E.R.

Offshore
Management GmbH & Cie. KG
D-20354 Hamburg
Phone: +49-40-3008-2506 Passport
Fax: +49-40-3008-18-2506
Application Form for Seafarers Photo
E-Mail:
personnel-applicants@er-offshore.com

Rank OOW ANY GRT Surname GALIĆ 1st Name(s) ANTONIO

Date of Birth 30.NOV.1988 Place of Birth SPLIT Nationality CROATIAN
Marital Status - Religion CHRISTIAN No. of Children -
Full Address MOSEĆKA 64 21000 SPLIT CROATIA Phone 00385 21502084
Mobile Phone 00385 918879575
Nearest Airport AIRPORT SPLIT Fax -
E-Mail Address antonio.galic88@gmail.com Availability Date 10SEP2010
Identity- / Travel Documents Nationality Type Number Place of Issue Issue Expiry
Passport CROATIAN not applicable 2745492 PU/SPLIT 31JAN06 31JAN11
US-Visa CROATIAN C1/D ZAGREB 10SEP09 08SEP14
Other Visa
Seaman Book CROATIAN not applicable 43389 SPLIT 21FEB08 21FEB18
Seaman Book MARSHAL ISL not applicable 177065 RESTON,VIRGINIA US 09NOV09 08NOV14
Seaman Book not applicable
Medical Certificates Nationality Type Number Place of Issue Issue Expiry
Certificate of Medical Fitness CROATIAN 6-512 SPLIT 11SEP09 11SEP11
Yellow Fever Vaccination CROATIAN not applicable LO+Z6353-4 SPLIT 11FEB08 11FEB18
Certificates - Courses Nationality for Position of Number Place of Issue Issue Expiry
Certificate Of Competence CROATIAN OOW ANY GRT 400054093 SPLIT 23JUL10 23JUL15
Certificate Of Competence
Certificate Of Competence
General Operator Cert. (GMDSS) CROATIAN not applicable 400050692 SPLIT 17MAR10 17MAR15
General Operator Cert. (GMDSS) not applicable
DP Basic/Introduction course not applicable
DP Advanced course not applicable
DP Operator (full or limited) not applicable
DP Technik/Maintenance course not applicable
Basic Safety Training CROATIAN not applicable 10031048 SPLIT 15FEB08 UNLIMIT
Proficiency Survival Craft not applicable
Proficiency in Survival Craft and Rescue Boat CROATIAN not applicable 400041465 SPLIT 09MAR10 09MAR15
Fast Rescue Boat not applicable
Advanced Fire Fighting CROATIAN not applicable 400009779 SPLIT 25MAR09 UNLIMIT
Medical First Aid CROATIAN not applicable 400010253 SPLIT 15APR09 UNLIMIT
Medical Care not applicable
HAZMAT (US-Trading) not applicable
ARPA CROATIAN not applicable 400041466 SPLIT 09MAR10 UNLIMIT
ECDIS not applicable
Shiphandling not applicable
Ship Security Officer not applicable
Bridge Resource Management not applicable
Engine Resource Management not applicable
Experience - Knowledge Subject or Hard- / Software Self Evaluation (please tick)

Language Knowledge English Good ₊ Satisfactory Nil / Poor

Language Knowledge Good Satisfactory Nil / Poor
Electr. Chart Display System Good + Satisfactory Nil / Poor
Computer Experience Microsoft Windows ₊ Good Satisfactory Nil / Poor

Computer Experience Microsoft Office (Word, Excel) ₊ Good Satisfactory Nil / Poor
Stability / Cargo Planning System Seacos Good Satisfactory + Nil / Poor
Other Stability / Cargo System LOAD MASTE Good + Satisfactory Nil / Poor
Planned Maintenance System AMOS D, AMOS for Windows Good Satisfactory + Nil / Poor
Other Planned Maintenance Syst. Good Satisfactory + Nil / Poor
Working Experience DP System Good Satisfactory + Nil / Poor
Working Experience Shiphandling/-manoeuvring Good Satisfactory + Nil / Poor
Working Experience Monitor / Maintain Reefer Containers Good Satisfactory + Nil / Poor
Working Experience Operate / Maintain Ship's Cranes Good Satisfactory + Nil / Poor
Working Experience Automation Systems Good Satisfactory + Nil / Poor
Working Experience Electronics Good Satisfactory + Nil / Poor
Working Experience ISM - Systems / - Audits Good Satisfactory + Nil / Poor
Please state Nationalities of Seafarers you sailed with:
Senior Officers CROATIAN
Junior Officers CROATIAN
Ratings CROATIAN
Sea-Service (most recent vessel first)
Rank Vessel Type GRT DWT TEU

DECK CADET KOLOČEP BULK CARRIER 24,533 42,978 -

From To Main Engine Make - Type Power Vessel's Flag

29APR2008 16SEP2008 MAN B&W 7,150 kW CROATIAN

Employer Charterer Trading Area

ATLANTSKA PLOVIDBA ATLANTIC CONBULK MARITIME COR. WORLD WIDE

Rank Vessel Type GRT DWT TEU

DECK CADET NAVIGATOR PASSENGER 199 -

From To Main Engine Make - Type Power Vessel's Flag

01OCT2009 15OCT2009 2*132.5 kW CROATIAN

Employer Charterer Trading Area

- - NEAR COASTAL VOYAGES

Rank Vessel Type GRT DWT TEU

DECK CADET AP SVETI VLAHO BULK CARRIER 32,578 53,529 -

From To Main Engine Make - Type Power Vessel's Flag

26OCT2009 24FEB2010 MAN B&W 9,480 kW MARSHALL ISLANDS

Employer Charterer Trading Area

ATLANTSKA PLOVIDBA ATLANTIC CONBULK MARITIME COR. WORLD WIDE

Rank Vessel Type GRT DWT TEU

DECK CADET AZIMUT PASSENGER 199 - -

From To Main Engine Make - Type Power Vessel's Flag

24FEB2010 29MAY2010 - 345 kW CROATIAN

Employer Charterer Trading Area

- - NEAR COASTAL VOYAGES

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area

Rank Vessel Type GRT DWT TEU

From To Main Engine Make - Type Power Vessel's Flag

kW
Employer Charterer Trading Area