1. FORM: CPM01 Rev.0/08 Page 1 of 3
1. PERSONAL INFORMATION
RANK Deck Cadet ALTERNATIVE RANK (IF ANY)
LAST NAME Lončarić FIRST NAME Igor
OTHER NAMES NATIONALITY Croatian
SEX M F BIRTH PLACE Rijeka DATE OF BIRTH 26.11.1986.
MARITAL STATUS Non Married COLOUR OF EYES Brown COLOUR OF HAIR Brown
MOTHER’S NAME Ingrid FATHER’S NAME Tomislav
HEIGHT (CM) 176 WEIGHT (KG) 73
SHIRT SIZE L BOILERSUIT SIZE (S,M,L,XL,XXL) L
TROUSERS SIZE 34 SHOES NO. 43
INTERNATIONAL AIRPORT (NEAREST TO HOME TOWN): Zagreb, Venice, Monfalcone
2. ADDRESS (PERMANENT) ADDRESS (TEMP.) FROM/TO:
STREET Braće Horvatić 9 STREET
POST CODE 51000 POST CODE
CITY Rijeka CITY
COUNTRY Croatia COUNTRY
TEL. NO. +38551219138 TEL. NO.
MOBILE +385912611986 MOBILE
E-MAIL ljonac@gmail.com E-MAIL
FAX FAX
3. NEXT OF KIN
FULL NAME Tomislav Lončarić RELATION Father
ADDRESS Braće Horvatić 9 DATE OF BIRTH 29.11.1955.
CITY Rijeka COUNTRY Croatia
TEL. NO. +38551219138 MOBILE PHONE NO. +385993772151 FAX NO.
4. BENEFICIARY INFORMATION
FULL NAME RELATION
ADDRESS
CITY COUNTRY
TEL. NO. MOBILE PHONE NO. FAX NO.
5. DETAILS OF CHILDREN
NAME OF CHILD SEX DATE OF BIRTH
M F
M F
M F
M F
6. TRAVEL DOCUMENTS
DOC./VISA TYPE DOC./VISA NO. ISS.DATE EXP. DATE ISS. BY (AUTHORITY) PLACE OF ISSUE
PASSPORT 096923328 28.10.2010. 28.10.2020. PU/ Rijeka Rijeka
SEAMAN BOOK 00046610 15.07.2011 15,07.2021 Rijeka Harbour Master’s office Rijeka
APPLICATION FOR SEAGOING APPOINTMENT

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US C1/D VISA 2011214400001 03.aug.2011. 01.aug.2012. U.S. Zagreb
OTHER VISAS
7. BANK ACCOUNT INFORMATION (OPTIONAL)
BANK NAME BRANCH
ADDRESS CITY,COUNTY
ACCOUNT NO SWIFT/BIC CODE
IBAN NO
8. EDUCATION
SCHOOL NAME Faculty of Maritime Studies - Baccalaureus FROM 2006. TO 2008.
SCHOOL NAME Faculty of Maritime Studies – mag. ing. FROM 2008. TO 2011.
9. LICENCE AND COURSE INFORMATION
LICENCE NAME NUMBER
ISSUE
DATE
EXPIRY
DATE
ISSUED BY
(AUTHORITY)
ISSUED AT
Officer in charge of the navigational
watch on a ship of 500 GT and more
400265365 18.03.2015 18.03.2020 Republic of Croatia, Ministry
of sea
Rijeka
COURSE NAME
ISSUE
DATE
EXPIRY
DATE
ISSUED BY (AUTHORITY) ISSUED AT
BASIC TRAINING BSEC 14.07.2011 14.07.2016 Republic of Croatia, Ministry of sea Rijeka
ADV. FIRE FIGHTING 156 01.06.2012 01.06.2017 Republic of Croatia, Ministry of sea Rijeka
MEDICAL FIRST AID 160 29.01.2015 29.01.2020 Republic of Croatia, Ministry of sea Rijeka
SECURITY AWARNESS VI/6-1 24.04.2014 unlimited Republic of Croatia, Ministry of sea Zagreb
PROF. IN SURVIVAL CRAFT STCW 67 29.01.2015 29.01.2010 Republic of Croatia, Ministry of sea Rijeka
FAST RESCUE BOATS FSTRES
HUMAN ELEMENT,
LEADERSHIP AND
MANAGEMENT AT THE
OPERATIONAL LEVEL
21.01.2015 21.01.2020 Republic of Croatia, Ministry of sea Rijeka
TANKER FAMILIARIZATION 169 04.06.2012 31.12.2016 Republic of Croatia, Ministry of sea Rijeka
ADV. OIL TANKER OPER. 130
ADV. CHEM. TANKER OPER. 131
ADV. GAS TANKER OPER. 132
GMDSS gmoc 02.02.2015 02.02.2020 Republic of Croatia, Ministry of sea Rijeka
RADAR OBSERVER 149
ARPA 161 29.01.2015 unlimited Republic of Croatia, Ministry of sea Rijeka
SHIP SECURITY OFFICER sso
BRIDGE TEAMWORK MAN. SSBT
BRIDGE RESORCE MAN. BRMC
YELLOW FEWER YELL
ECDIS EDIS 21.11.2014 21.11.2019 Republic of Croatia, Ministry of sea Rijeka
AMOS AMOS
BASS BFMS
H MADM
SHIPBOARD SAFETY
OFFICER COURSE
SMGT
DINAMIC POSITION
10. ENGLISH PROFFICIENCY
FLUENT V. GOOD X GOOD FAIR POOR

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11. SEAFARER’S SAILING RECORD
NAME: Igor Lončarić RANK: DATE:
VESSEL NAME COMPANY NAME
VESSEL
TYPE
G.R.T. D.W.T.
ENGINE
TYPE
BHP KW RANK
SIGNED
ON
SIGNED
OFF
M/V Northern
Vitality
Schluter Crewing Services
GmbH & Co. KG
Container 29115 GT 23920 Deck cadet 09.08.2011. 25.11.2011
M/V Saluzi V Ship Passenger 1739 2x800 Deck cadet 18.7.2013 14.11.2013
M/V Saluzi V Ship Passenger 1739 2x800 Deck cadet 02.05.2014 08.08.2014
M/T Rijavec JPS Tug 379 1812 Deck cadet 24.09.2014 13.11.2014
12. AVAILABILITY
AVAILABILITY DATE COMMENTS:
13. REFERENCES
COMPANY NAME
ADDRESS
PHONE NO.
FAX/E-MAIL
CONTACT PERSON