Certificate for handling with flammable liquids and gas
Scanned Certificates.
1. ----------------
--------------------------
----------------
Specijalisticka ordinacija medicine rada
Dragica Covic Rogosic
dr. med., spec. medicine rada
Split, A.G. Matosa 2
tel. 021386 - 129
Number: 128
Date (day/month/
Type of medical
examination:
year): 07.04.2009
D prior
D acquisition
D acquisition
~ regular D supervisory
D renewal of attestion for category C boat skopper
D renewal of certificate for yacht commander
D international attestion for boat skipper (ResAO.EU)
D other:
After a medical examination performed in accordance with the Rules on Establishing Medical Fitness of Crew Members
of Maritime Ships, Boats and Yachts, the following is issued:
CERTIFICATE
ON MEDICAL FITNESS A CREW MEMBER OF MARITIME SHIPS, BOATS AND YACHTS
First name, surname, names of father/mother: STOJCEVSKI , ( Nediljko ) , NENO
Sex: t8J male 0 female Citizenship: Croatian
~'--'-"----------
Date of birth (day/month/year): 20. 11. 1980. Place and country of birth: Split, Croatian
Adress of residence: Split, Kninska 10
-'-------'----------------------------------
Employer's name, company and head office:
Martime service: deck service Work post: deck servise
-----'----------------------
Identity of the person was established on the basis of: 10 card No.: 103163043 issued at: ...;:S""p-"-lit:..:;u _
Based on the examinee's personal statement, clinical examination, psychlogical examination and the results of functional
and laboratory test, the examinee was found to be:
~ Fit for service a merchant navy ship D Unfit for service a merchant navy ship
[gJ on the desk 0 in engine room o Privremeno nesposoban
o GMDSS radio service D in other services o on the desk D in engine room
D GMDSS radio service D in other services
Fit for: deck service Unfit for:
Temporarily unfit for:
t8J without limitation
o with limitation
D special supevisory:
------
o assessment of medical fitnee was not given because:
o other remarks:
Place of examination: Split Date (day/month/year): 07.04.2009
---'-------------- ------------
Cerificate expire date (day/month/year): 07.04.2011
SP' Stamp ocri~ne special'
'ECIJALISTICK4
,'IiIUJI& MEDICII,/!:: !?A:J/NACIJA
I hereby confirm that I am acqu~G~~ f ,':: 'l ·"lOA,
The contents of my Medical Exa~itlati@.'ti . t' !(.- .ROGO~I" ."pee mea. mda
S T'>o-:r ", ec rro..., " l.4-.....IT. A . '~,:~/clne fO.(ff;i
(signature of/he examinee in the presense of meG. wla:tosCf ?
authorized occupational medicine specialist) . ~
,}r~dwitD~~.....--/(
2. ORDINACIJA OPC£ MEDICINE
DR.IVICA MASTELIC
Tripa10Y vocnjak bb
SINJ ,21230 TEL021/821-996
DOCTOR'S CERTIFICATE
v
NENO STOJCEVSKI, 20.11.1980
has been tested on drugs
marijuana, opiates / morphine, cocaine / benzoy1ecgonine,
amphetamine, benzodiazepines, methamphetamine) and alcohol.
All the tests results are ncgativ.
Dr.med. 1.;v
:?
Sinj, 27.04.2009
3. IME:
FlRSTNlfME:
ODENJA:
RTH:
REPUBUKA HRVATSKA REPUBLIC OF CROATIA
MINlSTARSTVO MORA, PROMETA I MINISTRY OF THE SEA, TRANSPORT AND
INFRASTRUKTURE INFRASTRUCTURE
400010161
SVJEDODZBA
o OSPOSOBLJENOSTI IZDANA PREMA ODREDBAMA MEBUNARODNE KONVENClJE 0 STANDARDIMA ZA
OBUKU, IZDAVANJE SVJEDODZABA I DRZANJE STRAZE POMORACA 1978., KAKO JE IZMlJENJENA I
DOPUNJENA
CERTIFICATE
ISSUED UNDER THE PROVISIONS OF THE INTERNATIONAL CONVENTION ON STANDARDS OF TRAINING,
CERTIFICATION AND WATCHKEEPING FOR SEAFARERS, 1978, AS AMENDED
11/4 neograniceno/unlimited
STew oznaka I STCW regulation vrijedi do I valid until
Vlada Republike Hrvatske potvrduje da je posjednik ove svjedodzbe primjererio osposobljen u skladu s navedenim pravilom gornje Konvencije, uz njezine
izmjene i dopune, te da je utvrdena njegova osposobljenost za obavljanje slijedecih djelatnosti, nn nazna~enim razinamn, uz moguea nazna~ena ograni~enja.
The Governmenl ofIhe Republic ofCroa/ia certifies Ihal holder ofIhe cerlificale has been found duly qualified in accordance wilh Ihe provisions ofregula/ions ofIhe
above Convenlion, as amended, and has been found compelenl 10 pelform Ihefollowingfilllclions, al Ihe levels specified. subjecl 10 any limilalions indicaled.
DJELATNOST RAZINA OGRANICENJA (AKO IH IMA)
FUNCTION LEVEL LIMITATIONS APPLYING (IF ANY)
PLOVIDBA (NAVIGATION) POMOCNA (SUPPORT) NEMA(NONE)
- .
Punopravni posjednik ove svjedodzbe osposobljen je za sluzbu nazna~enu u 'odgovarajucim propisima glede sigurnog popunjavanja brodova posndom:
The lawfill holder oflhis cerlificale may serve in Ihe following capacity or capacilies specified in Ihe applicable safe manning requiremenls oflhe Adminislralion:
OSPOSOBLJENOST
CAPACITY
'OGRANICENJA (AKO IH IMA)
LIMITATIONS APPLYING (IF ANY)
CLAN POSADE KOJI CINI DIO PLOVIDBENE STRAtE (RATING FORMING A PART OF THE
NAVIGATIONAL WATCH)
- .
NEMA(NONE)
Svjedodzba br. 4:...:0_0_0I_O_I-,-6_I , izdana u -=-SP:..;L=I:..;T'--- _ 10.04.2009.dana
Cerlificale No. issued ill all
POSJEDNIK SVJEDODZBE
HOLDER OF THE CERTIFICATE
NENO
STOJCEVSKI
20.11.1980.
HRVATSKO
4. Br. 040022103
No.
Split Ship)Uanagement t!.o.o. - SplitPomorsko uCiliste
Maritime Training Center
530 - 03 - 03 - 2
ovlasteno rjesenjem Ministarstva pomorstva, prometa i veza, broj
duly authorized by the Ministl)' ofMaritime Affairs, Transport and Communications, No.
19.02.2003.
od
date
POTVRDUJE
CERTIFIES
N eno Stojcevski
daje - - - _
Ihal
OSPOSOBLJENOST ZA tLANA POSADE KOJI tlNIDIO PLOVIDBENE STRAZE
pohadaoizobrazbu
COMPETENCFFOf(RATffllGst=aRMfNG-PM?/orA-N1J.-V/~-;ION"A.LWA-iCH-
has aI/ended Ihe lraining course
20.11. - 21.11.2003. NN 8/02 cl.15
u razdoblju u skladu s clankom broj
ill the period ill accordance with the Article
Pravilnika 0 zvanjima i sv,jedodzbama 0 osposobljenosti pomoraca na brodovima trgovacke mornarice Republike Hrvatske i
of Ihe Regulalion on Requirements for the Award of Cerlificalion of Seafarers on Board Merchant Ships of Ihe Republic of Croatia and
11/4
Pravilu Medunarodne konvencije 0 standardima za obuku, izdavanje svjedodzaba i
Regulalion of International Convenlioll on Standards of Training, Certification alld
drianje strate pomoraca 1978., kako je izmijenjena i dopunjena.
Watchkeepingfor Seafarers. 1978, as amellded.
Split 21.11.2003.
Svjedodzba izdana u , dana _
Certificate issued at 011
~PIlT~"SPLI.T ~ROA!.WI ~Q.O. / -/
Ratko Boiic dipL ing. ~ U ~ -=
------r-me-I-p-re-zi-m-c-o-'Ia-st-en-e-o-so-b,-'- - - - - POI: ovlastene osobe
Nallle ojdilly allfhori:ed pe!'Soll SiMlla(lIre uIdllty au(llIIri:ed tWrSDII
M.P.
L.S.
5. REPUBLIKA HRVATSKA
REPUBLIC OF CROATIA
MINISTARSTVO MORA, PROMETA I
MINISTRY OF THE SEA, TRANSPORT AND
INFRASTRUKTURE
INFRASTRUCTURE
400010160
SVJEDODZBA
o OSPOSOBLJENOSTI IZDANA PREMA ODREDBAMA MEf>UNARODNE KONVENCIJE 0 STANDARDIMA ZA
OBUKU, IZDAVANJE SVJEDODZABA I DRZANJE STRAZE POMORACA 1978., KAKO JE IZMIJENJENA I
DOPUNJENA
CERTIFICATE
ISSUED UNDER THE PROVISIONS OF THE INTERNATIONAL CONVENTION ON STANDARDS OF TRAINING.
CERTIFICATION AND WATCHKEEPING FOR SEAFARERS, 1978, AS AMENDED
VIII neograniceno/unlimited
STew oznaka / STCW regulation vrijedi do I valid until
Vlada Republike Hrvatske potvrduje da je posjednik ove svjedodzbe primjereno osposobljen u sklndu s navedenim pravilom gornje Konvencije, uz njezine
izmjene i dopune, te da je utvrdena njegova osposobljenost za obavljanje slijede~ih djelatnosti, nn nazna~enim razinama, uz mogu~a nazna~enn ograni~enja.
The Government ojthe Republic ojCroatia certifies that holder ojthe certificate has beenjound duly qualified in accordance with the provisions ojregulations ojthe
above Convention, as amended, and has beenjound competent to peiform thejollowingjunctions, at the levels specified, subject to any limitalions indicated.
DJELATNOST RAZINA OGRANICENJA (AKO IH IMA)
FUNCTION LEVEL LIMITATIONS APPLYING (IF ANY)
N/A (N/A) NEMA(NONE) NEMA(NONE)
Punopravni posjednik ove svjedodzbe osposobljen je za sluzbu nazna~enu u odgovaraju~im propisima glede sigurnog popunjavanja brodova posadom:
The lawfill holder ojthis certificate may serve in thejollowing capacity or capacities specified in the applicable saje manning requirements ojthe Administration:
OSPOSOBLJENOST
CAPACITY
.OGRANICENJA (AKO IH IMA)
LIMITATIONS APPLYING (IF ANY)
TEMELJNA SIGURNOST NA BRODU (BASIC TRAINING) NEMA(NONE)
SVje::lodzba br. 400010160 , izdana u SPLIT 10.04.2009.dana
Certificate No. -----'-.:..;.,,;,.'--'-''----- issued in
on
POSJEDNIK SVJEDODZBE
HOLDER OF THE CERTIFICATE
~~~~NAME:. NENO
STOJCEVSKI
RODENJA: 20.11.1980.
BIRTH,
HRVATSKO
ft~",jt~S~~Slg1/f1n1~A:tll~hoMer a/the ccnijic(I(c
Ka
POlpis ovllrltcllog slui cnikn
Signtll/lre ofdilly a/f/hori~ d oJJ1cial
6. FJRSTNAME:
I'REZI~IE:
SUI/NAME:
REPUBLIKA HRVATSKA REPUBLIC OF CROATIA
MINISTARSTVO POMORSTVA, MINISTRY OF MARITIME AFFAIRS,
PROMETA I VEZA TRANSPORT AND COMMUNICATIONS
050012769
SVJEDODZBA
o OSPOSOBLJENOSTI IZDANA PREMA ODREDBAMA MEDUNARODNE KONVENCIjE 0 STANDARDIMA ZA OBUKU,
IZDAVANJE SVJEDODZABA I DRZANJE STRAZE POMORACA 1978., UZ IZMJENE 1995.
CERTIFICATE
ISSUED UNDER THE PROVISIONS OF THE INTERNATIONAL CONVENTION ON STANDARDS OF TRAININC, CERTIFICATION AND
WATCHKEEPINC FOR SEAFARERS, 1978. AS AMENDED IN 1995
V114 NEOGRANICENO/UNLIMITED
STew oznaka / STCW reEilllation vrijedi do / I'alid IIlltil
Vlada Republike Hrvalske polvrduje da je posjednil< ove svjedodzbe primjereno osposobljen u sldadu s navedenim pravilom gornje Konvencije, uz njezine
izmjene i dopune, Ie da je ulvrdena njegova osposobljenosl za obavljanje slijedecih djelalnosli,.na naznacenim razinama, uz moguca naznacena ogranicenja.
Tlte GOI'emlllellt oftlte RepuiJ/ic ofCroatia certifies tltat Itolder oftlte certificOIe Itas been found dnly qnl/lified in (lccordance Il'itlt lite pI"Vl'isions ofregnlOlions
of Ihe aiJol'e COIII·enlion. as I/II/ended. I/mlltas been fonnd COlllpetelll to pClforlll lite fol/ol'ing funclions. 01 lite lel'els specified•.wbject 10 any lilllitations indicll/ed.
DJELATNOST
FUNCTION
RAZJNA
LEVEL
OGRANICENJA (AKO IH IMA)
LIMITATIONS APPLYING (IF ANY)
NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE
.
"
Punopravni posjednil< ove svjedodibe oS(losobljen je za sluzbu naznacenu u odgovarajuCim propisima glede sigurilOg popunjavanja brodova posadom:
Tlte II/Ilflliitoider oftitis certificate IIlI/Y sel"l'e ill tltefol/owing capacity or capacities specified in tlte applicable safe lIlanning reqnirell/ents oflite Adll/inistralion:
OSPOSOBLJENOST
CAPACITY
OGRANICENJA (AKO IH IMA)
LIMITATIONS APPLYING (IF ANY)
PRUZAN.m PRYE MEDICINSKE POMOCI (MEDICAL FIRST AID CERTIFICATE) .
.,
NEMA (NONE)
Svjcdodiba br. __--'0:..::5:..::0....:0.=.1=.27'--6:..::9 , izdllnll U SPLIT dana _----"0....:7.:.::.1:.::1.:.::.2:..;:.0.=..00=.__
·Certificate No. issued il1
POSJEDNIK SVJEDODZBE'
HOLDER OF THE CERTfFlCATE
IME:
NENO
STOJCEVSKJ
20.11.1980.
HRVATSKO
on
./ Po;pis ovlastenog sluzbenika
- 'Sign(/tllre oftlllly (//Illtori:ed officia
1(" .,.
~·k~p. BORIS MATOSIC dipl.ing.
.:.:..: ' -
Izvornik ove svjedodzbe, u skladu s odredbom pravila U2,
slavka 9 Konvencije, mora bili doslupan na brodu lijekom sluibe.
T"e origillal of I"is ccrtificale 11111.1'1 be kepi (/'{/ilahle ill accol'tlallce
Potpis posjednika svjedo(Ube witlt reglliatio/l 112. paragmplt 9 oflite CO/ll'elllioll wltile selTi/lg Oil II sltip.
Sigl/{I/llre 4 tlte ""Ider ofthe certifictlle
100-U
7. REPUBLIKA HRVATSKA REPUBLIC OF CROATIA
MINISTARSTVO MORA, 11JRIZMA, MINISTRY OF THE SEA, TOURISM,
PROMETA I RAZVITKA TRANSPORTAND DEVELOPMENT
000604744
SVJEDODZBA 0 OSPOSOBLJENOSTI ZA
CERTIFICATE OF COMPETENCY FOR
ZAPOVJEDNIKA JAHTE KATEGORIJE A (JAHTA DO 100 BT)
YACHT MASTER CATEGORY A (YACHT UP TO 100 GT)
IZDANA SUKLADNO CLANKU 54. PRAVILNIKA 0 BRODICAMA I JAHTAMA
ISSUED UNDER THE ARTICLE 54. OF THE REGULATION OF BOATS AND YACHTS
Vlada Republike Hrvatske potvrduje da je posjednik ove svjedodzbe primjereno osposobljen u skladu sa
navedenim nacionalnim propisima, te da je utvrdena njegova osposobljenost za obavljanje duznosti
zapovjednika jahte kategorije A (jahta do 100 BT)
The Goverment ofthe Republic of Croatia certifies that the holder of the certificate has been duly qualified in
accordance with the provisions of the national regulations, and has been found competent to perform the
operatiol1sof yacht master category A (yacht up to 100 GT)
Svjedodzba br. o_o_o6_o_4_74_4__ , izdana u S_P_L_I_T _ dana 31.03.2008.
Certificate No. issued in
on - - - - - - -
Svjedodzba vrijedi do: 3_1_.0_3_.2_0_1_3. _
Certificate is valid until
POSJEDNIK SVJEDODZBE
HOLDER OF THE CERTIFICATE
~%~:TNAME: NENO
20.11.1980.
HRVATSKO
~ Narodne novine d.d.. Zagreb (2) 061054
O-Ol-R ,., Oznaka za narudzbu: UT-VI-1052
8. 00024036BROJ pOMonSKE KNJIZICEJMDG
NO OF SEAMANS BOOK2011980380008PERSONAL
'ME
FIRST NAME NENO
PREZIME
SURNAME STOJCEVSKI
nOJAoCIJU SMEBEDATUM RODUHA
20.11.1980. THE COLOUR OF THE EYESDATE Of B1RTH
SMEDABOJAKOSEMJES'TO RODENJA SPLIT HAIR COLOURPLACE OF BIRTH
PREBJVALl$TE SPLITDOMICilE
DATUM IZDAVANJA 03.11.2000.MJES'TO IZDAVANlA
DAlE OF ISSuESPLITPLACE OF Issue
03.11.2010.VRIJEOIDODRZAVUANSTVD HRVATSKO DATE OF EXPIRYcmZEtlSHIP
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2 SEAMAN'S PERSONAL RECORD 3
Discharge Book No. (DB 03391)
Expiry Date 12 June 2013
Surname STOJCEVSKI
Other Name(s) Neno
Present Rank Seaman ( Deck)
Place of Birth Split, Croatia
Date of Birth 20 November 1980
Nationality Croatian
Height 1.89 m
Colour of Eyes Brown
Distinguishing Marks None
..~..~..~....
Signature of Issuing Officer
12 June 2003
········"Dciie·o·i·lss·ue········
Hamilton
Name Nediljko Stojcevski
Relationship Father'--
Country
Permanent Address of Holder
Kninska 4
21000 Split
Croatia
Details of Next of Kin
Address of Next of Kin
(If different from above)
Country
Phone Number 0038521 487 115
---1
Signature ofHolder