APPLICANT’S PERSONAL DATA

POSITION APPLIED FOR:

AVAILABILITY DATE:

FIRST / LAST NAME: JOSKO KRIVIC

CITIZENSHIP: CROATIAN

FATHER’S NAME: JOSKO

ADDRESS (incl. post code): BIJACKA 16, KASTEL STAFILIC 21217, CROATIA

DATE OF BIRTH: 30 NOV 1966

PLACE OF BIRTH: TROGIR, CROATIA

PHONE: +385-**-***-***

MOBILE: +385-**-***-****

E-MAIL: ac7lps@r.postjobfree.com ac7lps@r.postjobfree.com

SKYPE: josko.krivic2

MARITAL STATUS: SINGLE

NEXT OF KIN:

WIFE’S FIRST / LAST NAME:

RELATION: BROTHER

FATHER’S NAME:

FIRST / LAST NAME: BRANIMIR KRIVIC

WIFE’S DATE & PLACE OF BIRTH:

FATHER’S NAME: JOSKO

ADDRESS:

ADDRESS: IVANA KUMBATA 3, KASTEL STAFILIC 21217, CROATIA

PHONE:

MOBILE:

PHONE: +385-**-***-***

MOBILE: +385-**-***-****

FIRST/LAST /MIDDLE NAME of MOTHER

FIRST/LAST /MIDDLE NAME of FATHER

ALENKA KRIVIC

JOSKO KRIVIC

CLOTHES:

SIZES:

HEIGHT

180 cm

VISA / NO.

PLACE OF ISSUE (CITY)

TYPE OF VISA

FROM

VALID TILL

OVERALL

XXL

WEIGHT

86 kg

USA

ZAGREB

R C1/D

9.5.2012

7.5.2017

SAFETY SHOES

42.5

COLOR OF EYES

brown

E2519277

CROATIA

TROUSERS

54

COLOR OF HAIR

brown

STATUS:

EXPIRED

SWEATER

XL

CHEST (Cms)

SHIRT

XL

WAIST (Cms)

MARINE EDUCATION RECEIVED

NAME OF SCHOOL

FROM

TILL

TYPE OF DEGREE RECEIVED

Maritime College at Split - University of Maritime Affairs, Dubrovnik (Croatia)

4.9.1989

28.10.1991

Nautical Engineer degree VI/1

NATIONAL DOCUMENTS

ISSUED NO.

VALID

SEAFARER’S IDENTITY DOCUMENT

National Passport

10.10.2016

Croatia

137970155

10.10.2026

Seaman’s Book

07.02.2011

Croatia

45890

07.02.2021

Certificate

Date of issue

Issuing Country

Number

Date of expiry

Certificate of Competency

11.10.2016

Croatia

400361656 -MASTER UNLIM.

11.10.2021

GMDSS - GOC

05.10.2015

Croatia

400296662

05.10.2020

Ship Security Officer

28.02.2011

Croatia

400081259

Endorsement

Level / Number

Place/ Country Issued

Date Issued

Date expires

Petroleum – Dang.

2 / 400296670

Split / Croatia

05.10.2015

05.10.2020

Chemical – Danger.

2 / 400296663

Split / Croatia

05.10.2015

05.10.2020

Spec Progr Tanker

400296670 / 400296663

Split / Croatia

05.10.2015

05.10.2020

Certificate

Country

Number

Date of Issue

Date of Expiry

Advanced Fire Fighting

Croatia

400296857

13.10.2015

13.10.2020

Medical First Aid

Croatia

400314445

8.1.2016

8.1.2021

Medical Care

Croatia

400296669

5.10.2015

5.10.2020

Personal Safety n Social Resp

Croatia

400296805

13.10.2015

13.10.2020

Prof in Surv Craft and Res Boat

Croatia

400296788

13.10.2015

13.10.2020

Specialized Programme Training on Oil Tanker Operations

Croatia

400296670

5.10.2015

5.10.2020

Petroleum (Level 1) – Dangerous Cargo Endorsement

Croatia

400296668

5.10.2015

5.10.2020

Petroleum (Level 2) – Dangerous Cargo Endorsement

Croatia

400296670

5.10.2015

5.10.2020

Elect Chart display and Info

Croatia

ECDIS-0101/2015

19.6.2015

unlimited

GMDSS GOC Certificate

Croatia

400296662

5.10.2015

5.10.2020

Ship Maneuverings Simulator

Croatia

300-15-103

5.3.2015

5.3.2020

Bridge Team Management

Croatia

100-14-626

11.8.2014

11.8.2019

Specialized Programme Training on Chemical Tanker Operations

Croatia

400296663

5.10.2015

5.10.2020

Chemical (Level 1) – Dangerous Cargo Endorsement

Croatia

400296668

5.10.2015

5.10.2020

Chemical (Level 2) – Dangerous Cargo Endorsement

Croatia

400296663

5.10.2015

5.10.2020

YELLOW FEVER

SPLIT, CROATIA

JUN 2015

JUN 2025

VALID

FLAGS DOCUMENTS:

LIBERIAN

GRADE

NBR

ISSUED

TILL

PANAMANIAN

GRADE

NBR

ISSUED

TILL

SBK

SBK

END. TO LIC

END. TO LIC

END. TO GMDSS

END. TO GMDSS

GMDSS

GMDSS

SPECIAL QUALIFICATION

CERTIFICATES

SPECIAL QUALIFICATION

CERTIFICATES

GERMAN

ANT&BARBUDA

SBK

SBK

END. TO LIC

END. TO LIC

END. TO GMDSS

END. TO GMDSS

DUTCH

SBK

MARSH. ISLAND

END. TO LIC

SBK

END. TO GMDSS

END. TO LIC

GMDSS

END. TO GMDSS

SPECIAL QUALIFICATION

CERTIFICATES

SPECIAL QUALIFICATION

CERTIFICATES

CYPRUS

MALTA

SBK

END. TO LIC

END. TO LIC

END. TO GMDSS

END. TO GMDSS

BAHAMAS

NIS

END. TO LIC

SBK

END. TO GMDSS

END. TO GMDSS

SINGAPORE/ HONG KONG

END. TO LIC

END. TO LIC

GMDSS

END. TO GMDSS

SPECIAL QUALIFICATION

CERTIFICATES

Certificates / Endorsements

Master - 3000 GT and more

Croatia

07.02.2011

45890

Master - 3000 GT and more

Marshall Islands

20.08.2012

MH 280889

Chief Officer

Norway

24.10.2014

KS-0095 B/E

SEA SERVICE LAST 5 YEARS ……… (10 FOR MASTERS AND CHIEF ENGINEERS)

Name Of Vessel

Company or

Owner / Operator

RANK SERVED

Vessel Type

Flag

GT

DWT

ENGINE TYPE

SERVICE AREA

SERVED FROM - TO

Champion Tern

Champion Tankers

Chief Officer

oil-chem tanker

NIS

27526

47363

diesel motor

WW

7.11.

2015

23.12.2015

Champion Tide

Champion Tankers

Chief Officer

oil-chem tanker

NIS

26218

46165

diesel motor

WW

7.9.

2014

13.1.

2015

Songa Sapphire

Songa Shipmanagement

Chief Officer

oil-chem tanker

Marshall Islands

11259

17596

diesel motor

WW

19.1.

2014

19.1.

2014

Songa Opal

Songa Shipmanagement

Chief Officer

oil-chem tanker

Marshall Islands

11259

17596

diesel motor

WW

23.11.2013

16.1.

2014

Ardmore Centurion

Ardmore Shipmanagement

Chief Officer

oil-chem tanker

Marshall Islands

19549

29006

diesel motor

WW

2.3.

2013

17.7.

2013

Ardmore Centurion

Ardmore Shipmanagement

Chief Officer

oil-chem tanker

Marshall Islands

19549

29006

diesel motor

WW

26.5.

2012

7.10.

2012

Ek-Sky

Ek Tankers

Chief Officer

product tanker

NIS

8829

13787

diesel motor

GC

25.11.2011

13.2.

2012

North Sound

MTM Co. Singapore

Chief Officer

oil-chem tanker

Singapore

11641

20299

diesel motor

WW

7.9.

2011

2.11.

2011

Torero

KOYO KAIUN Tokyo/ BSM S'pore

Master

oil-chem tanker

Singapore

5518

8913

diesel motor

WW

14.11.2008

5.4.

2009

Irene

KOYO KAIUN Tokyo/ BSM S'pore

Chief Officer

oil-chem tanker

Panama

7373

14156

diesel motor

WW

27.03.2008

5.8.

2008

Irene

KOYO KAIUN Tokyo/ BSM S'pore

Chief Officer

oil-chem tanker

Panama

7373

14156

diesel motor

WW

16.06.2007

16.11.2007

Irene

KOYO KAIUN Tokyo/ BSM S'pore

Chief Officer

oil-chem tanker

Panama

7373

14156

diesel motor

WW

26.09.2006

10.2.

2007

Irene

KOYO KAIUN Tokyo/ BSM S'pore

Chief Officer

oil-chem tanker

Panama

7373

14156

diesel motor

WW

26.01.2006

31.5.

2006

REFERENCE MANAGER / DIRECTOR No.1

VESSELS: “Champion Tern & Champion Tide”

E-MAIL / TEL

CONTACT PERSON

COMPANY: “CHAMPION TANKERS” Norway

ac7lps@r.postjobfree.com /

Capt. Vlado Kevric

CREWING MANAGEMENT:

003**-**-***-****

Fleet Manager

“THOME” SINGAPORE

REFERENCE MANAGER / DIRECTOR No.2

VESSEL: “Torero”

E-MAIL

TEL

CONTACT PERSON

COMPANY: “BSM” Singapore

ac7lps@r.postjobfree.com

006*-****-**** & 006*-****-****

Capt. SANDIP MIRCHANDANI

CREWING MANAGEMENT:

MANAGING DIRECTOR

“BSM” SINGAPORE

I certify that the details given by me in filling up this form are true, complete, and correct to best of my knowledge and belief. I understand that any misrepresentation or material omission made in this application form or other documents submitted to Bernhard Schulte Shipmanagement Pvt. Ltd. may renders me liable for termination or dismissal. Personal information regarding myself may be shared for operational reasons within the companies of the BSM group and with concerned Ship Owner(s).

JOSKO KRIVIC

Contact this candidate