1 Step 1 Open Water Diver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) Height (身高) Weight (體重) Upload Photo (上載圖片)uploadcloud_uploadUpload Profile Picture (上載個人頭像) 個人相片在第一次報名是必需提供的 Did you tried Discover Scuba Diving ? (有否試過體驗潛水 ?)Yes (有)No (沒有) Where ? (在那 ?) — Course Information (課程資料) — Register Date (報名日期) Course (潛水課程) Course (潛水課程)Open Water Diver / 開放水域潛水員 Course schedule – Day 1 (第一日上堂日子) Course schedule – Day 2 (第二日上堂日子) Course schedule – Day 3 (第三日上堂日子) — Payment (付款) — Course Fee (課程費用)Course Fee (課程費用)$4600$4200 (12 Anniversary)$4100 (Nursing / FullTimeStudent / 澳門人 )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)小紅書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) Remark (備註) :more details0 / Friend (If any) 同行朋友 (如有) :more details0 / keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft – WordPress form builder
