1. JOB APPLICATION FORM
Full Name POLMER NAIBAHO
Position Applied For Master
Place / Date of Birth Bahal Batu, 29 Mei 1975
Sex Male
Religion / Nationality Christian / Indonesia
Permanent Address Jln.Nusa Indah XVI, Blok MR No.4 Harapan Indah
Bekasi,Java West, Indonesia
Hand Phone Number +6281319017781 / +6221 8872602
Email Address polmer.naibaho@yahoo.com
Details of Document
Name Number Place / Date of Issued Expire Date
Passport A8162830 Brunei, Sep 16, 2014 Sept 16, 2019
Seaman Book B 029032 Jakarta, 22 January, 2013 January 21, 2016
Certificates of Competency
Grade Certificate Number Place / Date of Issued
Deck officer Class I / ANT I 6200064567N10209 Jakarta, Oct 05, 2009
Certificate of Endorsement Class I 6200064567NA0209 Jakarta, Apr 01, 2014
Certificates of Offshore
Name of Certificate Number Place / Date of Issued Date
Proficiency In Fast Rescue Boat 08PFRB-0019A-012 CTSI, Manila, July 23, 2008
T – BOSIET 0058550105121328580 ETSDC, Abu Dhabi, Dec 05, 2013
Basic H2S Training 0058901408121328779 ETSDC, Abu Dhabi, Dec 08, 2013
Basic Offshore Safety 36710 / 2013 ETSDC, Abu Dhabi, Dec 08, 2013
Certificates of Proficiency
Name of Certificate Number Place / Date of Issued Date
Basic Safety Training 6200064567010714 Jakarta, April 11, 2014
Survival Craft And Rescue Boat 6200064567040108 Jakarta, March 04, 2014
Medical First Aid 6200064567070108 Jakarta, March 04, 2014
Medical Care 6200064567080108 Jakarta, March 04, 2014
Radar Simulator 6200064567031114 Jakarta, June 30, 2014
Arpa Simulator 6200064567021114 Jakarta, June 30, 2014
Advance Fire Fighting 6200064567060108 Jakarta, March 04, 2014
Proficiency In GMDSS 6200064567211114 Jakarta, June 27, 2014
Ship Security Officer ( SSO) 6200064567240214 Jakarta, July 02, 2014
Bridge Resources Management 6200064567230213 Jakarta, Feb 01, 2013
Operational Use Of ECDIS Training Prog 6200064567280712 Jakarta, Dec 22, 2012
General Operator Certificate ( GOC ) 31685/SOU/T/II/2013 Jakarta, Feb 19, 2013
ISM CODE 4030909017105 Jakarta, Sept 09, 2005
Dynamic Positioning Basic Course S401/11 Singapore, Aug 25, 2011
Record Of Sea Services
Name of vessels / Flag Company Rank
Type of Vessel
HP / GRT
Sign On
Sign Off
Reason off
MT. UNIPAC
INDONESIA
Unitama pacific lines Cadet
Tanker
5200 / 4100
08-02-97
08-02-98
Contract
Completed
MT.PAN OIL-7
INDONESIA
Pan Maritime Wira Pawitra 2Nd
Officer
Tanker
3800 / 3280
01-05-98
01-09-98
Promotion to Chief
Officer
MT.PAN OIL-7
INDONESIA
Pan Maritime Wira Pawitra Chief Officer
Tanker
3800 / 3280
02-09-98
16-09-99
Contract
Completed
MT.LAJU PRAKARSA
INDONESIA
Laju Prakarsa Indah Chief Officer
Tanker
3600 / 3240
14-10-99
01-08-00
Contract
Completed
TB.PIONEERSA-II
SINGAPORE
Star Shipping
Co. Ltd
Chief Officer
Tug Boat Towing
2800 / 420
02-09-00
09-09-01
Contract
Completed
MT.TIRTANIAGA-1
SINGAPORE
Raffles Ship Management
Co .Ltd
Chief Officer
Tanker
4200 / 3890
03-10-01
05-03-03
Contract
Completed
MV. KAIKO MARU NO.2
BLIZE
Ocean Tankers Co. Ltd 2Nd
Officer
Supply Boat
8400 / 1090
23-08-03
03-02-04
Promotion to Chief
Officer
MV. KAIKO MARU NO.2
BLIZE
Ocean Tanker Co. Ltd Chief Officer
Supply Boat
8400 / 1090
03-02-04
24-12-04
Contract
Completed
MV.ZAIN
U.A.E
White sea Shipping &
Supply ( L.L.C )
Chief Officer
AHTS
5000 / 1282
22-11-05
21-04-06
Contract
Completed
MV.ZAMIL-7
BAHRAIN
Zamil Operation &
Maintenance Co. Ltd
Chief Officer
AHTS
5200 / 1267
28-06-06
10-11-06
Contract
Completed
MV.ZAMIL-15
BAHRAIN
Zamil Operation &
Maintenance Co. Ltd
Chief Officer
AHTSS
5600 / 1705
10-04-07
08-08-07
Contract
Completed
MV.ZAMIL-19 ( DP-1 )
BAHRAIN
Zamil Operation &
Maintenance Co. Ltd
Chief Officer
AHTS
10000 / 1621
27-09-07
15-01-08
Contract
Completed
MV.ZAMIL-20
BAHRAIN
Zamil Operation &
Maintenance Co. Ltd
Chief Officer
AHTS
8200 / 1313
15-03-08
26-06-08
Contract
Completed
MV.SWISSCO SINGAPORE
SINGAPORE
Swiber Offshore Marine
PteLtd
Chief Officer
AHT
4750 / 977
01-08-08
02-11-08
Transferred
MV.SWIBER NAVIGATOR
SINGAPORE
Swiber Offshore Marine
PteLtd
Chief Officer
AHT
4000 / 618
04-11-08
12-03-09
Contract
Completed

2. MV.SWIBER EXPLORER
MARSHALL ISLAND
Swiber Offshore Marine
PteLtd
Master
AHT
4000 / 618
16-10-09
26-02-10
Contract
Completed
MV. ASIA STAR 48279
FUNAFUTI
Swiber Offshore Marine
PteLtd
Master
AHT
4750 / 735
23-04-10
22-09-10
Contract
Completed
MV. SWIBER ADA
MARSHALL ISLAND
Swiber Offshore Marine
PteLtd
Master
AHTS
5150 / 1537
14-02-11
02-08-11
Contract
Completed
MV. SWIBER BHANWAR
SINGAPORE
Swiber Offshore Marine
PteLtd
Master
AHT
4750 / 735
09-10-11
06-03-12
Contract
Completed
MV.AMARCO CHEETAH
PANAMA
Amarco Services Sdn Bhd Master
AHTS - DP.I
5000 / 1420
05-07-12
04-12-12
Contract
Completed
MV.AMARCO TIGER
BRUNEI
Amarco Services Sdn Bhd Master
OSV
3100 / 908
28-02-13
27-04-13
Transferred
MV.AMARCO CHEETAH
PANAMA
Amarco Services Sdn Bhd Master
AHTS - DP.I
5000 / 1420
28-04-13
07-08-13
Contract
Completed
MV.JABBAR
PANAMA
Gulf Shipping Maritime
Establish
Master
AHT
5450 / 625
02-12-13
13-03-14
Contract
Completed
MV. AMARCO RINTIS
BRUNEI
Amarco Services Sdn Bhd Master
SURVEY
4400/954
17-06-14
18-09-14
Contract
Completed
MV.AMARCO RINTIS
BRUNEI
Amarco Services Sdn Bhd Master
SURVEY
4400/954
06-10-14
13-12-14
Contract
Completed
MV.RAWABI 1
TUVALU
Rawabi Swiber Offshore
Services
Master
AHTS – DP 1
5150 / 1575
22-02-2015
Present
YOURS FAITHFULLY ; POLMER NAIBAHO