Tidewater
Marine
International
Feb,07th
2008
Jun,06th
2008
11. MV. Deity Jaya Tug Boat C/E 247 Wartsila/
2238
Jaya Offshore Oct, 25th
2004
Aug, 30th
2006
12. MV. Java
Adventure
Supply 2nd
Eng
217 GM/3730 Jaya Offshore Mar, 13rd
2003
Aug, 08th
2004
13. MV. Jaya
Valiant
AHT 2nd
Eng
484 Yanmar/
4476
Jaya Offshore Jan, 14th
2002
Jan, 30
2003
14. MV. Permina
Supply
AHTS 2nd
Eng
1209 Mitsubhisi/
4476
PT. Pertamina
Tongkang
Mar, 17th
2000
Jul, 24th
2001
15. MV. Fajar
Pacific
Cargo 2nd
Eng
3411 Mitsubhisi/
5222
PT. Sejahtera
Bahtera Agung
Jul, 09th
1999
Mar, 07th
2000
16. MV.
Tilongkabila
Passenger Eng
Cadet
6002 MAK/ 4849 PT. PELNI Mar, 04th
1998
Mar, 04th
1999
(Eddy. Purnomo)