CURRICULUM VITAE

1. PERSONAL DETAILS

TITLE MR/MRS/MISS MR. SEX MALE FEMALE

SURNAME ELGIE
FIRST NAME M ELGIE WAIS AL QORNIC OTHERS NAMES -
TH
DATE OF BIRTH APRIL 27 1998 PLACE OF BIRTH PEKANBARU
NATIONALITY INDONESIA MARITAL STATUS SINGLE
COLOUR OF EYES BLACK COLOUR OF HAIR BLACK
MOTHER’S NAME SUPRIATEN FATHER’S NAME HARIUS
MOTHER’S MAIDEN NAME
HEIGHT (CM) 166 WEIGHT (KG) 65
SHOES SIZE 42/43 OVERALL SIZE L
2. ADDRESS
NO & STREET JL. M RASYID RT. 003 RW. 010 (PUTRI AYU) FRONT OF MUSSOLAH AL HIJAZ KEL.
LIMBUNGAN KEC. RUMBAI PESISIR, PEKANBARU, RIAU
CITY PEKANBARU
POST CODE 28261
COUNTRY INDONESIA
MOBILE +62-81363863125
E-MAIL Elgie27april@gmail.com
3. TRAVEL DOCUMENTS
TYPE DOCUMENT NO. ISS.DATE EXP. DATE ISS. BY (AUTHORITY) PLACE OF ISSUE
IMIGRATION CLASS I
PASSPORT B 8626487 06-12-2017 06-12-2020 PADANG
OF PADANG
PORT AUTHORITY
SEAMAN’S BOOK F 034944 23-11- 2017 23-11-2020 CLASS II OF TELUK PADANG
BAYUR
4. FORMAL EDUCATION
SCHOOL NAME SDN 038 RUMBAI PESISIR FROM 2004 TO 2010
SCHOOL NAME SMPN 6 PEKANBARU FROM 2010 TO 2013
SCHOOL NAME SMAN 3 PEKANBARU FROM 2013 TO 2016
5. COMPUTER
MICROSOFT WORD PROGRAMME
FLUENT GOOD

MICROSOFT EXCELL PROGRAMME

FLUENT GOOD

MICROSOFT POWER POINT

FLUENT GOOD

6. LANGUAGES
ENGLISH
FLUENT GOOD

7. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY

EXPIRY ISSUED BY
CERTIFICATE NAME NUMBER ISSUE DATE ISSUED AT
DATE (AUTHORITY)
Directorate
DECK OFFICER CLASS III IN PROGRESS UNLIMITED General Of Sea
Transportation
 Directorate
ENDORSEMENT DECK OFFICER
IN PROGRESS General Of Sea
CLASS III
Transportation
8. STCW ’78, AMANDED 2010 COURSES
COURSE NAME NUMBER ISSUE DATE ISSUED AT
BASIC SAFETY TRAINING 6211703084015117 27-01-2017 27-01-2022
ADVANCED FIRE FIGHTING 6211703084065117 22-03-2017 22-03-2022
BASIC TRAINING FOR OIL &
CHEMICAL TANKER CARGO 6211703084395117 18-12-2017 18-12-2022
OPERATIONS
BASIC TRAINING FOR LIQUEFIED
6211703084370718 17-01-2018 17-01-2023
GAS TANKER CARGO OPERATIONS
SEAFARERS WITH DESIGNATED
6211703084325118 24-01-2018 24-01-2023
SECURITY DUTIES
SECURITY AWARENESS TRAINING 6211703084310718 06-02-2018 06-02-2023

MEDICAL FIRST AID 6211703084075117 22-12-2017 22-12-2022

BRIDGE RESOURCE MANAGEMENT 6211703084235118 02-01-2018 02-01-2023

MEDICAL CARE ON BOARD SHIP 6211703084085117 27-12-2017 27-12-2022
INTERNATIONAL SAFETY
0011/ISMC/24/BPPP-17 05-10-2017
MANAGEMENT (ISM) CODE
PROFICIENCY IN SURVIVAL CRAFT &
6211703084045119 07-05-2019 07-05-2024
RESCUE BOATS
SHIP SECURITY OFFICER 6211703084245119 08-05-2019 08-05-2024
RADAR SIMULATOR 6211703084035119 15-05-2019 15-05-2024
ARPA SIMULATOR 6211703084025119 14-06-2019 14-06-2024
OPERATIONAL USE OF ECDIS 6211703084285119 27-05-2019 27-05-2024
CRISIS MANAGEMENT AND HUMAN
ON PROGRESS
BEHAVIOR TRAINING
CROWD MANAGEMENT TRAINING ON PROGRESS
INTERNATIONAL CERTIFICATE OF (TYPHIM & YELLOW
B 8626487
VACCINATION OR PROPHYLAXIS FEVER VACCINE)
9. EXPERIENCE OF SEA SERVICE
Period Of Sea
Name Of Vessel Rank Type GT Flag Company
Service
MARCH 2018
MT. SANGA SANGA CADET OIL TANKER 21745 GT INDONESIA PT. PERTAMINA –
APRIL 2019

*For further information of Certificate’s Availability, could be checked at Official Homepage //http: www.pelaut.go.id

I hereby declared that all the information provided in this form is true to the best of my knowledge. I shall responsible for
all expenses incurred in case my services are terminated due to breach of contact on facts revealed.

Sincerely Yours,

M. Elgie Wais Al Qornic