PHOTO
APPLICATION FORM
Position
Position applied for:
Mate for DPO; Ch./ mate, ASD TUG <500 Master. .MMasterMMasterCaptaCaptainCaptain
Are you willing to accept any other positions?
Yes
Supplier; DSV; AHTS; ROV, mate STCW II/1;
<Master II/3 (ASD Tug & DP Multicat, ERRV)
If YES, which positions would you consider?
Are you responding to a media advertisement?
If YES, please state which publication
From what date will you be available?
I'm open for all offers, immediately available.
Full of enthusiasm and energy.
2
Personal details
Name:
Aarne
Kritt
Date/place of birth:
06.02.1957.
Nationality:
Estonian
Permanent address:
Lepa 8. Haapsalu 90509
Estonia
Post code:
90509
No.:
+372 47 33 22 8
Mailing address:
**********@***.** G. mail address: *****.*****@*****.***
E-MAIL:
**********@***.**
No.:
Working closes sizes:
Safety shoes :
46
Boilersuit :
58/4
3
Education Background
School / College
From
To
Highest Qualification Attained
Est. Maritime.Academy
15.09.2001.
13.07.2006
OOW 500 & more II/1
Est. (TLU). University
07,08. 2000
07,08. 2005
2 nd mate NL
03.02.2012
03.02.2016
STCW: II/1
<500 Master Estonia
04. 02. 2011
03.02.2016
STCW II/3
<500 Master CEC
03. 02. 2013
03.02.2016
STCW II/3; CONGO; Vanuatu.
<500 Master CEC
STCW II/3 PANAMA
<500 Master CEC
4
Identity documents
DOCUMENT
COUNTRY
NUMBER
ISSUED
PLACE
EXPIRY
Passport:
Estonian
K3258490
23.04.2013.
Estonia
23.04.2018
Seaman book:
Panamanian
14.02.2007.
NL
26.05.2011
Netherlands
00049183
22,02,2007,
NL
22,02,2017,
Liberian
637990
08. 10. 2002
Virginia USA
No date expirity
Master CEC
Vanuatu
KB- 000195
03.02.2016
Masater CEC
Panama
651489
22.10. 2014
Rotterdam
22.01.2015
GMDSS
Panams GOC
651636
28.10.2014
Rotterdam
28.01.2015
Do you hold a US Visa āC1ā?
B1
Yes
10,07,08,
08,07,2009,
EXP.
Do you hold a US Visa āDā?
NO
Have you been rejected for any visa applied for?
NO
6
Highest Certificates of Competency held
Class / Grade
Issuing Country
Certificate No.
Date Issued
Place Issued
Valid Until
OOW no limit
NL
10,03,2012
Estonia
03.02.2016.
<500 Captain
EST
04.02.2011
Estonia
03.02.2016
Master CEC
Vanuatu
KB- 000195
03.02.2013
Vanuatu
03.02.2016
6a
Dangerous Cargo Endorsements
Certificate No.
Date Issued
Place Issued
Valid Until
Petroleum
Liquefied Gas
Liquid Chemicals
Other
7
Seamens book Of Competency issued by other countries (Issued by countries other than in Section 6)
Class
Issuing Country
Certificate No.
Date Issued
Place Issued
Valid Until
Liberia
637990
19,04,2005,
NL
No date expiry
Panama
RS001875
14,02,2007
NL
26,06,2017
Niderland
00049183
22,02,2007.
NL
22.02.2017,
Estonia
MA 0000369
14,01,2012
EST
14,01,2016
7a
Dangerous Cargo Endorsements (Issued by countries other than in Section 6a)
Country/Type
Certificate No.
Date Issued
Place Issued
Valid Until
8
Courses attended and certificates obtained
Model
Course
Institution
Place
Date
Cert. No.
Valid Until
Tanker Familiarization
Healt certificate
Euromedical
Aberdeen
15.12.2014
030572
15.12.2016
Radar Observer
E.M.A..
Tallinn
02.05.2006
1198
05.05.2016
ARPA
E.M.A.
Tallinn
02.05.2006
1198
05.05.2016
Radar Simulator
EMA
Tallinn
02.05.2006
1198
05.05.2016
1.1
Fire Prevention & Fire Fighting
E.M.A.
Tallinn
22621
03.02.2016
1-3
First Aid
E.M.A.
Tallinn
13821
03.02.2016
Fast Rescue Craft Boatman
OPITO
Aberdeen
02.08.2009
1-4
Personal Survival Techniques
EMA
Tallinn
03.10.2003
13821
19.04.2016
1/3
Advanced Fire Fighting
E.M.A.
Tallinn
05.05.2006
03.02.2016
03.02.2016
500 mate non limits
NL
10.03.2007
19.04.2016
1.23
Proficiency In Survival Craft
NUTEC
NL
2.03
Advance Fire Fighting
E.M.A.
Tallinn
03.02.2016
GMDSS
PANAMA
NL
28.10.2014.
RS 001875
28 01. 2015
STCW <500 Captain
EST:
Tallinn
04.02.2011
KB 000195
Command & Control for M & M
Petrofac
Aberdeen
31.07.2009
DPO Advanced
Novikontas
Latvia
14.03.2013
65-011/13
14.03.2018
Ship Handling Stimulator
EMA
TALLINN
02.05.2006
1198
OPITO
PF
Aberdeen
22,08,2008
Safety Officer
GHSE
Aberdeen
03.10.2009
Ship Security Officer (SSO)
PML
Aberdeen
08.10,2008
SSO/229
ECIDS
EMA
Tallinn
13.07.2006
LE 000488-1
Offshore Operator CAP. 452
CAA
Aberdeen
17,04,2009.
12662
Barbados Nav. Cargo h. Stovag
UK
London
13.02,2009.
LE000488-1
Security Officer
Panama
Rotterdam
22.10.2014
067353
1.14 /1,15
Med. Care A-VI 4/1; 4/2
Reval MS
Tallinn
17,03.2015
115-6208
17,03.2020
Survival Craft &Rescue Boats
Reval MS
Tallinn
17,03,2015
EA 006887
13,03,2020
9
Record of previous service
(Please give a full record starting with the last vessel on which you served)
VESSEL
COMPANY#
VESSEL TYPE
FLAG
DWT
YEAR BUILT
MAIN ENGINE
B.H.P.
**
RANK
SIGN ON DATE
SIGN OFF
DATE
MAKE
TYPE
Aquarius G
Rederij Groen
Offshore
Panama
G.T. 331
Ch.mate,
23,03.2007
06,06,2007
Ingeborg
Rederij Groen
Offshore
Panama
G.T. 210
Ch.mate
31,07,2007
05,12,2007
Amber G
Rederij Groen
offshore
Panama
G.T. 499
Ch.mate
10,03,2008
10,05,2008
Dea Supporter
Vroon Offshore
ERRV
Isle of Man
G.T. 818
2- mate
22,08,2008
19,09,2008
Dea Supporter
Vroon Offshore
ERRV
Isle of Man
G.T. 818
2- mate
17,01,2008
14,11,2008
Dea Supporter
Vroon Offshore
ERRV
Isle of Man
G.T. 818
2- mate
14,02,2008
11,01,2008
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
16,02,2009
16,03,2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
14,04,2009
11,05,2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
08.06.2009
07.06.2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
04.08.2009
01.09.2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
30.09.2009
27.10.2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
23.11.2009
23.12.2009
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
21.01.2010
17.02.2010
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
15.03.2010
16,04,2010
Vos Patrol
Vroon Offshore
ERRV
Isle of Man
G.T. 804
2- mate
24.05.2010
21.06.2010
Coastal Discovery
Acta Marine
DPO. 1
Netherland
G.T. 396
Ch.- mate
02.08.2010
17.09.2010
Coastal Discovery
Acta Marine
DPO. 1
Netherland
G.T. 396
Ch.- mate
20.10.2010
29.11.2010
H. Kanter
PKL
TUG.- ASD
Estonia
G.T. 439
Ch.- mate
02.12.2010
04.04.2011
Mars 1
PKL
TUG- ASD
Estonia
G.T. 728
Ch.- mate
04.04.2011
15.04.2011
Jupiter
PKL
TUG- ASD
Estonia
G.T. 355
Master
28.04.2011
25.08.2011
Mars
PKL
TUG- ASD
Estonia
G.T. 430
Master
23.09.2011
23.04.2012
Torsten
Shramm & Sons
Multicat
Netherland
G.T. 371
Master
24.04.2012
25.05.2012
Mars
PKL
TUG- ASD
Estonia
G.T. 430
Master
30.05.2012
18.07.2012
Coastal Discovery
Acta Marine
DPO. 1
Netherland
G.T. 396
Ch.- mate
20.07.2012
30.09.2012
Gulf Scaup
Tide Water
TUG- ASD
Aberdeen
G.T. 408
Ch.- mate
27.11.2012
28.02.2013
Ham- 602
Ocean Wide
DP Cable Layer
Netherland
G.T. 3600
Ch- mate
07.06.2013
07.07.2013
Ham- 602
Ocean Wide
DP Cable Layer
Netherland
G.T. 3600
Ch.- mate
30,07,2013
27.08.2013
Ham- 602
Ocean Wide
DP Cable Layer
Netherland
G.T. 3600
Ch.- mate
24.09.2013
22.10.2013
Nessie
Morobell
Trawler
Finland
GT.300
Master
02.01.2014
30.05.2014
Sureprogress
Surewind
Catamaran
UK
GT:66
Master
15.09.2014
01.10.2014
Aurora G
Redereij Groen
Guard vessel
Panama
GT- 172
Master
13.10.2014
27.11.2014
4 Winds
Redereij Groen
ERRV
Panama
GT- 499
Master
21. 01.2015
01. 03.2014
4 winds
Redereij Groen
ERRV
Panama
GT- 499
Redereij Groen
ERRV
Panama
GT- 499
Master
Master
10
Medical history
Have you ever signed off a ship due to medical reasons?
NO
Have you undergone any operation in the past?
NO
Have you consulted a doctor during the last 12 months for an illness/accident?
NO
Do you have any health or disability problems now?
NO
(If the answer is YES to any of the above, please give full details and attach a separate page if necessary)
11
General
Have you ever been the subject of a court of inquiry or involved in a maritime accident?
NO
Have you ever had a professional license suspended or revoked?
NO
(If YES, please give full details and attach a separate page if necessary)
12
References:
Do you have any objection if we will contact your last employers for reference
reference?
NO
If NO please specify in 12a and 12b:
12a
References (Please give the name and address of your current or immediate past employer)
Name of company
Rederij Groen BV
Rederij Groen B.V.
Ocean Wide NL
Erik Groen
DR. Lelykade 1D
Address
2583 CL Sheveningen
The Netherlands
No.
12b
References (Please list two contactable referees or past employers in addition to Section 11)
Name of company
Telco Marine, Vroon Offshore Service
Vroon Offshore Service
Name of person to contact
Rita
barry.sim@crewing. com
Address
Den Helder ww.vroon.nl
www.uk.vroonoffshore.com
oceanwide
Merlijn Hunter
TOS
Ashouak 003**********
13
Automatic review
If immediate employment is not available do you wish to be considered for future vacancies?
If YES, please give any alternative contact details not shown in Section 2
YES
14
Declaration
I hereby declare that the above particulars are true and authorize you to contact the referees listed above.
Yes
Aarne Kritt
Date:
05. 03. 2015