1. COVER LETTERS
Dears,
HerewithIam Septadi Nurbain,
Address : Taman Bumyagara blok C7/1 RT:02/021, Mustika Jaya – Bekasi Timur 17158 west of Java-
Indonesia.
Phone: +6281234169661 / +6282114406597
HoldingDeckMaritime C.O.CClass1 (Master Marines) to wishto applywithfollows:
Summary of Experiences:
Log carrier,General Cargo andContainer.
Geotechnical vessel survey
Salvage Jobsat Arabsea AndAsiaregionon2004.
Towingcrane barge Ensco 104,101,DLB26,DLB30 (Singapore –Benchamas - Irawan Oilfield,Thailand).
TowingVLCC(Singapore –India),TowingVLCCArdjuna(Singapore –Cirebon,Indonesia)
TowingJack upRig 3 legs(Japan – Singapore),TowingRig(Batam, Indonesia –Gove,Australia).
PSV A.H.T.Sfor Servicesoffshore fieldat(Kemaman/Miri-Malasia),at(BenchamasoilfieldatThailand).
Rig move tankerberthing/unberthingTanker,LPG/LNGvesselatFPSOConocoPhilips,Australia.
PSV,TowingMaterial barge & ASD AHTSservicesCrane Barge/CBPMS-12, CB PMS-11, CB DLB332, CB Maridive
Offshore Base,CBMalaviya33 , CB FalconWarrior for (Pipe laying,InstalledJackupflare,Hydrotest) at Saudi
Aramco Berry/Khafji/Marjan/Zulf/Safaniya/ManifaOil fieldandRasGas Qatar north Oil field.
Rig Move Tankerfor SBM inSPMJuaymaharea-Saudi aramco.
TowingSubmersible RigJackUp 4 legsRowanCalifornia(Sharjah,UAE - Ras Gas North,Qatar).
PSV,TowingMaterial Barge & ASD AHTS servicesCBRegina250 forpipe layingon2 placesconsistof Manifa
oilfieldatSaudi Aramcoand Mumbai highnorthfieldinIndiaduring6 months-2010.
Towingbarge Singapore toSierraLeone,WestAfricainMay-August2011.
ServicesLeightonSaipemContractor,AustraliaforTowingMaterial Barge (Batam, Indonesia - Henderson,
Australia) &PSV In periodFeb2012 – Feb,2013.
Rig move,Salvage jobsandtowingBulkCarrierfromBorneotoChittagong/BangladeshinApril –October2013.
Works at Self ElevatingandPropelledJackupBarge on Offshore northwestJava(PertaminaPHE) November2013
– May 2014.

2. ASD AHT at vietnamoil fieldfor servicesrepositionanchorcrane barge,rigmove andservicesplatformduringjune
– October2014.
DeliveryASDTugfromSingapore toOman,December2014 to 09 January2015.
A. PositionInterested: 1. MASTER
Job Wanted:
RunningCargotug, Towingand Salvage,ASDsupportvessel,AnchorhandlingTug(ASDAHTS),ASD/Schottle
Harbour Tug , Multypurpose Vessel supportoffshore
B. Positioninterested: 2. Ch.officerandpromoted Master after 6 months on board
Job Wanted:
SelfpropellerJack up barge/Rig.
Thank youFor yourkindattention.
Your faithfully
Septadi Nurbain/June 2015

3. Application Form Deck & Engineering Officers
Section1 Position
Position Applied for Master
Lowest Position Acceptable 2nd Master
Date of Availability 15 June 2015
Section2 PersonalDetails
Family name / Surname Nurbain
First Name / Given Name Septadi
Date & Place of Birth 26 September 1965, Surabaya
Nationality Indonesia
Permanent Address Taman Bumyagara Blok C 7 no 1 RT 02 RW 021, Bekasi Timur
Present Address Taman bumyagara Blok C 7 no 1 RT 02 RW 021, Bekasi Timur
PPE information SAFETY SHOES SIZE 41 or 7 COVERALL SIZE L
Present Contact Number +62 82114406597
Fax Number -
Mobile Number +6281234169661 / +62 82 11440 6597
Email Address chevi_septadi@yahoo.com
Nearest Airport Soekarno Hatta Airport, Jakarta
Section3 Passport and VISA details
Country of Issue Indonesia USA Visa -
Type
_
Date Issued 27th January 2012 USA VISA
Expires
-
Place Issued Tg.Priok, Jakarta USA Visa - Type _
Passport Number A 2085918 USA VISA Expires _
Passport –Expires 27th January 2017 Other Country Visa
Secondary passport or Dual nationality Visa Expiry
Section4 ( hi-light as required ) Seaman book / Discharge book / Seaman Record Book / CDC
Issuing Country & Place Indonesia, Tg. Priok Date Issued Dec 2014
Number X 005430 Expiry Date (if any) Dec 2016
Page 1 of 7

4. Section5 Next of Kin – this is important information we require- Don’t ignore it
Full Name / Relationship Reni Novita Zulkarnaen / wife
Any dependents/ Children (incl age ) M. Jodi Herdiansyah (17 yrs), Zahra Nur Zhafira (13 yrs),
Gusti alfian Maulana (12 yrs)
Address Taman Bumyagara Blok C 7 no 1 RT 02 RW 021, Bekasi Timur
Contact Numbers +6281234169661 / +62 821-1440-6597
Section6 STCW95 Highest Certificate ofCompetency / Licence Held ( also list FlagState Endorsements)
Class / Grade/Capacity Issuing Country Certificate No. Date Issued Expiry Details of Limitations
COC Class 1 Indonesia 6200033399
N10207
23
May,2007
unlimited Cert.Endorsement Expired
: January, 2017
Updating COC
Class 1
Indonesia 6200033399
N10215
13 March
2015
Unlimited Cert.Endorsement
Expired: 16 March 2020
Section7 STCW95 relatedCoursesAttended and Certificates Obtained
Name of Course / Certificate STCW
Code
Place Issue
Date
Cert No Expiry Date
Personal Survival Techniques A- VI/1-1 Jakarta,Indonesia_ 19/12/20
13_
18/12/2016
Basic Sea Survival / Training A-VI/1 Jakarta,Indonesia 19/05/200
8
6200033399010
108
Unlimited
Fire Prevention & Fire Fighting A-VI/1-2
Elementary First Aid A-VI/1-3
Personal Safety & Social Responsibility A-VI/ 1-4 Johor,malaysia 10/08/200
7
MY 029033 -
Proficiency in Survival Craft & Rescue
Boats
A-VI/2.1-
4 STCW
2010
Jakarta.Indonesia 12/03/201
5
6200033399041
115
Revalidatio
n March
2015
Proficiency in RESCUE CRAFTS Johor,malaysia 10/08/200
7
MY 029033 2011
Advanced Fire Fighting A-VI/ 3
STCW
2010
Jakarta,Indonesia 13/03/201
5
6200033399061
115
Revalidatio
n March
2015
Medical & First Aid A-VI/ 4.1-
3 STCW
2010
Jakarta,Indonesia 17/03/201
5
6200033399071
115
Revalidatio
n March
2015
Medical Care
( Ship Captains Medical Course )
A-VI/4.4-
6 STCW
2010
Jakarta,Indonesia 01/04/201
5
6200033399081
115
Revalidatio
n April
2015
GMDSS + ENDORSEMENT A-IV/ 2
STCW
2010
Jakarta,Indonesia 12/03/201
5
6200033399G1
0115
Revalidatio
n 12 March
2015
Ship Security Officers Course (SSO)
Issued under STCW95
A-VI/ 5
STCW
2010
Jakarta,Indonesia 23/03/201
5
6200033399240
215
Revalidated
23 March
2015
Medical Certificate / HEALTH
Certificate
Marindo Jakarta 19/12/201
3
PHE ONWJ
Medical
18/12/2014
Drug and Alcohal test certificate Sea Care Maritime
Singapore
01/02/201
2
19-9700174-
R
01/02/2013
YELLOW FEVER Sea Care Maritime
Singapore
19/05/201
1
V.99-57494 /
CNO 70882
19/05/2021
Page 2 of 7

5. Bridge Team Management A-II/2 _ _ _ _
Bridge Resources Management B-VIII/2 Jakarta,Indonesia 02/05/200
7
4040905090107 Revalidatio
n March
2015
Electronic chart Display and
Information System course ( ECDIS )
Chapter II
Section
A-II/1,
A-II/2
STCW
2010
Jakarta,Indonesia 03 March
2015
62000333992
80215
ISM Code A.1441
(18)
Jakarta,Indonesia 19/07/200
1
345/ISMC/VII/
BP3IP
Unlimited
TANKERS FAMILIARISATION A-V/1 Jakarta,Indonesia 19/05/200
8
6200033399090
108
Advanced Tanker Operations (Chem.) A-V/1-2 Jakarta,Indonesia 15/11/200
2
6200033399100
702
Unlimited
Advanced Tanker Operations (Oil) A-V/1 Jakarta,Indonesia 19/05/200
8
6200033399090
108
Unlimited
Advanced Tanker Operations (LPG) A-V/1 _ _ _ _
INERT GAS
CRUDE OIL WASHING
Tanker Safety ( petroleum )
Tanker Safety ( Chemical )
Tanker Safety ( GAS )
REFRESHER & UPDATING I/II & III/2
Radar Simulator Section
A-II/1.5 ,
A-II/2.2
STCW
2010
Jakarta,Indonesia 17/03/201
5
620003339903
1115
Revalidatio
n March
2015
ARPA Section
A-II/1.5 ,
A-II/2.2
STCW
2010
Jakarta,Indonesia 17/03/201
5
620003339902
1115
Revalidatio
n March
2015
Basic Safety Training (Revalidation) Section A-
VI/1
STCW
2010
Jakarta,Indonesia 11/03/201
5
6200033399011
115
Revalidati
on March
2015
Fast rescue boat coaxwain MSTS-Johor,
Malaysia
10/08/200
7
MY 029033
Helicopter under water Escape
training
MSTS- Johor,
Malaysia
07/08/200
7
MY 029033 2011
Section8 OFFSHORE INDUSTRYCOURSES
Please enter below any other certificates held or courses done,ie offshore, DP certs etc or Any other not already mentioned
Name of Course / Certificate APPROVALS Place Issue Date Cert No Expiry
BOSIET / Offshore sea survival Jakarta 21/12/2013 21/12/2016
HUET MSTS- Johor,
Malaysia
07/08/2007 MY
029033
2011
FOET
OFFSHORE MEDICALS
( UK, NORWAY or NETHERLAND )
PHE ONWJ
Jakarta
23/12/2013 22/12/2014
Re-Breather training
Initial Standby vessel crews training ( ITSO )
CAA (Civil Aviation Authorities – Helicopter)
Advanced Medical Aider ( AMA )
HLO
Page 3 of7
L
I
S
T
A
L
L

6. Marlin ‘s English Test Svitzer - Singapore
IELTS-English Test SCORE 86
Section 9 Medical History
YES NO
Have you ever signed off a ship due medical reason ? NO
Have you undergone any medical operations in past ? NO
Have you consulted a doctor during the past 12 months for an illness / Accident NO
Do you have any health or disability problem now ?? NO
If answer to any of above is YES then give further details below or on a separate sheet
NOTE : The company have STRICT Alcohol and Drug Policy, Which means
ZERO TOLERENCE for alcohol and drugs
Section 10 General
Yes No
Have you ever been the subject of a court of enquiry or involved in a maritime accident NO
Have you ever had a professional licence suspended or revoked NO
Have you ever been convicted of any criminal offence? NO
Have you ever been dismissed NO
If yes to any of above then please full details below or on separate sheet of paper
Section 11 References (Last Two Recent Employers)
Name of company Svitzer Far East Pte Ltd,Singapore
Name Person to be contacted Mr. Mukesh Kumar
Address 200 Cantonment road #06-02/02B South point ,Singapore 089763
Tel No + 6596376458 /+65 64122011 Fax +65 62263909
Email mukesh_kumar@svitzer.com
Name of company Global Marine Services
Name Person to be contacted Mr. Rajan
Address P. O. Box 550, Sharjah,
United Arab Emirates
Tel No (+9716) 5724383 Fax (+9716) 5727719
Email rajan@globalmarineuae.com
Section 12 Any other information, you wish to add in support of your application
I wish to apply with prefferedd :ASD Tug Master or Ch.Mate Selfpropelled jack up maximum for 1year and
then need promote become Master
Section 13 Declaration
I hereby declare that the above particulars are true and I authorize you to contact the referees listed above
And confirm that All my certificates / Licences are Authentic / SEASERVICE RECORD is ACCURATE / And I
confirm accepting Companies DRUG & ALCOHOL Policy
Signed : Capt. Septadi Nurbain Date : 06 June 2015
Page 4 of 7

7. Section14 Recordof Sea Service (All Dates to be enteredas
dd/mm/yy)
Please give full record of sea service STARTING FROM LAST VESSEL FIRST
VESSEL COMPANY Type of Vessel
And Type of
operation in case of
DP vessels
DWT or
GRT
(please delete as
reqd)
Type of Engines
Or DP System
BHP RANK Sign on
DATE
Sign off
DATE
MV. Svitzer
Foxtrot
Svitzer Far east
Asia-Singapre
ASD AHT /
Salvage
908 Nigata 6000 Master 09 June 2014 09 Janary
2015
MV. Sea Pup PT.Swadaya
Sarana Berlian
Jakarta
Jack Up Barge
Self Elevating and
propelled utility
Platform
DWT: 2041 LT
GT: 1439 LT
4 x 453KW at
1800 RPM
(Cummins) and
1 units
Catterpillar
4 x 453 KW Master 21/11/2013 12/05/2014
MV. Svitzer
Kallang
Svitzer Far East
Asia - Singapore
ASD AHTS /
Salvage
498 Nigata 5000 Master 15/05/2013 25/10/2013
MV. Svitzer Beta Svitzer Far East
Asia - Singapore
ASD AHTS 908 Nigata 6000 Master 21/11/2012 21/03/2013
MV.Svitzer
Kallang
Svitzer Far East
Asia - Singapore
ASD AHTS 498 Engine Nigata 5000 Master 07/02/2012 15/11/2012
MV.Lamnalco
Puma
Lamnalco Group
Sharjah Al
Buhaira
Twr,Buhaira
Corniche
ASD Tug 459
Engine
Caterpilar
5000 Master 19/07/2011 25/08/2011
MV. Lamnalco
Leopard
Lamnalco Group
Sharjah Al
Buhaira Twr,
Buhaira Corniche
ASD Tug 459
Engine
Caterpilar
5000 Master 03/05/2011 18/07/2011
MV. Sharief
Express
Global Marine
Services, Sharjah
UAE
ASD A.H.T.S Tug 497 Engine Nigata 5500 2nd Master 08/06/2010 22/12/2010
MV. Lamnalco
Hoopoe
Lamnalco
(Sharjah)
Limited,Al
Buhaira
Tower,PO BOX
5687, Sharjah-
UAE
ASD Harbour tug,
towing tug
299
Engine
Caterpilar 2500
Master
10/01/2010 04/04/2010

8. MV. Sharief
Alert
Global Marine
Services, PO
BOX 550 Sharjah
U.A.E
deep sea ASD
A.H.T.S, Towing
491 Engine Nigata 5500 Ch.Mate 18/07/2009 03/12/2009
MV. Sharief
Provider
Global Marine
Services, PO
BOX 550 Sharjah
U.A.E
Hook
Up/Maintenance
Platform
891
Engine
Mitsubishi 5000 MASTER 15/03/2009 06/06/2009
MV. Sharief
Alert
Global Marine
Services, PO
BOX 550 Sharjah
U.A.E
Deep sea ASD
A.H.T.S, Towing
491 Engine Nigata 5500 Ch.Mate 18/06/2008 24/01/2009
MV. Sharief
Power
Global Marine
Services, PO
BOX 550 Sharjah
U.A.E
ASD A.H.T.S ,
Towing
491 Engine Nigata 5500 Master 04/12/2007 25/04/2008
MV. Star
Diamond
PSA Singapore
Schottle Harbour
Tug
327
Engine
Caterpilar
5000 Master
16/10/2007 25/10/2007
MV. Cecile
Svitzer Far East
Pte Ltd, Singapore
Tractor A.H.T.S
495
Engine
Caterpilar
1850 Master 10/08/2007 12/10/2007
MV. Albatros
Svitzer
Wijsmuller Pte
Ltd,Singapore
Towing,Salvage,Tug
Supply,Multy
purposed support
offshore
912
Engine Mirless
Blackstone
12500 Ch.Mate
28/02/2006 20/10/2006
MV. Albatros
Svitzer
Wijsmuller Pte
Ltd,Singapore
Towing,Salvage,Tug
Supply, Multy
purposed support
offshore
912
Engine Mirless
Blackstone
12500 Ch.Mate 27/03/2005 02/11/2005
MV. Albatros
Svitzer
Wijsmuller Pte
Ltd,Singapore
Towing,Salvage,Tug
Supply, Multy
purposed support
offshore
912
Engine Mirless
Blackstone
12500 Master 01/06/2004 09/09/2004
MV. Albatros
Svitzer
Wijsmuller Pte
Ltd,Singapore
Towing,Salvage,Tug
Supply, Multy
purposed support
offshore
912
Engine Mirless
Blackstone
12500 Ch.Mate 24/07/2003 31/05/2004
MV. Askelad
Thales
Geosolutions Pte
Ltd,Singapore
Geotechnical Survey
vessel
336
Engine Deutz
2400 Master
10/01/2003 21/05/2003
MV. Fred
Mineral Synergi
Pte Ltd,Singapore
Towing,Tug supply 220
Engine
Mitsubishi
2400 Master 05/02/2002 22/10/2002

9. MV. Kiwi
PT.Baruna Raya
Logistic,Jakarta
A.H.T.S, Supply
Tug
475 Engine
Yanmar
3400
Master
20/08/2000 14/02/2001
MV. Kiwi
PT.Baruna Raya
Logistic,Jakarta AHTS, Supply Tug
475 Engine
Yanmar
3400
Ch.Mate 05/09/1998 12/07/2000
MV. Crestian
Mineral Synergi
Pte Ltd,Singapore
Towing,Tug Supply 220
Engine
Mitsubishi
2400
Master 17/02/1996 15/06/1998
MV. Brilliance
Honglam,
Singapore
Tanker 1250 Engine
Yanmar
2500
Ch.Mate 03/01/1995 14/02/1996
MV. MPL-1
Maritime Pte Ltd,
Singapore
Landing Craft 459 Engine Komatsu 1250 Ch.Mate 17/10/1994 31/12/1994
N.Budhi
PT.Budhi Segara
Lines,Jakarta
General Cargo
3250 Engine Yanmar 3500 Ch.Mate
28/02/1989 17/03/1993

10. ADDITIONAL INFORMATION SHEET
VESSELTYPE YOU ARE INTERESTEDIN (please list in order of priority)
1.RIG JACK UP / SUBMERSIBLE / DRILLINGVESSEL
2.DSV,PSV
3.CABLE LNE
4.ACCOMMODATION BARGE
5.ASD TUG MASTER
MAXIMUM ACCEPTABLE CONTRACT PERIOD (Please indicate below)
short permanent contract
MINIMUM SALARY PER MONTH in US$ including leave pay ( please enter Only realistic
figure ): USD 12.000/month
Languages Spoken / Written / Understood (1-poor 5-Fluent)
Spoken Written Understood
ENGLISH 5 5 5
DRUG & ALCOHOL POLICY
The company have very strict NO DRUG and ALCOHOL POLICY, Which is required to be
complied with at all times, which means “””ZERO TOLERENCE on ALCOHOL & DRUG”””
Your body must NOT have any ALCOHOL or DRUG substances from the time you board your flight
or commence your travel to join vessel, and Must remain so Until you have completed full contract
and returned to your home Airport / Town
If during the said period you are found under the influence of DRUG or ALCOHOL then ALL
EXPENCES incurred which will include all your travel and recruiting costs, And your relief’s
Travel and recruiting costs, And Any other costs whatsoever incurred due to your NON-
COMPLIANCE will be deducted from your salary, Which will include but not limited to “damage to
vessel her equipments and machineries, loss of charter, and any other costs Directly or indirectly
connected with your NON-COMPLIANCE
Sign & CONFIRM ACCEPTANCE OF ABOVE POLICY………………………………………
FOLLOWING DOCUMENTS COPIES MUST BE SENT TO US- send to us In separate Email
Licence or Certificate of competency, Any tanker endorsements, GMDSS showing expiry date in case of
Deck Officers, Medical Fitness / Examination Certificate, Passport Main page, Seaman book or Discharge
book Main pages, In case of DPO – DPO Cert,DP LOG Pages
FOLLOWING ADDITIONAL DOCUMENTS will ALSO BE REQUIRED – Send to us in separate email
All short courses certificates ( STCW95 ), SSO certificate, Last 3-5 years ships entries in Discharge book or
Seaman book, Certificate of Equivelant Competency from other flag states