1. DECK APPLICATION FORM (CV)
PERSONAL DATA:
NAME: JULIUS INGUITO AMORA
ADDRESS: AFCCO Housing, Brgy. Guintagbucan, Abuyog, Leyte 6510
DATE OF BIRTH: JULY 21, 1978
PLACE OF BIRTH: Bato Leyte
CIVIL STATUS: Married
RELIGION: Roman Catholic
CELL NO: 09279198306/ 09152181590
EMAILL ADDRESS: juliusamora78@yahoo.com
SSS NO: 06-2350399-9
TIN NO: 425-989-291
PAG-IBIG NO: 121028066834
PHILHEALTH NO: 13-050120137-6
NEXT OF KIN:
DEPENDENTS RELATION DATE OF BIRTH CONTACT NO.
Denisa Dejarme Amora Wife August 30, 1988 09152181590
Jaya Jade Dejarme Amora Daughter June 8, 2009
Jasper Latok Amora Son August 18, 2006
MOTHER’S NAME: Julia Sarco Inguito FATHER’S NAME: Victoriano Portalisa Amora
DATE OF BIRTH: July 20, 1947 DATE OF BIRTH: June 10, 1937
PLACE OF BIRTH: Bato Leyte PLACE OF BIRTH: Bato Leyte
EDUCATIONAL BACKGROUND:
NAME OF SCHOOL YEAR GRADUATED DEGREE ATTAINED
UNIVERSITY OF THE VISAYAS ( CEBU CITY) 1999-2000 BSMT-NS
BATO SCHOOL OF FISHERIES (BATO LEYTE) 1995-1996 SECONDARY
BATO ELEMENTARY SCHOOL (BATO LEYTE) 1990-1991 ELEMENTARY

2. SHIPBOARD EMPLOYMENT DOCUMENT/LICENSES:
NUMBER DATE ISSUED DATE OF EXPIRY
PASSPORT: EB5930972 14-07-12 13-07-17
SIRB C0747535 05/1/2016 03/1/2021
SRC NCR1140311 7/8/2012 N/A
COC II5 28-39871 15-05-15 NONE
DR-NW II4 25-96387 14-05-15 NONE
YELOW FEVER 5197 19.07.13 19.07.23
TESDA-COC111-31100-18980 24-05-11 24-05-16
NBI 23275287 20-03-15 20-03-16
STCW-95 CONVENTION QUALIFICATION REQUIREMENTS:
CERTIFICATE: NUMBER: DATE ISSUE: DATE EXPIRE: TRAINING CENTER:
BT-CERT STSM1-2015-6962 17-09-15 NA NMP-TAC
BT-COP 24-449646 23-09-15 23-09-20 MARINA
ATFF-CERT STSM6-2012-1341 3/8/2012 NA NMP-TAC
ATFF-COP 17-175141 20-11-12 NA MARINA
PFRB-CERT PFRB-127-07131404-AM 24-07-13 NA FAR EAST MARITIME
PFRB-COP 16-16387 3/9/2013 NA MARINA
PSCRB-CERT STSM6-2012-3717 11/8/2012 NA NMP-TAC
PSCRB-COP 15-336097B 20-11-12 NA MARINA
SATSDSD-CERT SDSD-0514-134-02614 28-05-14 NA PROTECT
SATSDSD-COP 27-236914 7/8/2014 NA MARINA
DR-NW II4-CERT 2004-01--01 16-01-04 NA UV-CEBU
PADAMS STSM2-2012-3546 24-08-12 NA NMP-TAC
SHAPHIMS STSM3-2012-3290 17-08-12 NA NMP-TAC

3. OFFSHORE SPECIALIZE TRAININGS:
CERTIFICATE: NUMBER: DATE ISSUE: DATE EXPIRE: TRAINING CENTER:
RIGGING AND SLINGING
BANKSMAN AND SLINGER 97649067290415001 29-04-15 28-04-17 CTSI
TRIPLEX CRANE OPERATOR 4512-1503-001 20-05-15 NA KOTOR
ANCHOR HANDLING TEAM TRNG 4011-1502-007 23-05-15 NA KOTOR
CRANE OPERATOR COURSE CSF-IH-023AM 26-03-15 NA SEAPRENEUR
SHIPBOARD EXPERIENCE/EMPLOYMENT RECORD:
NAME OF VESSEL GRT: KWBHP: FLAG: RANK: FROM: TO: AGENCY: ROUTE: VESSEL TYPE:
SIEM PEARL 7473 28000 NOR AB 25.05.15 05.08.15 OSM WORLDWIDE AHTS-DP2
POSH CONQUEST 2736 16000 SNG BSN 30.08.14 26.02.15 SSM WORLDWIDE AHTS-DP2
POSH COURAGE 2736 16000 SNG BSN 22.06.14 13.08.14 SSM WORLDWIDE AHTS-DP2
POSH CONQUEST 2736 16000 SNG BSN 25.10.13 09.03.14 SSM WORLDWIDE AHTS-DP2
POSH VALUE 2538 8000 SNG BSN 01.08.13 08.10.13 SSM WORLDWIDE AHTS-DP1
JAYA TREASURE-21450 5150 SNG BSN 28.09.12 02.04.13 AVANTGARDE WORLDWIDE AHTS
JAYA SCOUT 1690 4650 SNG BSN 02.02.12 06.07.12 AVANTGARDE WORLDWIDE AHTS
JAYA SCOUT 1690 4650 SNG BSN 02.06.11 22.12.11 AVANTGARDE WORLDWIDE AHTS
JAYA SCOUT 1690 4650 SNG BSN 16.07.10 13.02.11 AVANTGARDE WORLDWIDE AHTS
JAYA SCOUT 1690 4650 SNG BSN 09.02.10 16.07.10 AVANTGARDE WORLDWIDE AHTS
JAYA SCOUT 1690 4650 SNG AB 15.07.09 19.12.09 JAVA WORLDWIDE AHTS
JAYA FORTUNE-6 1365 4750 SNG AB 17.10.08 15.04.08 JAVA WORLDWIDE PSV
JAYA FORTUNE-6 1365 4750 SNG AB 16.05.07 04.03.08 JAVA WORLDWIDE PSV
JAYA SUPPLIER-1 1470 3542 SNG AB 28.06.06 27.01.07 JAVA WORLDWIDE AHTS
JAYA SEAL 1772 4100 SNG AB 13.01.05 10.12.05 JAVA WORLDWIDE AHTS-DP1