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Open Water Diver

潛水課程申請表

Divers Registration Form

First Name (名)
Last Name (姓)
Nickname (英文名)
Date of Birth (出生日期) DD/MM/YY
Address (地址)
0 /
Phone Number (電話號碼)
Height (身高)
Weight (體重)
Upload Photo (上載圖片)upload
cloud_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 ?)
Where ? (在那 ?)
--- Course Information (課程資料) ---
Register Date (報名日期)
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) ---
Other - Course Fee (課程費用)
0 /
Other - Payment Methods (付款方法)more details
0 /
How did you hear about us? (從何得知我們 ?)
Other - How to know US ?! (從何得知我們 ?!)
0 /
Remark (備註) :more details
0 /
Friend (If any) 同行朋友 (如有) :more details
0 /
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