1. DP Ship Management Pvt.Ltd.
Plot no.-232,1st
Floor, Bapuji Nagar, Near Water Tank ,Bhubaneswar-751009, Dist-Khurda, Odisha, India
Telephone: +91-674-2598222, Fax: +91-674-2598223
Email-resume@dpship.com, Website: www.dpship.com
-----------------------------------------------------------------------------------------------------------------------------------------------------------
“BIODATA” FPS-001
PERSONAL PROFILE Affix Photograph above
TRAVEL DOCUMENT INFORMATION
Passport No A 3885016 Date of Expiry Oct,2 2017
Seaman Book No C 007119 Date of Expiry Sept,06 2016
Any Work Permit / Visa No. Date of Expiry
CERTIFICATE OF COMPETENCY
Certificate of Competency
Grade / No.
6200041699T10211
Enginer Officer Class I
Date of Issue Sept,16 2011
Date of Expiry Unlimited
Issuing Authority Indonesia
Certificate Limitation / Type Chief Engineer Unlimited
Endorsement Certificate / No.
6200041699TA0211 Date of Issue Sept,19 2011
Date of Expiry Sept,19 2016
Issuing Authority Indonesia
GOC / GMDSS
Date of Issue
Date of Expiry
Issuing Authority
Certificate of Endorsement for
GOC
Date of Expiry
Issuing Authority
Flag state Licence
Certificate of Recognition
MPA Singapore EndorsementDate of Expiry Nov,15 2011
Issuing Authority Unlimited
Limitation Chief Enginer
AFFIX YOUR PHOTO
Position Applied CE Vessel Type AHT / AHTS Day rate 350
Lowest Position
Acceptable
Place of Birth Magelang
Name Yana Supriyatna Date of Birth 26 April 1979
Availability Date 1st week October Nearest Airport Soekarno Hatta Intr.
Address
Bukit Cimanggu city.River park view
Blok AA2 No.7.Bogor
West java.Indonesia
Age
35
Religion Muslim Weight (kg) 65
Marital status married Height (cm) 165
Nationality Indonesia Email Address Marine_madat@yahoo.com
Home Tel HP No +6282169097142
Coverall size L Skype ID Yanasupriyatna1
Shoe size 39 WhatsApp
2. CERTIFICATES
Certificates
Institution / Place
Issued
Number
Date of
Issue
Date of Expiry
Advanced Fire fighting Jakarta 62000416
99060709
September,
03 2009
Revalidation on
progress
Medical First Aid Jakarta 62000416
99070211
September,
06 2011
September,
06 2016
Personal Safety and Social Responsibility
Proficiency in Survival Craft and Rescue Boat Jakarta 62000416
99040709
September,
26 2009
Revalidation on
progress
Medical Care Jakarta 62000416
99090709
August,
27 2009
Revalidation on
progress
Proficiency in Fast Rescue Craft
Auto Radar and Plotting aids (ARPA)
Personal Survival Technique
Radar Observer Course
Ship Security Officer Jakarta 62000416
99240211
August,
22 2011
August,
22 2016
Radar Simulator
Ship Simulator and Bridge management
Bridge Team and Resource Management
ECDIS
IMDG course ( HASMAT)
Crew Resource Management
Ship Master planned maintenance system
NEBOSH International General Certificate
IOSH (occupational health & safety)
Risk management & Assessment
FRC course
Helicopter Landing Officer (HLO)
OPITO - H2S ( Hydrogen Sulfide)
OPITO - HUET
OPITO - BOSIET
MARLIN ENGLISH TEST CERTIFICATE
Last medical examination : -
Date of Issue Date of Expiry
Remarks on health condition
Vaccinations
Yellow Fever Date of Issue Date of Expiry
Cholera Date of Issue Date of Expiry
Others Date of Issue Date of Expiry
EDUCATION & PRE-SEA TRAINING DETAILS
From To
Schools/Institutions/Universities
attended
Qualifications Obtained
1998 2004 Merchant marine polytechnic Makassar Engineer off Class 3
2007 2007
Merchant marine universities ( STIP )
jakarta
Engineer off Class 2
2011 2011 BP3IP jakarta Engineer off Class 1
DP Certification (Please tick accordingly)
Type of Certificate Basic Advanced
Limited Full
Full DP Ticket Number / Date of Issuance
MEDICAL CERTIFICATES
3.
4. RECORD OF SEA SERVICE
No Ship’s Name Type DWT Kw Rank Company
Client /
Charterer
Work scope
DP Time
if any
Trading
Area
Sign On Date
Sign Off
Date
Sea Time
Year / Month
1
Mv.White Melati
( Panama )
Cargo 2800
3900 KW
3/E
White Line
Japan
Asia
06-09-2006 27-05-2007
8 M.20 D
2
Mv.Genius Star VIII
( Panama )
Cargo 4500 4700 KW
2/E Wisdom Line
Taiwan
Asia
03-02-2008 13-10-2008
8 M.10 D
3
Mv.Helaitan
( Panama )
ASD Tug 439
2 x 1800 KW C/E Svitzer wijmuller
Qatar
Ras Gass
Qatar
Harbour
tug
Qatar
19-03-2009 20-07-2009
4 M.1 D
4
Mv.Al Melihat
( Panama )
ASD Tug 450
2 x 2000 HP C/E Svitzer wijmuller
Qatar
Ras Gass
Qatar
Harbour
tug
Qatar
26-07-2009 10-01-2010
5 M. 14 D
5
Mv.Stanford Hariier
( Panama ) PSV 225 4 x 750 KW
C/E
Stanford Marine
UAE
ADMA
UAE
Crew
transfers
Abudhabi 05-06-2010 10-10-2010 4 M. 5 D
6
Mv.Stanford pelican
( Panama ) PSV
266 4 x 750 KW
C/E Stanford Marine
UAE
ADMA
UAE
Crew
transfers
Abudhabi 28-11-2010 06-04-2011 4 M .8 D
7
MV.Britoil 18
( Singapore ) AHT 274 2 x 1750 KW
C/E Britoil Offshore
Singapore
Tow
Barge Batam 31-10-2011 03-01-2012 2 M. 3 D
8
MV.Britoil 58
( Singapore ) AHT 497
2 x 2010 kw
C/E Britoil Offshore
Singapore
TOTAL
Anchor
job
balikpapa
n
03-01-2012 08-04-2012 3 M 5 D
9
MV.Britoil 23
( Singapore ) AHT 816
2 x 1800 kw
C/E Britoil Offshore
Singapore
Sapura
kencana
Running
cargo kemaman 22-04-2012 22-06-2012 2 M
10
MV.Britoil 50
( Singapore ) AHT 720
2 x 3300 kw C/E Britoil Offshore
Singapore
Sapura
kencana
Anchor
job kemaman
22-06-2012 29-09-2012
3 M , 7 D
11
MV.Britoil 67
( Singapore ) AHT
497
2 x 2651 Bhp C/E Britoil Offshore
Singapore
hyunday
Anchor
job paradip
22-12-2012 12-02-2013
1 M.20 D
12
MV.Britoil 50
( Singapore ) AHT 720
2 x 3300 kw C/E Britoil Offshore
Singapore
hyunday
Anchor
job kakinada
12-02-2013 23-03-2013
1M .11 D
13
MV.Britoil 59
( Singapore ) AHT 497
2 x 2010 kw
C/E Britoil Offshore
Singapore
Nippon
steel
Anchor
job thailand 25-04-2013 27-07-2013 3 M .2 D
14
MV.Star Artemis
( Singapore )
AHTS
DP 1
1.470 2 x 2445 kw
C/E Star Shipping
Singapore
Sapura
kencana
Running
cargo
Kemaman 10-10-2013 21-12-2013 2 M . 11 D
15
MV.Star Artemis
( Tuvalu )
AHTS
DP 1
1.470 2 x 2445 kw
C/E Star Shipping
Singapore
Sapura
kencana
Running
cargo
Kemaman 26-02-2014 05-05-2014 2 M .9 D
16
17
6. EXPERIENCE:
A) Total actual Sea Time to Date as Master/Chief
Engineer/Other Rank
Year Month Day
3 3 39
B) Total actual Sea Time in different type of vessels:
Actual Sea Time to Date: Vessel Type Year Month Day
AHT 1 4 14
AHTS 4 20
PSV 8 13
DSV
ROV
Construction
Accommodation/Work Barge
Crew Boat
Others (LPG / OIL / Chemical)
Actual Sea Time on Azimuth Propelled Vessels 9 15
Actual Number of: Rig Moves
Tows
Actual Ship Handling Hours of off
shore vessels
Maximum Water Depth During Anchor Handling Operations
C) Deck Officers / DPO / Engineers / ETO
Applicant for DP vessel:
Worked on DP Reference System DP Time in Various DP System
DP Reference
Yes or No
DP System
No. of Hours
(DPO)
Hydro-Acoustic Positioning Systems, HiPap, etc… Kongsberg
FanBeam & Cyscan Alstom
Radius & RadaScan Nautronix
DARPS, Differential, Absolute and Relative
Positioning System
Converteam
Taut Wire Imtech, Beier
Artemis Rolls Royce
Others (State) Others (State)
DP Time in Various Operations
Operation No. of Hours Operation No. of Hours
AHTS Others ( If any )
PSV Others ( If any )
ROV Others ( If any )
Sat Diving
Air Diving
Cable Laying
Pipe Laying
7. NEXT OF KIN (Emergency Contact person)
Name Suarni Relationship wife
Residential Address Email Address
suarni@altusholdings.com
Home Telephone Contact No. +6281263580009
Family Particulars (Please include Parents, Spouse, Siblings and Children)
Name Relationship Age Occupation Employer
Father
Mother
Wife
Children (M/F)
Children (M/F)
Children (M/F)
BLANK PAGES:
1. No of Blank pages left in Passport:
2. No of Blank Pages Left in Seaman book
POLICE CLEARANCE:
Do you have a latest Police clearance certificate?
Issued Date and Issued by
PERSONAL SKILLS:
Excellent Very good Good Fair Poor Remarks
Command of English language x
Computer literacy x
SELF DECLARATION
Answer Yes or No to the following questions. If Yes, give details below Yes No
1 Has any previous employer dismissed you for misconduct? x
2 Have you had any serious illness, injury or operation affection your work x
3 Do you have any physical handicap including eyesight or hearing x
4 Have you ever being convicted in a court of law in any country x
I hereby certify that the above information provided by me is true and complete..
Yana Supriyatna 8/9/2014
__________________________ _____________
Signature Date
