Rank First Name
Present K.Kambelovac Put Smokovika Next of Kin: Sister Nina Grepo
Address: 5
Home *** *** *** **** /
phone: Relationship:
cell +385-**-***-**-** Address:
phone:
Fax:
Email: ********@****.*** Next of kin Cell +385-**-***-***
Phone :
Father's Ivica Mother's name: Meri Raj?i?
name
Nearest Split Km from 8 Present none
Airport: Airport: Employer:
Languages: Croatian and English Tel +
email:
Medical 11.09.2012 Expired: 11.09.2014 Previous none
Certificate Employer:
issued:
Any visa none Expired: Tel +
issued: email:
Weight(kg) 63 kg Height(cm) 186 cm
Education: high/secondary school (4 Last wage
years), (inclusive of leave
college (2-3 years) ; university pay):
(4-5 years):
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
Seaman's Book - If several seaman's books write them all (even if expired)
Country Place Issued Date Issued Number Date Expired
Croatia Split 27.09.2012 00074182 27.09.2022
DP Log Book
Country Place Issued Date Issued Number Date Expired
DP Certificates
Certificates Place Issued Date Issued Number Date Expired
DP Basic Split Croatia 24.09.2012 400163218 31.12.2016
(induction)
DP Advanced
DP Limited
DP unlimited
Certificate
Certificates STCW Date Issued Place Expiration License Number
Issued date
Yellow Fever certificate
Helicopter Underwater Escape
Training
Helicopter Landing Officer
MEDICAL (First Aid) VI/4
MEDICAL (Care) VI/4
ARPA
GMDSS IV/2
Advanced Fire Fighting
VI/3
PSCRB (proficiency in survival
craft) VI/2
Basic Safety Training 24.09.2012 Split 31.12.2016 400163218
Certificate (or Items from 1 Croatia
to 4 below MANDATORY) VI/1
1 - Personal Security and
Social Responsibilities
2 - Personal Survival
Technique
3 - First Aid at sea
4 - Fire fighting
BOSIET
SSO (Ship Security Officer)
VI/5
Previous Sea Experience
Vessel's Name