OMIKRON MARITIME SERVICES SA

OP-01 APPLICATION FORM

Developed by: Approved by: Issue No: Issue Date: Revision Revision Section: Page:
No: Date:
QMR Managing Director 01 Sep 2019 00 - OP-01 1/4

Date: 17.12.2024
Citizen ID:295120904620

A. SEAMAN’S APPLICATION FORM

Rank (License held) Oceangoing Second Position Applying for Oceangoing Second Engineer
Engineer
Surname Batirer First Name Ekrem Middle Name Tugay
Date of Birth 18/04/1995 Place of Beyoglu Nationality TURKISH
Birth
Address Akşemsettin Mah. Hisar Sok. No.28/9 Eyupsultan/Istanbul
CellPhone No. +90538622 Landline Email Address: batirer.tugay@gmail.
6051 No. com
Father’s Name Turgay Mother’s Latife
Name
Highest Educational Attainment Licence School Yildiz Technical University - University
Marital Status YES NO Skype : 6 1 2 7 0 9 d a 9 f 7 5 8 a 5 d.
Name of Beneficiary Deniz Sıla Solum Relation Nişanlı
(Family members)
Address Yakınınızın adresini giriniz. Contacts Yakın. telefonunu giriniz.
Emergency Contact +905453305635 Relation & 1- Yakınlık derecesini ve telefonunu giriniz.
2- Yakınlık derecesini ve telefonunu giriniz.
Person Contacts
(Other than family
member)
Address Yakınınızın adresini giriniz. Contacts Yakın. telefonunu giriniz.
Seaman’s Book No. S00346403 Placed Issued Istanbul Date Issued 23.11.2021 Date Valid 23.11.2026
Passport no. U22402901 Placed Issued Istanbul Date Issued 30.09.2019 Date Valid 30.09.2029
USA VISA Type: C1/D Date 15.05.2024 Date Valid : 12.05.2029
Issued :
Schengen VISA Type: Date dd/mm/yy Date Valid : dd/mm/yy
Issued :
Other Countries VISA Type: Date dd/mm/yy Date Valid : dd/mm/yy
Issued :
English Ability Very Good Good Fair Poor
Height 182 Weight (kg) 92 Date of Military Service: 27.07.2020
(cm)

B. DOCUMENTATION
Documents Placed Issued Date Issued Date Expire
Personnel Survival Techniques Training Certificates Istanbul 26.01.2021 26.01.2026
Elementary First Aid Training Certificate Istanbul 26.01.2021 26.01.2026
Fire Prevention and Fire Fighting Training Certificate Istanbul 26.01.2021 26.01.2026
Personnel safety and Social Responsibility Training Certificate Istanbul 26.01.2021 26.01.2026
Proficiency İn Survival Craft and Rescue Boats (other than fast rescue boats) Istanbul 26.01.2021 26.01.2026
Radar Observation and Plotting Training Certificates dd/mm/yy
Plotting Aids (ARPA) Training Certificate dd/mm/yy
ECDIS dd/mm/yy
BRM dd/mm/yy
ERM Istanbul 17.04.2024
Medical First Aid Training Certificate Istanbul 09.07.2018

CONTACT DETAILS Phone: +902168016484, +902167473474

Address: Bagdat Caddesi No:244/5 Ergun Apt. E-mail: [email protected]
Caddebostan, Kadikoy, Istanbul, Turkey Web: www.omikroncrew.com
 OMIKRON MARITIME SERVICES SA

OP-01 APPLICATION FORM

Developed by: Approved by: Issue No: Issue Date: Revision Revision Section: Page:
No: Date:
QMR Managing Director 01 Sep 2019 00 - OP-01 2/4

Medical Care Training Certificate Istanbul 09.07.2018

Advanced Fire Fighting Training Certificate Istanbul 22.11.2022 17.11.2027
Ship Security Officer Certificate dd/mm/yy dd/mm/yy
Designated Security Duties Certificate 03.11.2016
Security Awareness Certificate 03.11.2016
Security –Related Familirazition Certificate 03.11.2016
Oil Tanker Familiariztion Certificate dd/mm/yy dd/mm/yy
Specialized Training Programme on Oil Tanker Oper. Cert. dd/mm/yy dd/mm/yy
Chemical Tanker Familiariztion Certificate dd/mm/yy dd/mm/yy
Specialized Training Prog. on chemical Tanker Oper. Cert. dd/mm/yy dd/mm/yy
Liquefid Gas Tanker Familiariztion Certificate dd/mm/yy dd/mm/yy
Specialized Training Prog. on Liquefid Gas Tanker Oper. Cert. dd/mm/yy dd/mm/yy

Documents Placed Issued Date Issued Date Expire

COC (CERTIFICATE OF COMPETENCE) – Number: 6 haneli olmalıdır. dd/mm/yy dd/mm/yy
GMDSS (GOC-ROC-REO )( mark) - Number: 6 haneli olmalıdır. dd/mm/yy dd/mm/yy
Vaccination Certificate 19.12.2016
Drug & Alcohol Test dd/mm/yy dd/mm/yy
Pre-employment Medical Examination dd/mm/yy dd/mm/yy
Fast Rescue Boat dd/mm/yy dd/mm/yy
Training for Passenger Vessels dd/mm/yy dd/mm/yy
Medical Examination Certificate 18.07.2024 18.07.2026
Course Attended

TYPE OF SPECIFIC ECDIS ( FURUNO,JRC,TRANSAS ETC.) : Daha önce çalışmış olduğunuz ve sertifikası bulunan ECDIS tiplerini yazınız.

B. as
C. ENDORSEMENTS
Flag Rank Number Date Issue Date of Expire
Panama Second Engineer 4656590 02.08.2024 02.08.2029
dd/mm/yy dd/mm/yy
dd/mm/yy dd/mm/yy
dd/mm/yy dd/mm/yy
D. PREVIOUS SEA SERVICE FOR TANKERS
Rank Master C/O 2/O 3/O C/E 2/E 3/E 4/E
Years
With Operator
Years In Rank
Type Of Tanker
All Types of Tanker
PARAGRAPH D WILL BE COMPLETED BY THE CREW OPERATOR BEFORE SENDING FOR APPROVAL TO SPECIFIC TANKER PRINCIPALS, THE YEARS WILL BE THE
AGGREGATE OF BOTH PAIRS OF OFFICERS INDICATED (MASTER & C/O, C/E & 2/E, ETC

E. PREVIOUS SEA SERVICE (Start with the latest)

Ex- Crew New Crew
Company Vessel Name & Engine Type DWT Vessel Ran Date Date Cause of
Flag & BHP Type & k Embarked Disembarked Discharge
Year (dd/mm/yy) (dd/mm/yy)
Built
Oldendorff M/V Chinook MAN B&W 100118 Bulk 3/E 28/07/2024 07/10/2024 End of
Carriers Oldendorff 6G60ME- Carrier Contract
C9.5 & 2020
Oldendorff M/V Georg MAN B&W 80943 Bulk 3/E 08/11/2023 10/03/2024 End of

CONTACT DETAILS Phone: +902168016484, +902167473474

Address: Bagdat Caddesi No:244/5 Ergun Apt. E-mail: [email protected]
Caddebostan, Kadikoy, Istanbul, Turkey Web: www.omikroncrew.com
 OMIKRON MARITIME SERVICES SA

OP-01 APPLICATION FORM

Developed by: Approved by: Issue No: Issue Date: Revision Revision Section: Page:
No: Date:
QMR Managing Director 01 Sep 2019 00 - OP-01 3/4

Carriers Oldendorff 6S50ME- Carrier Contract

C9.2 & 2015
Oldendorff M/V Gebe MAN B&W 80866 Bulk 3/E 24/03/2023 26/07/2023 End of
Carriers Oldendorff 6S50ME- Carrier Contract
C9.2 & 2016
Oldendorff M/V Erna MAN B&W 38613 General 3/E 16/03/2022 22/10/2022 End of
Carriers Oldendorff 5S50ME- Cargo & Contract
B9.2 2016
Oldendorff M/V Erna MAN B&W 38613 General 3/E 09/03/2021 26/10/2021 End of
Carriers Oldendorff 5S50ME- Cargo & Contract
B9.2 2016
Arunashipping M/V Aruna Ece Hyundai - MAN B&W 55506 BULK CARRIER 3/E 28/07/2020 17/12/2020 END OF CONTRACT
Marshall Isl 6SMC-C8.1 TIER II & 201 2
Arunashipping M/V Aruna Hulya Hyundai - MAN B&W 55582 BULK CARRIER 3/E 20/10/2019 21/02/2020 END OF CONTRACT
Marshall Isl 6SMC-C8.1 TIER II & 201 2
Arunashipping M/V Aruna Ece Hyundai - MAN B&W 55506 BULK CARRIER 4/E 30/06/2019 16/10/2019 PROMOTI O N FORANOTHER VESSEL
Marshall Isl 6SMC-C8.1 TIER II & 201 2
Ayships (Susesea) M/V Sorsi
MITSU-MAN B&W 6SME-B9.5 6 4 0 4 3 Bulk Carrier& 2017 3 / E 2 9 / 0 9 / 2 0 1 8 1 3 / 0 3 / 2 0 1 9 End of Contract
Singapore T Y P E
8152 KW
Remarks: EN SON HİZMET EN ÜSTTE OLMALIDIR. LÜTFEN BÜTÜN DENİZ HİZMETLERİNİZİ SIRAYLA BELİRTİNİZ.SUTUN
EKLEYEBİLİRSİNİZ.

F. PREVIOUS EMPLOYER
Employer’s Name
Date Appointed Position
Allowance, if any
Reason for leaving:
Does your employer know your
leaving?
When would you able to enter our company? 20.02.2025
Any previous ILLNESS? If YES, State the illness:
SAĞLIK DURUMU İLE AYRILDIYSANIZ, NEDENİNİ LÜTFEN PAYLAŞINIZ.

CHARACTER REFERENCE FROM PREVIOUS COMPANY:

Two persons other that relatives to whom we can refer regarding yourself.

Name: Name:
Company Company
Address Address
Tel/Cell No. Tel/Cell no.
Period known: Period Known:

TARAFIMCA YUKARIDA VERMİŞ OLDUĞUM BİLGİLERİN DOĞRULUĞUNU VE BİLGİLERİN HATALI OLMASI

DURUMUNDA DOĞACAK YÜKÜMLÜLÜĞÜ KABUL EDİYORUM.

CONTACT DETAILS Phone: +902168016484, +902167473474

Address: Bagdat Caddesi No:244/5 Ergun Apt. E-mail: [email protected]
Caddebostan, Kadikoy, Istanbul, Turkey Web: www.omikroncrew.com
 OMIKRON MARITIME SERVICES SA

OP-01 APPLICATION FORM

Developed by: Approved by: Issue No: Issue Date: Revision Revision Section: Page:
No: Date:
QMR Managing Director 01 Sep 2019 00 - OP-01 4/4

17.12.2024
Date Signature

CONTACT DETAILS Phone: +902168016484, +902167473474

Address: Bagdat Caddesi No:244/5 Ergun Apt. E-mail: [email protected]
Caddebostan, Kadikoy, Istanbul, Turkey Web: www.omikroncrew.com