Medical Training

Rank Deck kadet First Name Bastijan

Present Senjska 14 Klis Next of Kin: Rita Juri?in

Address:

Home ***/***-*** **** / ****

phone: Relationship:

cell 091/5104937 Address: Senjska 14 Klis

phone:

Fax:

Email: *********@*******.*** Next of kin Cell

Phone :

Father's Vice Mother's name:

name

Nearest Split Km from 25 Present

Airport: Airport: Employer:

Languages: English Tel +

email:

Medical 29.05.2014 Expired: 29.052016 Previous

Certificate Employer:

issued:

Any visa Expired: Tel +

issued: email:

Weight(kg) 117 Height(cm) 193

Education: high/secondary school (4 Last wage

years), (inclusive of leave

pay):

Licence (Certificate of Competency)

Licence Grade of Licence Number Place & Date Issued Date Expired

Country

Passports - If several passports write them all.

Number Place Issued Date Issued Date Expired

018209715 PPSolin 16.09.2013 16.09.2023

Seaman's Book - If several seaman's books write them all (even if expired)

Country Place Issued Date Issued Number Date Expired

croatia Split 09.06.2014 00079969 09.06.2024

DP Log Book

Country Place Issued Date Issued Number Date Expired

DP Certificates

Certificates Place Issued Date Issued Number Date Expired

DP Basic

(induction)

DP Advanced

DP Limited

DP unlimited

Certificate

Certificates STCW Date Issued Place Expiration License Number

Issued date

Helicopter Underwater Escape

Training

Helicopter Landing Officer

MEDICAL (First Aid) VI/4 29.08.2013 Split 29.08.2018 400181320

MEDICAL (Care) VI/4

ARPA 04.09.2013 Split 400181416

GMDSS IV/2

Advanced Fire Fighting 10.09.2013 Split 10.09.2018 400180595

VI/3

PSCRB (proficiency in survival

craft) VI/2

Basic Safety Training 30.08.2013 Split 31.12.2016 400181356

Certificate (or Items from 1

to 4 below MANDATORY) VI/1

SSO (Ship Security Officer)

VI/5

Previous Sea Experience

Vessel's Name

Contact this candidate