1 Step 1 AOW / Rescue / DM 潛水課程申請表Divers Registration Form First Name (名) Last Name (姓) Nickname （英文名） Male (男)Female (女) Date of Birth (出生日期) DD/MM/YY Address (地址)0 / Emailemail Phone Number (電話號碼) Upload Photo (上載圖片)uploadcloud_uploadUpload Profile Picture (上載個人頭像) Certified Diver (有資格潛水員)Yes (是)No (不是) Certificate Lv. (潛水員等級) Certification agencies (認證機構) Certificate No. (潛水證號碼) No. of dives (潛水次數) Last dive (上次潛水) --- Course Information (課程資料) --- Register Date (報名日期) Course (潛水課程) Course (潛水課程)Advanced Open Water Diver / 進階開放水域潛水員Rescue / 救授潛水員Dive Master / 潛水長 Course schedule - Day 1 (第一日上堂日子) Course schedule - Day 2 (第二日上堂日子) Equipment (個人裝備)Full Gear (所有)No (沒有) Equipment (已有的裝備)Mask (面鏡)Dive computer (潛水電腦)Wet Suit (防寒衣)Boot (潛水靴)Fins (蛙鞋)Regulator (調所器)BCD (浮力控制裝置) Height (身高) Weight (體重) --- Payment (付款) --- Course Fee (課程費用)Course Fee (課程費用)$3500$2900 (11 Anniversary)$2800 (Nursing / FullTimeStudent / Macau )Other (其他) Other - Course Fee (課程費用)0 / Payment Methods (付款方法)Payment Methods (付款方法)FPS (轉數快)PayMeBank Transfer (銀行過數)Other (其他) Other - Payment Methods (付款方法)more details0 / How did you hear about us? (從何得知我們 ?)Facebook InstagramSearch engine (搜尋引擎)Referral (朋友介紹)Newspaper / Magazine (報紙雜誌)Other (其他) Other - How to know US ?! (從何得知我們 ?!)0 / Submit Form (提交) Friend (If any) 同行朋友 (如有) :more details0 / Remark (備註) :more details0 / keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
