CV - Josip Basic - Jan 2017
- 1. PERSONNEL ADMINISTRATION APPLICATION FOR POSITION AS OFFICE JOB / SURVEYOR OTHER POSITION (IF ANY) OFFICE JOB / SURVEYOR 1. PERSONAL DETAILS TITLE MR/MRS/MISS MR SEX MALE FEMALE SURNAME BASIC FIRST NAME JOSIP OTHERS NAMES N/A DATE OF BIRTH 03 July 1968 PLACE OF BIRTH ZAGREB NATIONALITY CROATIAN MARITAL STATUS MARRIED COLOUR OF EYES BROWN COLOUR OF HAIR BROWN MOTHER’S NAME KATICA FATHER’S NAME RUDOLF HEIGHT (CM) 178 WEIGHT (KG) 90 NEAREST INTERNATIONAL AIRPORT: ZADAR, CROATIA 2. ADDRESS ADDRESS (TEMP.) FROM/TO: NO & STREET ZADARSKIH BRATOVSTINA 16 NO & STREET CITY ZADAR CITY POST CODE 23 000 POST CODE COUNTRY CROATIA COUNTRY TEL. NO. 00 385 23 325163 TEL. NO. MOBILE 00 385 98 332678 MOBILE E-MAIL josip.basic2@zd.t-com.hr E-MAIL FAX 00 385 23 325163 FAX ! of !1 8
- 2. PERSONNEL ADMINISTRATION 3. NEXT OF KIN FULL NAME MARIJANA BASIC RELATIONSHIP WIFE ADDRESS ZADARSKIH BRATOVSTINA 16 CITY ZADAR, 23000 COUNTRY CROATIA TEL. NO. 00 385 23 325163 MOBILE 00 385 98 9894594 FAX NO. 00 385 23 325163 4. CHILDREN FULL NAME OF CHILD DATE OF BIRTH SEX DOMINIK BASIC 02 NOV 2000 M F LEA BASIC 30 JAN 2003 M F 5. TRAVEL DOCUMENTS TYPE DOCUMENT NO. ISSUE DATE EXP. DATE ISS. BY (AUTHORITY) PLACE OF ISSUE PASSPORT 031770251 03 Oct 14 03 Oct 24 PU ZADAR/CROATIA ZADAR, Croatia SEAMAN BOOK 00056951 19 Oct 10 19 Oct 20 Republic of Croatia ZADAR, Croatia OTHER SEAMAN BOOK 1112082 09 Jul 13 09 Jul 18 Liberia Maritime Authorithy Vienna, Virginia, U.S.A. US C1/D VISA J1765548 16 Oct 14 14 Oct 19 U.S. Embassy Zagreb, Croatia OTHER VISAS 6. BANK ACCOUNT INFORMATION BANK NAME OTP BANKA HRVATSKA D.D. BRANCH BANK ADDRESS Domovinskog Rata 3 CITY Zadar, 23000 COUNTRY CROATIA SORT CODE IBAN: HR4424070003200335393 ACCOUNT NO 3200335393 BANK SWIFT CODE OTPVHR2X BANK TEL. NO 00 385 072 201 555 ACCOUNT OWNER’S NAME Josip Basic ACCOUNT OWNER’S ADDRESS Zadarskih Bratovstina 16, Zadar 23000, Croatia 7. EDUCATION SCHOOL NAME Nautical School Zadar FROM 1983 TO 1987 SCHOOL NAME Maritime Department of University of Zadar FROM 2013 TO 2015 ! of !2 8
- 3. PERSONNEL ADMINISTRATION 8. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY CERTIFICATE NAME NUMBER ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT Master of a ship of 3000 GT or more STCW II/2 400285617 13 Jul 15 13 Jul 20 Croatian Maritime Authority Sibenik, Croatia MASTER, STCW II/2 1010025 15 Oct 15 13 Jul 20 Liberia Maritime Authorithy Republic of Liberia DANGEROUS CARGO ENDORSEMENT NUMBER ISSUE DATE EXPIRY DATE PETROLEUM 1851768 09 Jul 13 31 Dec 16 CHEMICAL GAS 9. LANGUAGES ENGLISH FLUENT X GOOD FAIR POOR GERMAN FLUENT GOOD FAIR POOR FRANCH FLUENT GOOD FAIR POOR SPANISH FLUENT GOOD FAIR POOR ITALIAN FLUENT GOOD FAIR X POOR RUSSIAN FLUENT GOOD FAIR POOR MARLIN’S TEST / LEVEL ISSUED DATE RESULT % ISSUED BY (AUTHORITY) ISSUED AT 10. HEALTH CERTIFICATES & VACCINATIONS FLAGE STATE NUMBER ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT INTERNATIONAL 2851 09 Sep 16 09 Sep 18 Croatia, Occupational health Zadar, Croatia LIBERIAN 2851 09 Sep 16 09 Sep 18 Croatia, Occupational health Zadar, Croatia NAME ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT YELLOW FEVER 18 Feb 2016 18 Feb 2026 Institute of Public Health Vaccination Centre (L5159 - 1) Zadar, Croatia D & A TEST 19 Feb 2016 N/A Croatia, Occupational health Zadar, Croatia 11. SAFETY CLOTHING BOILERSUIT SIZE 56 BOOTS SIZE 44 ! of !3 8
- 4. PERSONNEL ADMINISTRATION 12. MARINE COURSES COURSE NAME NUMBER ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT PERSONAL SURVIVAL (B4) 400269863 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia BASIC FIRE FIGHTING (B4) 400269863 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia ELEMENTARY FIRST AID (B4) 400269863 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia PERS. SAFETY & SOC. RESP. (B4) 400269863 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia ADV. FIRE FIGHTING 400269835 24 Apr 15 24 Apr 20 Croatian Maritime Authority Zadar, Croatia MEDICAL FIRST AID 400269071 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia MEDICAL CARE 400168614 02 Jul 13 02 Jul 18 Croatian Maritime Authority Zadar, Croatia PROF. IN SURVIVAL CRAFT & RESCUE BOATS 400269916 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia FAST RESCUE CRAFT G.M.D.S.S. 400154198 15 Feb 12 15 Feb 17 Croatian Maritime Authority Zadar, Croatia A.R.P.A. (Management level) 400046449 01 Apr 10 unlimited Croatian Maritime Authority Zadar, Croatia RADAR OBSERVATION 400071537 04 Nov 2010 unlimited Croatian Maritime Authority Zadar, Croatia HAZMAT (dangerous cargo) 400269065 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia OIL TANKER (STCW V/1-1-1) 400269181 28 Apr 15 28 Apr 20 Croatian Maritime Authority Zadar, Croatia ADVANCE OIL TANKER 400154199 15 Feb 12 31 Dec 16 Croatian Maritime Authority Zadar, Croatia CHEMICAL TANKER as per basic oil / chemical tanker ADVANCE CHEMICAL TANKER as per advance oil / chemical tanker GAS TANKER 400269070 22 Apr 15 22 Apr 20 Croatian Maritime Authority Zadar, Croatia ADVANCE GAS TANKER 400196915 20 Dec 13 20 Dec 18 Croatian Maritime Authority Zadar, Croatia CRUDE OIL WASHING as per advance oil tanker INERT GAS PLANT as per advance oil tanker ISM CODE SHIP SECURITY OFFICER 400269067 22 Apr 15 unlimited Croatian Maritime Authority Zadar, Croatia BRIDGE TEAM MANAGEMENT 1210 31 Mar 10 unlimited Adria Mare, Zadar Zadar, Croatia DP INDUCTION n/a DP SIMULATOR n/a BRIDGE / ENGIINE ROOM RESOURCE MANAGEMENT. 300-14-080 28 Jan 14 28 Jan 19 Adria Libar, Split Split, Croatia SHIP HANDLING n/a INTERNAL AUDITORS COURSE n/a ! of !4 8
- 5. PERSONNEL ADMINISTRATION LICOS 055 23 Jun 06 unlimited Glasgow College Glasgow RISK ASSESSMENT 300-14-958 17 Oct 14 17 Oct 19 Adria Libar, Split Split, Croatia HUMAN ELEMENT, LEADERSHIP AND MANAGEMENT AT MANAGEMENT LEVEL 100-14-088 05 Feb 14 05 Feb 19 Adria Libar, Zadar Zadar, Croatia HUMAN ELEMENT, LEADERSHIP AND MANAGEMENT AT OPERATIONAL LEVEL 300-14-118 11 Feb 14 11 Feb 19 Adria Libar, Split Split, Croatia ECDIS, IMO 1.27 2218 24 Nov 2011 unlimited Adria Mare, Zadar Zadar, Croatia ECDIS SPECIFIC TRAINING JRC 115/MTC/144L 10 Oct 12 unlimited MARITRONIC Dubai, U.A.E. CREW RESOURCE MANAGEMENT FSI 06 Apr 15 unlimited Flight deck safety initiatives Dubai, U.A.E. INCIDENT INVESTIGATION ANALYSIS AND REPORTING 070 SBSO (adendum) 26 May 15 unlimited AMV, Supetar Supetar, Croatia MARINE ENVIROMENTAL AWARENESS 100-14-067 18 Jan 14 18 Jan 19 Adria Libar, Zadar Zadar, Croatia SHIPBOARD SAFETY OFFICER COURSE 070 SBSO 26 May 15 unlimited AMV, Supetar Supetar, Croatia SEAFARER WITH DESIGNATED SECURITY DUTIES 400187517 03 Dec 13 unlimited Croatian Maritime Authority Zadar, Croatia SECURITY AWARENESS 400187518 03 Dec 13 unlimited Croatian Maritime Authority Zadar, Croatia BRIDGE TEAM MANAGEMENT N0005E / 00370 02 Dec 05 unlimited South Tyneside College South Shields, U.K. ADVANCE FIRE FIGHTING AFF/05/0396 08 Dec05 unlimited Warsash Maritime Centre Southampton, U.K. PROF. IN SURVIVAL CRAFT & RESCUE BOATS N0020C / 2451 25 Nov 05 unlimited South Tyneside College South Shields, U.K. COMBINED BRM & SHIP HANDLING CBS/033/00 12 Nov 00 unlimited Marine Safety International, Rotterdam b.v. Rotterdam, Holland 13. SPECIALISED EXPERIENCE TYPE FROM TO COMMENTS NEW BUILDING SPECIALISED PROJECTS SPECIAL TRADES SHORE EXPERIENCE ! of !5 8
- 6. PERSONNEL ADMINISTRATION ! of !6 8 COMPLETE SEA – SERVICE DETAILS ( LAST VESSELS FIRST ) NAME: Josip BASIC RANK: CHIEF OFFICER AVALIA BILITY DATE: COMPANY NAME RANK VESSEL NAME SIGNED ON SIGNE D OFF PERIOD IN MONTH S (eg 4.2) TYPE OF VESSEL D.W.T . ENGINE TYPE ( ENGIN EERS ONLY) BHP K W BAHRI C/O NISALAH 26 Sep 16 24 Dec 16 3m VLCC 319287 Motor 35910 BAHRI C/O NISALAH 15 Mar 15 24 Jun 16 3m 9d VLCC 319287 Motor 35910 BAHRI C/O NISALAH 31 July 15 29 Nov 15 4m VLCC 319287 Motor 35910 BAHRI C/O NISALAH 6 Nov 14 20 Mar 15 4m 14d VLCC 319287 Motor 35910 VELA C/O MATAR STAR 4 Apr 14 4 Jul 14 4m VLCC 319287 Motor 35910 VELA C/O SIRIUS STAR 6 Jul 13 3 Nov 13 3m 29d VLCC 319427 Motor 39900 VELA C/O SIRIUS STAR 1 May 13 6 May 13 6 d VLCC 319427 Motor 39900 VELA C/O SIRIUS STAR 8 Nov 12 11 Mar 13 4m 4d VLCC 319427 Motor 39900 VELA C/O SIRIUS STAR 28 Aug 12 04 Sep 12 8 d VLCC 319427 Motor 39900 VELA C/O VIRGO STAR 03 Mar 12 02 Jul 12 3m 29d VLCC 319287 Motor 35910 VELA C/O CAPRICORN STAR 31 Jan 12 7 Feb 12 8 d VLCC 319287 Motor 34650 VELA C/O ALMIZAN STAR 13 Jul 11 9 Nov 11 3m 27d VLCC 319423 Motor 35910 VELA C/O ALMIZAN STAR 25 Nov 10 23 Mar 11 3m 28d VLCC 319423 Motor 35910 VELA C/O ALMIZAN STAR 8 May 10 18 Aug 10 3m 10d VLCC 319423 Motor 35910 VELA C/O ALMIZAN STAR 16 Sep 09 28 Dec 09 3m 12d VLCC 319423 Motor 35910 VELA C/O ALMIZAN STAR 04 Jan 09 31 May 09 4m 27d VLCC 319423 Motor 35910 VELA C/O CARINA STAR 23 Mar 08 22 Aug 08 4m 27d VLCC 305668 Motor 27500 VELA C/O GEMINI STAR 21 May 07 20 Sep 07 3m 29d VLCC 301862 Motor 31929 VELA C/O GEMINI STAR 28 Sep 06 24 Jan 07 3m 26d VLCC 301862 Motor 31929 REFERENCE CONTACT DETAILS COMPANY NAME BAHRI SHIP MANAGEMENT LTD ADDRESS P.O. Box 32890, Dubai - U.A.E. PHONE NO. - FAX/E-MAIL - CONTACT PERSON - 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, given and sign by persons whose names appear on them. 05 Jan 2017 DATE SIGNATURE
- 7. PERSONNEL ADMINISTRATION Officer Application Form Ref .No (For Official Use) Medical History Have you ever signed off from a ship due to medical reasons? NO (If yes give details) *yes/no Name of Vessel Date of occurrence (dd-mmm-yyyy) N/A N/A Brief Description Of illness/Injury/Accident Details Have you ever suffered from any ailment or disease in the past that is likely to render you unfit for sea service or likely to endanger the health /well being of others onboard? NO (If Yes give details) *Yes/No Details Do you have any bodily defects or deficiencies? NO (If Yes give details) *Yes/No Details Are you currently suffering from any ailment or disease that is likely to render you unfit for sea service or likely to endanger the healthy /well being of others onboard? NO (If Yes give details) *Yes/No Details Are you addicted to alcohol or drug of any kind? NO (If Yes give details) *Yes/No Details Are you suffering from an ailment that requires you to be on a long -term treatment/ medication? NO (If Yes give details) *Yes/No Details Have you ever deported or banned from entering any country? NO (If Yes give details) *Yes/No ! of !7 8
- 8. PERSONNEL ADMINISTRATION Details Have you ever been convicted of a criminal or drug offence or have any pending offences? NO (If Yes give details) *Yes/No Details Do you have any obligations towards your current/previous employers? NO (If Yes give details) *Yes/No I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no certificate of competency or License issued to me has ever been Revoked or Suspended. I also certify that my medical history contained above is true and any false statement or undisclosed Material information about past illness or injury will disqualify me from any employment benefits and claims. 05 January 2017 …………………………………….. …………………………………….. dd-mmm-yyyy (Format) Signature ! of !8 8