----------------

--------------------------

----------------

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~~.....--/(

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

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

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.

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 been jound duly qualified in accordance with the provisions ojregulations ojthe above Convention, as amended, and has beenjound competent to peiform the jollowing junctions, 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 the jollowing 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. danaCertificate 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

FJRSTNAME:

I'REZI~IE: SUI/NAME:

REPUBLIKA HRVATSKA REPUBLIC OF CROATIA MINISTARSTVO POMORSTVA, MINISTRY OF MARITIME AFFAIRS, PROMETA I VEZA TRANSPORT AND COMMUNICATIONS

050012769SVJEDODZBA

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 of tlte RepuiJ/ic of Croatia certifies tltat Itolder of tlte certificOIe Itas been found dnly qnl/lified in (lccordance Il'itlt lite pI"Vl'isions of regnlOlions of Ihe aiJol'e COIII·enlion. as I/II/ended. I/mlltas been fonnd COlllpetelll to pClforlll lite fol/o\l'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 of tit is certificate IIlI/Y sel"l'e ill tlte fol/owing capacity or capacities specified in tlte applicable safe lIlanning reqnirell/ents of lite 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 of tlllly (//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 of lite CO/ll'elllioll wltile selTi/lg Oil II sltip.

Sigl/{I/llre 4 tlte ""Ider of the certifictlle

100-U

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 of the 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) 061054O-Ol-R ,., Oznaka za narudzbu: UT-VI-1052

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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· · · .O' ..· · · .... ·· ··

POTPIS POSJEDNIKA I SIGNATURE OF THE HOLDER

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Ovjera lutke kapetanije

ISKRCAN

Endorsement by the • Harbour Master's Office

,{'~'''-,." place and date

.. .... ..· .. ..• •• •••• • . . . ...· .. .. . . •.. ...

'NORLD 1.1.~'2.. 'It>O'l. •

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mjesto i datum SIGNED OFF

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Kategorija plovidbe

Category of navigation

'IM.V.1----+------+-----1--------1 .

Svojstvo Capacity

0, S.

0.5.

1£

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Ime broda, luka upisa, vrsta broda, vrsta-pogona BT i kW.

Name and port of registry of the ship, vessel type, propulsion type

GTand kW.

,I10V. £4£· j1.'l. ,;?'c/';.t,

• ..·. · · ·

,0 " · .. . . ... . . . .. .. .. .... . .. .. .. -

UKRCAN_ Ime broda, luka upisa, vrsta broda, Kategorija ISKRCAN Potpis Ovjera lutke

mjesto i datum vrsta pogona BT i kW. Svojstvo plovidbe mjesto i datum .zapovjednika kapetanije

SIGNED ON Name and port of registry of the Capacity Category of SIGNED OFF . Signa~ ent by the

place and date ship, vessel type, propulsion type

navigation place a~d ~~.~~ the mas ~~ f\.14~~ffice- GTand kW. "':-'~'~h~H ~ '/%~ ~CO:

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UKRCAN mjesto i datum

SIGNED ON place and date

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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