DIRECTORATE GENERAL of SEA
TRANSPORTATION
CURRICULUM VITAE
1. PERSONAL DETAIL
Full Name AZIS SUTRIMO
Place & Date of Birth Grobogan, 07th July 1987
Nationality INDONESIAN
Height 170 Cm Email
[email protected] Weight 65 Kg
Phone (+62) 852 8623 4440
Suit & Shoe Size
Link Babakanturi RT 006 Emergenc (+62) 0852 3977 466
RW 002 Kel. Tamansari y
Home Address
Kec. Pulomerak-Kota Phone
Cilegon-Banten
2. TRAVEL DOCUMENT
No. Document Number Place/Date Of Issued Expired Date
1 Passport X5042043 Cilegon, 02 Januari 2025 02 Januari 2030
2 Seaman Book J 022864 Marunda, 25 Maret 2024 25 Maret 2027
3 Yellow Fever P00-0093995 Cilegon, 02 Januari 2025 Valid for life
3. CERTIFICATE OF COMPETENCY
No. Document Number Place/Date Of Issued Expired
1 Pengawas Operasional Pertama (POP) 051031214000347 Bekasi, 18-09-2018
2 ANT D 6200359431N60709 Jakarta, 07 May 2009 UNLIMITED
3 Rating As Able Seafarer Deck 6200359431340225 Jakarta, 06 February 2025 UNLIMITED
4 Deck Officer Class V Management 6200359431M50216 Jakarta, 28 July 2016 UNLIMITED
5 Endorsement 6200359431M50216 Jakarta, 23 December 2021 23 December 2026
6 Deck Officer Class IV 6200359431N40225 Jakarta, 22 January 2025
7 Endorsement 6200359431N40225 Jakarta, 24 January 2025 24 January 2030
8 GMDSS 6200359431G10218 Jakarta, 14 February 2018 UNLIMITED
9 Endorsement 6200359431GA0225 Jakarta, 23 January 2025 23 January 2030
4. CERTIFICATE OF PROFICIENCY
No. Document Number Place/Date Of Issued Expired
1 BST – Revalidation 6200359431010125 Jakarta, 10 January 2025 10 January 2030
2 PSCRB – Revalidation 6200359431041125 Jakarta, 24 Januari 2025 24 Januari 2030
3 AFF – Revalidation 6200359431061125 Jakarta, 10 January 2025 10 January 2030
4 MEFA – Revalidation 6200359431071116 Jakarta, 13 April 2016 UNLIMITED
5 BOCT 6200359431392425 Tangerang, 04 Marc 2025 04 March 2030
6 RADAR SIMULATOR 6200359431030218 Jakarta, 08 February 2018 UNLIMITED
7 MC 6200359431080218 Jakarta, 12 February 2018 UNLIMITED
8 ARPA SIMULATOR 6200359431020218 Jakarta, 08 February 2018 UNLIMITED
9 ISM CODE 4030903010913 Jakarta, 11 March 2013 UNLIMITED
10 SECURITY AWARENESS TRAINING 6200359431310218 Jakarta, 17 December 2015 UNLIMITED
11 SEAFARER WITH DESIGNATED DUTIES 6200359431320218 Jakarta, 18 December 2018 UNLIMITED
12 BRIDGE RESOURCES MANAGEMENT 6200359431230216 Jakarta, 06 January 2016 UNLIMITED
5. SEA SERVICE RECORD
Type Of Periode of Service
Name Of Vessel Flag GT Rank Company
Vessel Sign On Sign Off
KM INDAH SEJAHTERA Indonesia Cargo 1954 O/S PT Sumber Sakti 06 sep 21 nov
2009 2010
KMP MITRA Indonesia Ferry 4921 A/B PT Jembatan Madura 4 jan 7 feb
NUSANTARA 2011 2012
TB JOHAN JAYA 123 Indonesia Tug Boat 208 2nd PT Kapuas Jaya 20 apr 23 jul
Samudera 2013 2013
TB TANJUNG BAHARI 12 Indonesia Tug Boat 190 2nd PT Tanjung Bahari 25 jul 30 aug
Perkasa 2013 2014
SPOB AVIRRA 1 Indonesia SPOB 211 C/O PT Hokari Linex 02 mei 18 jul
Pratama 2014 2016
KIP DUANG DEE 4 Indonesia CSD 259 Master PT Bumi Bangka 16 aug 27 jun
Energi 2016 2019
KIP METROPOLITAN 1 Indonesia CSD 427 Master PT Raisindo Jaya 27 jul 30 jun
Mandiri 2019 2020
KIP CITRA BANGKA Indonesia CSD 358 Operator PT Tirtamas Bangka 07 jul 18 jul
LESTARI Lestari 2020 2022
KIP MATOA 2 Indonesia CSD 695 Operator PT Matoa Kidung 09 sep 14 apr
Bahtera 2022 2023
KIP DUANG DEE 4 Indonesia CSD 259 Master PT Saranova Neola 20 jun 20 jan
Energi 2023 2025
Covid - 19 Vaccine CoronaVac ( Batch ID : 24002321 )
Covid – 19 Vaccine CoronaVac ( Batch ID : 24004821 )
Covid – 19 Vaccine Astra Zeneca ( Batch ID : A1074 )
My faithfully,
AZIS SUTRIMO
