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: *****.******@**.*-***.** **************@*****.***
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
*****.******@*****.***.** /
Capt. Vlado Kevric
CREWING MANAGEMENT:
Fleet Manager
“THOME” SINGAPORE
REFERENCE MANAGER / DIRECTOR No.2
VESSEL: “Torero”
TEL
CONTACT PERSON
COMPANY: “BSM” Singapore
******.***********@**-**************.***
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