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Curriculum Vitae

PERSONAL INFORMATION

Name

: Kusuma Mahardika

Date of Birth

: July 11 th 1983

Address

: Jl. Nakula 7 No. 231/C Jakasampurna

Bekasi Selatan BEKASI

Telephone

: +62-812-7141-5505

Email

: kusuma_mahardika@yahoo.com

Nationality

: Indonesian

Sex

: Male

Marital Status

: Married

EDUCATION / QUALIFICATION

Marital Status : Married EDUCATION / QUALIFICATION 2002 – 2011 : Medical Faculty at Lampung

2002

2011

: Medical Faculty at Lampung University, Majoring Medical Doctor

2001

2002

: Electrical Engineering at Lampung University (unfinished)

1999

2001

: Sekolah Menengah Umum Negeri 2 Bandar Lampung

1997

1999

: Sekolah Menengah Pertama Negeri 2 Bandar Lampung

1992

1997

: SD Budi Bhakti Persit Bandar Lampung

EMPLOYMENT TO DATE / WORK EXPERIENCE

Jan 2011 April 2011

General Practicioner at Kusuma Sehat Clinic Pondok Kopi & Tugu Sawangan Clinic Depok ( 6 months)

June 2011 May 2012

Clinic Doctor for PT. Hanjung Indonesia, a manufacturing factory for heavy steel structure, design &

engineering, fabrication in Bandar Lampung Sumatera

Jan 2012 Dec 2012

General Practicioner on Private Practice in Desa Mengandung Sari, Kec. Sekampung Udik, Lampung

Timur

Dec 2012 April 2015

On-Site Rotating Doctor for International SOS at :

1. PT. Gemala Borneo Utama, Lakuwahi Project (Gold Mining Exploration, Romang Island,

Southeast Maluku) Indonesia

2. PT. Darma Henwa, Bengalon Coal Project (Coal Mining, Bengalon, East Kalimantan) Indonesia

3. PT. JGC, JGCC-DSLNG Project (LNG, Luwuk, Central Sulawesi) Indonesia

4. PT. Kaltim Prima Coal (Coal Mining, Sangatta, East Borneo), Indonesia

5. Fugro Survey Pty Ltd, GP-1500 Project ( Exploration Vessel in search for the remain of Flight

MH370, Offshore Perth, Western Australia) Australia

6. Hyundai Engineering & Construction Pte Ltd (Sarulla Geothermal Power Plant Project, Tarutung

North Sumatera) Indonesia

As International SOS Doctor On-Site we are providing medical services to most of mining, oil and gas

company on remote area, conducting Occupational Health survey and Health Risk Assesment together

with team, Hygine Inspection, Health Talk and Promotion to client, arrange Referral and Medical

Evacuation. Reviewing MCU result for employee to determine the work status and coordinate with HR

Dept.

May 2015 June 2015

International SOS Locum Chief Medical Officer

PT. JGC, JGCC-DSLNG Project (LNG, Luwuk, Central Sulawesi) Indonesia

June 2015 July 2015

PT. Mutiara Medical Service

Medical Site Coordinator

1. PT. PAMA Persada Nusantara - BHPL Project (Coal Mining, Muara Tuhup Central Kalimantan)

Indonesia

2. PT. PAMA Persada Nusantara TCMM Project (Coal Mining, Melak East Kalimantan) Indonesia

3. PT. MTU (Coal Mining, South Barito Central Kalimantan) Indonesia

August 2015 September 2015

International SOS Locum Doctor

PT. Indonesia Chemical Alumina (Bauxite Mining, Sanggau West Kalimantan) Indonesia

October 2015

Medika Plaza Standby Emergency Doctor

The 16 th ASEAN Senior Law Officials Meeting and The 9 th ASEAN Law Ministers Meeting, Nusa Dua Bali - Indonesia

November 2015 December 2015

Medika Plaza Replacer Doctor

JOB Pertamina Medco E&P Tomori, Tiaka Oil Field (Offshore Oil & Gas Production, Luwuk Central

Sulawesi) Indonesia

December 2015 January 2016

Medika Plaza Barge Doctor

Falcon Force Barge, Chevron Indonesia Company - Kalimantan Operation (Offshore Oil & Gas

Production, Attaka Field Balikpapan) Indonesia

February 2016 Present

Global Assistance and Healthcare

RV. EGS Surveyor Doctor On Board EGS Indonesia (British Petroleum - Tangguh Integrated Regional

Survey, Bintuni Bay West Papua) Indonesia

Company Refference

1. Mrs. Siti Nurlela, International SOS HR Adm Manager 021 750 5973 Ext. 8429

2. Dr. Elvin Erick Gultom, Mutiara Medical Sevices Senior Operational Manager 021 29386426

3. Mr. Kosasih, Medika Plaza HR Staff Departement 021 30027070 Ext. 111

4. Mrs. Ferawati, Global Assistanec & Healthcare HRD Manager 021 29978997

OTHER EXPERIENCES/COURSE/TRAINING

1. Advanced Cardiac Life Support Course (June 2011), PERKI House Jakarta

2. International Trauma Life Support Course (September 2013), International SOS Jakarta

3. Transocean Rig Medic Orientation (September, 2013), International SOS Jakarta

4. Remote Site Medical Training (September, 2013) International SOS Jakarta

6. Basic Sea Survival & Helicopter Underwater Escape Training (October 2014), Jakarta Offshore

Training Centre

7. Advanced Life Support ACLS Provider (June 2014), International SOS Jakarta

8. Advanced Trauma Life Support (October 2015), Rumah Sakit Graha Husada Bandar Lampung

LANGUANGE SKILL

1. BAHASA (EXCELLENT)

2. ENGLISH (FAIR)

OTHER SKILLS

1. Computer Literate

2. Diving

: Windows Office Application, Office 365

: Open Water Diver

INTEREST

Travelling, Diving, Basketball

Kusuma Mahardika, MD