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    Application Form - Engineering

    Uploaded by

    Zorka Panonka
    This document is an application form for the position of Second Engineer submitted by Sinisa Turkovic. The summary provides key details about the applicant. Sinisa is a Croatian national born in 1972 who holds qualifications and certifications as a Second Engineer and Chief Engineer on ships up to 3000kW. He has over 10 years of experience working for various marine companies on vessels including ERRVs, general cargo ships, chemical and LPG tankers, and LNG carriers. His most recent positions were as Second Engineer on offshore supply vessels for Vroon Offshore Services Ltd. He is seeking a position paying a minimum daily rate of £1,000 with a 1 on/ 1 off rotation.

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    Attribution Non-Commercial (BY-NC)
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    Application Form - Engineering

    Uploaded by

    Zorka Panonka
    221 views6 pages
    This document is an application form for the position of Second Engineer submitted by Sinisa Turkovic. The summary provides key details about the applicant. Sinisa is a Croatian national born in 1972 who holds qualifications and certifications as a Second Engineer and Chief Engineer on ships up to 3000kW. He has over 10 years of experience working for various marine companies on vessels including ERRVs, general cargo ships, chemical and LPG tankers, and LNG carriers. His most recent positions were as Second Engineer on offshore supply vessels for Vroon Offshore Services Ltd. He is seeking a position paying a minimum daily rate of £1,000 with a 1 on/ 1 off rotation.

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    This document is an application form for the position of Second Engineer submitted by Sinisa Turkovic. The summary provides key details about the applicant. Sinisa is a Croatian national born in 1972 who holds qualifications and certifications as a Second Engineer and Chief Engineer on ships up to 3000kW. He has over 10 years of experience working for various marine companies on vessels including ERRVs, general cargo ships, chemical and LPG tankers, and LNG carriers. His most recent positions were as Second Engineer on offshore supply vessels for Vroon Offshore Services Ltd. He is seeking a position paying a minimum daily rate of £1,000 with a 1 on/ 1 off rotation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    221 views6 pages

    Application Form - Engineering

    Uploaded by

    Zorka Panonka
    This document is an application form for the position of Second Engineer submitted by Sinisa Turkovic. The summary provides key details about the applicant. Sinisa is a Croatian national born in 1972 who holds qualifications and certifications as a Second Engineer and Chief Engineer on ships up to 3000kW. He has over 10 years of experience working for various marine companies on vessels including ERRVs, general cargo ships, chemical and LPG tankers, and LNG carriers. His most recent positions were as Second Engineer on offshore supply vessels for Vroon Offshore Services Ltd. He is seeking a position paying a minimum daily rate of £1,000 with a 1 on/ 1 off rotation.

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    ANGLIAN MARINE SERVICES

    6 Birch Court, Sprowston, Norwich, NR7 8LJ, UK

    APPLICATION FORM

    PHOTO

    ENGINEERS AND ENGINEROOM RATINGS

    2nd Eng

    APPLICATION FOR POSITION AS

    OTHER POSITION (IF ANY)

    1. PERSONAL DETAILS
    TITLE MR/MRS/MISS

    MR

    SURNAME

    TURKOVIC

    FIRST NAME
    DATE OF BIRTH
    NATIONALITY
    MOTHERS NAME
    HEIGHT (CM)

    SINISA

    SEX

    MALE

    OTHER NAMES
    PLACE OF BIRTH
    MARITAL STATUS
    FATHERS NAME
    WEIGHT (KG)

    28.08.1972.
    CROATIAN
    MARIJA
    191

    FEMALE

    TROGIR, CROATIA
    SINGLE
    90

    NEAREST INTERNATIONAL AIRPORT:

    2. ADDRESS

    ADDRESS (TEMP.) FROM/TO:

    NO & STREET

    USKOCKA 12

    NO & STREET

    CITY

    KASTEL NOVI

    CITY

    POST CODE
    COUNTRY

    POST CODE
    COUNTRY

    CROATIA

    TEL. NO.

    TEL. NO.

    MOBILE

    00385 (0)92 1464244

    MOBILE

    E-MAIL

    sinisaturkovic1972@gmail.com

    E-MAIL

    FAX

    FAX

    3. NEXT OF KIN
    FULL NAME

    MARIJA TURKOVIC

    ADDRESS

    SAME

    CITY

    SAME

    TEL. NO.

    385 21 231210

    RELATIONSHIP

    MOTHER

    COUNTRY
    MOBILE

    FAX NO.

    4. CHILDREN
    NAME OF CHILD

    DATE OF BIRTH

    SEX
    M

    5. TRAVEL DOCUMENTS
    TYPE

    DOCUMENT NO.

    ISS.DATE

    EXP. DATE

    ISS. BY (AUTHORITY)

    PLACE OF ISSUE

    PASSPORT

    037914488

    14.01.2014.

    14.01.2024.

    PP

    KASTELA

    SEAMANS BOOK

    00039342

    21.08.2009.

    21.08.2019.

    PORT HARBOUR

    SPLIT

    OTHER SEAMANS
    BOOK
    OTHER SEAMANS
    BOOK
    OTHER SEAMANS
    BOOK

    6. VISAS
    TYPE

    VISA NUMBER

    US C1/D VISA

    ISS DATE

    EXP DATE

    ISSUED BY

    PLACE OF ISSUE

    24.05.2012.

    21.05.2017.

    EMBASSY ZAGREB

    ZAGREB

    OTHER VISA
    OTHER VISA
    OTHER VISA

    7. EDUCATION
    SCHOOL NAME

    MARINE HIGH SCHOOL

    SCHOOL NAME

    FROM

    TO

    FROM

    TO

    8. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY (Also include any flag state


    endorsements that you hold)
    NUMBER

    ISSUE DATE

    EXPIRY
    DATE

    ISSUED BY
    (AUTHORITY)

    SECOND ENGINEER OFFICER ON A SHIP


    POWERED BY THE MAIN 3000 KW or MORE

    400158479

    25.01.2013.

    31.12.2016.

    PORT HARBOUR

    SPLIT

    CHIEF ENGENEER OFFICER ON A SHIP


    POWERED BY THE MAIN PROPULSION
    MACHINERY UP TO 3000 KW PROPULSION
    POWER

    400052649

    25.05.2015.

    PORT HARBOUR

    SPLIT

    CERTIFICATE NAME & LIMITATIONS

    DANGEROUS CARGO ENDORSEMENT


    PETROLEUM

    25.05.2010.

    NUMBER
    050046559

    ISSUE DATE

    ISSUED AT

    EXPIRY DATE

    30.03.2007.

    30.03.2017.

    CHEMICAL
    GAS

    9. LANGUAGES
    ENGLISH

    FLUENT

    GOOD

    FAIR

    POOR

    GERMAN

    FLUENT

    GOOD

    FAIR

    POOR

    FRENCH

    FLUENT

    GOOD

    FAIR

    POOR

    SPANISH

    FLUENT

    GOOD

    FAIR

    POOR

    ITALIAN

    FLUENT

    GOOD

    FAIR

    POOR

    RUSSIAN

    FLUENT

    GOOD

    FAIR

    POOR

    10. MARLINS TEST (Required for all whose native language is not English)
    TEST LEVEL (Management,
    Operational, Support)
    MANAGEMENT LEVEL

    ISSUED
    DATE
    21.08.2012.

    RESULT %
    90%

    ISSUED BY
    (AUTHORITY)
    MARLINS

    ISSUED AT
    SPLIT

    TOSE

    11. VACCINATIONS
    NAME
    YELLOW FEVER

    ISSUE
    DATE
    02.01.2012.

    EXPIRY DATE
    02.01.2022.

    ISSUED BY
    (AUTHORITY)

    ISSUED AT
    SINGAPORE

    CHOLERA
    TYPHOID
    TETANUS
    HEPATITIS A
    POLIO

    12. SAFETY CLOTHING

    BOILERSUIT SIZE

    BOOTS SIZE

    58/XXL

    13. MARINE COURSES


    COURSE NAME
    PERSONAL SURVIVAL TEQ.

    CERTIFICATE
    NUMBER

    ISSUE DATE

    EXPIRY
    DATE

    ISSUED BY
    (AUTHORITY)

    ISSUED AT

    400100226

    13.04.2011.

    13.04.2016.

    PORT HARBOUR

    SPLIT

    400100227

    13.04.2011.

    13.04.2016.

    PORT HARBOUR

    SPLIT

    BASIC FIRE FIGHTING


    ADV. FIRE FIGHTING
    ELEMENTARY FIRST AID
    MEDICAL FIRST AID

    400100219

    13.04.2011.

    13.04.2016.

    PORT HARBOUR

    SPLIT

    400100224

    13.04.2011.

    13.04.2016.

    PORT HARBOUR

    SPLIT

    MEDICAL CARE
    PERS. SAFETY & SOC. RESP.
    CPSC
    FAST RESCUE BOAT(STCW95)
    CROWD MGMT
    CRISIS MGMT
    HAZMAT
    OIL TANKER FAMILIARISATION
    ADVANCED OIL TANKER

    050046559

    30.03.2007.

    30.03.2017.

    PORT HARBOUR

    SIBENIK

    010030415

    14.12.2007.

    14.12.2017.

    PORT HARBOUR

    SPLIT

    400100221

    13.04.2011.

    SPLIT

    PTLAC3500015490

    21.01.2011.

    ABERDEEN

    PTLAC3500015532

    25.01.2011.

    ABERDEEN

    CHEMICAL TANKER
    FAMILIARISATION
    ADVANCED CHEM. TANKER
    GAS TANKER
    FAMILIARISATION
    ADVANCED GAS TANKER
    INERT GAS PLANT
    SHIP SAFETY OFFICER
    SHIP SECURITY OFFICER
    E/R TEAM MANAGEMENT
    E/R RESOURSE MGMT
    ABRASIVE WHEELS
    WORKSHOP TRAINING
    ITSO (OPITO)
    FRC BOATMAN (OPITO)
    FRC COXWAIN (OPITO)
    DAUGHTER CRAFT COXWAIN
    (OPITO)
    BOSIET
    HUET
    EBS
    HLO
    DANGEROUS AND HAZARDOUS
    SUBSTANCES IN SOLID FORM IN
    BULK AND IN PACKAGED FORM
    TRAINING FOR SHIPBOARD
    OPERATIONS OPITO APPROVED
    FOR ERRV CREWS
    FAST RESCUE CRAFT BOATMAN
    OPITO APPROVED FOR ERRV
    CREWS

    ADVANCED MEDICAL AID


    (OPITO)

    14. MEDICAL FITNESS CERTIFICATE


    NUMBER

    ISSUE DATE

    EXPIRY
    DATE

    ISSUED BY
    (AUTHORITY)

    ISSUED AT

    ENG1
    INTERNATIONAL

    01.07.2013.

    01.07.2015.

    OGUK
    OTHER

    15. DP HOURS AND SYSTEMS


    SYSTEM NAME

    TOTAL HOURS

    SHIP TYPES AND OPERATIONS

    16. YOUR REQUIREMENTS


    SHIP PREFERENCE

    MIN SALARY/DAY RATE

    EXPECTED CONDITIONS

    GBP()

    LEAVE RATIO

    US DOLLARS

    1 ON,1 OFF

    EURO

    2 ON,1 OFF

    3 ON,2 OFF

    3 ON,1 OFF

    MAX NO OF WEEKS

    Please supply copies of all the certificates you have as detailed above, and also the pages from
    your seamans book to support the seatime statement below.

    17.SEA SERVICE DETAILS


    NAME:
    AVAILABLE:

    SINISA TURKOVIC

    COMPANY NAME

    RANK

    RANK:
    VESSEL NAME

    SIGNED
    ON

    SIGNED
    OFF

    VESSEL TYPE*

    2 ENG
    G.R.T.

    D.W.T.

    DATE
    ENGINE TYPE

    BHP

    KW

    NORTH STAR SHIPPING


    (ABERDEEN) LTD

    2/ENG

    GR. PRIDE

    28.12.2008.
    25.01.2009.

    ERRV

    501

    MOTOR

    1022
    KW

    NORTH STAR SHIPPING


    (ABERDEEN) LTD

    2/ENG

    GR. PRIDE

    22.02.2009.
    21.03.2009.

    ERRV

    501

    MOTOR

    1022
    KW

    NORTH STAR SHIPPING


    (ABERDEEN) LTD

    2/ENG

    GR. PRIDE

    18.04.2009.
    16.05.2009.

    ERRV

    501

    MOTOR

    1022
    KW

    GLOBE MARINE

    2/ENG

    SANDRELLA

    08.09.2009.
    19.10.2009.

    GENERAL CARGO

    2577

    MOTOR

    1640
    KW

    GLOBE MARINE

    2/ENG

    VERVE

    20.11.2009.
    12.03.2010.

    CHEM TANKER

    2137

    MOTOR

    1365
    KW

    GLOBE MARINE

    2/ENG

    VERVE

    26.05.2010.
    04.11.2010.

    CHEM TANKER

    2137

    MOTOR

    1365
    KW

    NORTH STAR SHIPPING


    (ABERDEEN) LTD

    2/ENG

    GR. CONQUEROR

    21.12.2010.
    16.01.2011.

    ERRV

    1125

    MOTOR

    1520
    KW

    NORTH STAR SHIPPING


    (ABERDEEN) LTD

    2/ENG

    GR. CONQUEROR

    11.02.2011.
    13.03.2011.

    ERRV

    1125

    MOTOR

    1520
    KW

    FREESHIP

    3/ENG

    CGM TIGER

    23.06.2011.
    31.08.2011.

    LPG

    2997

    STEAM

    2460
    KW

    GOLAR WILHELMSEN MNG

    3/ENG

    LNG

    97491

    STEAM

    VROON OFFSHORE
    SERVICES LTD

    2/ENG

    VOS TRADER

    25.12.2011.
    05.04.2012.
    04.09.2012.
    01.10.2012.

    ERRV

    851

    MOTOR

    27006
    KW
    1324
    KW

    VROON OFFSHORE
    SERVICES LTD

    2/ENG

    VOS TRADER

    31.10.2012.
    27.11.2012.

    ERRV

    851

    MOTOR

    1324
    KW

    VROON OFFSHORE
    SERVICES LTD
    VROON OFFSHORE
    SERVICES LTD

    2/ENG

    VOS TRADER

    ERRV

    851

    MOTOR

    2/ENG

    VOS RAASAY

    27.11.2012.
    23.12.2012.
    01.05.2013.
    28.05.2013.
    28 DAYS
    ON/OFF

    ERRV

    851

    MOTOR

    1324
    KW
    3500
    KW

    LNG GOLAR MARIA

    REFERENCE CONTACT DETAILS


    COMPANY NAME
    ADDRESS
    PHONE NO.

    VROON OFFSHORE SERVICES LTD

    NORTH STAR SHIPPING (ABERDEEN) LTD

    FAX/E-MAIL
    CONTACT PERSON
    *Please indicate propulsion type where applicable, eg cpp, asd, z drive etc
    I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the documents submitted are genuine and signed by the
    persons whose names appear on them.
    DATE

    SIGNATURE

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