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PADI SCUBA DIVER COURSE
1
Personal Information
Name
Email
Nationality
Passport Number
Gender
Male
Female
2
Diving Information
Diving Activity Required
Date of Last Dive
Diving License Type
Diving License Number
Number of Logged Dives
Are you fit to dive?
Yes
No
If no, please get a doctors certificate to certify you are allowed to dive.
3
Hotel Information
Name of Hotel
Date of Arrival
Time of Arrival
Date of Departure
Time of Departure
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