1. CURRICULUM VITAE
POSITION: RIGGER/ROUSTABOUT/ASST.CRANE OPERATOR
I. PERSONAL DATA
Full Name : HENDRIK MUSTANTO
Place/Date Of Birth : Jombang, 03 July 1985
Religion : Moslem
Nationality : Indonesian
Marital Status : Married
Blood Type : B Weight: 55Kg Height: 175Cm
Coverall Size : XL Safety Shoes: 9 (43)
Address : Jl.Balai Rakyat 03/49 RT.07/03, Tugu Selatan, North Jakarta
Telephone : Hp : +628567184843 / +6281284121095
DOCUMENT’S
Name Of Document’s Number Place/Date Of Issue Date Of Expire
Passport A 5293717 TG.PRIOK-22 April 2013 22 April 2018
Seaman Book E024764 TG.PRIOK-23 October 2015 22 October 2018
II. CERTIFICATE OF PROFICIENCY
No Name Of Certificates Number Place/Date Of
Issue
Date Of
Expire
1 Basic Safety Training (Revalidation)
6200272350010115
Jakarta/ 09 March 2015 09 March 2020
2 Proficiency In Survival Craft and Rescue Boats
(Revalidation) 6200272350040115 Jakarta/09 March 2015 09 March 2020
3 Basic HSE Training
IP/CS/31349 Jakarta/15 Dec 2011 2 Years
4 Confined Space Training IP/CS/29638 Jakarta /05 Oct 2011 2 Years
5 Working At Height IP/WAH/29626/11 Jakarta/06 Apr 2011 2 Years
6 Basic Rigging, Slinging & Lifting IP/RIG,SLING
&LIF/24327/11
Jakarta/15 Dec 2011 2 Years
7 Fire Prevention & Fire Fighting Training IP/FP&FF/23120/11 Jakarta/16 Feb 2011 2 Years
8 Scaffolding Inspection IP/SCFLD/29535/11 Jakarta/06 Oct 2011 2 Years
III. In-House Training Program/ Training Onboard
No Name Of Certificates Number Place/Date Of Issue
1 CPR Refresher Updated (UMWSD-NAGA II) UMWSD/NAGA 2/710/2010 Onboard/`19 Sept 2010
2 Grinding & Abrasive Wheel Safety (NAGA II) UMWSD/NAGA2/040/2011 Onboard/02 July 2011
3 Lockout/Tagout Energy Control (NAGA II) - Onboard/10 April 2012
4 Personal Protective Equipment (PPE) - Onboard/13 April 2011
5 Forklift Operation UMWSD/NAGAII/034/2011 Onboard/18 Dec 2011
6 Has Completed Basic Training, Has Passed Safe Lifting
& Slinging Practical Skills &Associated Knowledge
Tests. (HAKURYU-11-CSC International Ltd) H11-19853 Onboard/27 May 2015 Valid 2 Years
7
BANKSMAN & SLINGER Training (CTSI) 14BAST-IH-0005-006 Manila/3 July 2014 Valid 2 Years
8 Banksman & Slinging Operation Stage 3 (SPARROW
Training) AT.9524 Onboard/12 Oct 2014 Valid 2 Years
9 Hydrogen Sulfide Safety 010/HESS/13 Onboard/12 Months
10 T-BOSIET Including Travel Safely by Boat & Tropical
EBS 137159060709130001
SMTC-Palembang/
07.09.2013-06.09.2017

2. IV. SEA SERVICES
I hereby declared that all the information provided in this form is to the best of my knowledge.
I shall responsible for all expenses incurred in case my service are terminated due to breach of contact on facts revealed.
Sincerely Yours
HENDRIK MUSTANTO
Company
Vessel/Rig
Name
Vessel / Rig
Type
Flag Engine Type GRT/ BHP Position Location, Client Sign On Sign Off
Japan Drilling Company HAKURYU 11 Jack Up Panama Caterpillar 8800
Roustabout
/Asst.Crane
Operator
Lundin Natuna, Premier Oil
Indonesia, Singapore
Maintenance 07 March 2014 27 Jan 2016
UMWSD NAGA II Jack Up Singapore Caterpillar 10450
Roustabout/
Floorman HESS Surabaya Indonesia July 2010 Feb 2014
PT.LOTUS
MV.Puspa
Persada General Cargo Indonesia Yanmar 399/750
Juru Mudi/AB
Seaman Indonesian Water 09.02.2010 17.03.2010
PT.LOTUS
MV,Puspa
Persada General Cargo Indonesia Yanmar 399/750 Kelasi/OS Indonesian Water 07.10.2009 09.02.2010
PT. Jaya Adi Shipping
MV.World
Unicorn General Cargo Indonesia Yanmar 6200/3700 OS Indonesian Water 01.10.2008 29.04.2009