This document is a Certificate issued by the Ministry of Maritime Affairs, Transport and Infrastructure of the Republic of Croatia. It certifies that Ivan [LAST NAME] has been found duly qualified in accordance with the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as amended. Specifically, Ivan [LAST NAME] has been found competent to serve as an Electro-Technical Officer without any limitations. The original of this certificate must be kept available on board any ship Ivan [LAST NAME] serves on.

1. REPUBLIKA HRVATSKA
MINISTARSTVO POMORSTV A,
PROMETA I INFRASTRUKTURE
REPUBL1C OF CROATIA
MINISTRY OF MARITIME AFFAIRS,
TRANSPORT AHjJ INFRASTRUCTURE
400285214
SVJEDODŽBA
O OSPOSOBLJENOSTI IZDANA PREMA ODREDBAMA MEĐUNARODNE KON~ENClJE O STANDARDI~ ZA
OBUKU, IZDAVANJE SVJEDODŽABA I DRŽANJE STRAŽE PO~ORAC~ 1978., KAKO JE IZMIJENJENA)
DOPUNJENA
CERTIFICATE
ISSUED UNDER THE PROVISIONS OF THE INTERNATIONAL CONVENTION-QN STANDARDS.DF TRAINING,
CERTIFICATION AND WATCHKEEPING FOR SEAFARERS, 1978, AS AMENDED ~-
~
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(
11116 20.08.2020.
STCW oznaka / STCW regulation vrijedi do / valid until
Vlada Republike Hrvatske potvrđuje da je posjednik ove svjedodžbe primjereno osposobljen u skladu s navedenim pravilom gornje Konvencije, uz njezine
izmjene i dopune, te da je utvrđena njegova osposobljenost za obavljanje slijedećih djelatnosti, na naznačenim razinama, uz moguća naznačena ograničenja.
The Government of the Republie of Croatia certifies that holder of thel certificate has been found duly qualified in accordance with the provisions of regulations of the
above Convention, as amended, and has been found competent to perform the follow ing junctions, at the levels specified, subject to any limitations indicated.
DJELATNOST RAZINA OGRANIČENJA (AKO IH IMA)
FUNCTION , LEVEL LlMITATIONS APPLYING (IF ANY)
--/
NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE ( )
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Punopravni posjednik ove svjedodžbe osposobljen je za službu naznačenu u odgovarajućim propisim~de sigurnog popunjavanja brodova posadom:
The lawjul holder of this certificate may serve in the following capacity or capacities specified in the applicable safe manning requirements of the Administration:
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O~SOBLJENOST OGRANIČENJA (AKO IH IMA)
( CAPACITY LlMITATIONS APPLYJNG (IF ANY) /
~SNIK ELEKTROTEHNIKE (ELECTRO-TECHNICAL OFFICER) NEMA (NONE) ,
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Svjedodžbatrrr __ --'4..:..00:..::2:..:;:8::..:52:..::1c..:4 , izdana u .!eD:..!:U~B~R.!::():::..,VN.!....!..!I~K~ _
Certifi~te No, issued in
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on,
POSJEDNIK SVJEDODŽBE
HOLDER ali THE CERTIFlCATE
DRŽAVLJANSTVO:
ClTIZENSHIP:
HRVATSKO
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IME:
FIRST NAME IVAN
PREZIME:
SURNAME:
"---."
Izvornik ove svjedodžbe, u skladu s odredbom pravila 112. stavka
11. Konvencije, mora biti dostupan na brodu tijekom službe.
The original of this certificate must be kept available in accordance with
regulation 1/2, paragraph 11 of the Convention while serving 6n a ship.
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Potpis posjednika svjedodžbe
Signature o/the holder of the certtficate