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Trip Enrollment
  1. Name(*)
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  2. Address(*)
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  3. Mobile Phone(*)
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  4. Email(*)
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  5. Date of Birth(*)
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  6. Facebook ID
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    Optional
  7. Occupation
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    Optional
  1. Sex(*)
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  2. Nationality
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  3. Passport/NRIC
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  4. Passport Expiry
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  1. Highest Diving Certification
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  2. Date of Last Dive
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  3. # Dives to Date
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  4. Trip Destination
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  5. Departure Date
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  1. Basic



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  2. Wetsuit Size
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  3. Fins Size
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  4. Additional



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  1. Emergency Contact Name
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  2. Relationship
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  3. Contact Number(*)
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  1. By clicking [ACCEPT], I agree that the equipment listed above is in my ('the renter`s') care while diving/traveling, I understand that I maybe liable for the cost of repair OR replacement should any lose or damage occur during the trip and/or dive.
  2. Liability(*)
    You must accept the above liability statement
  3. Date(*)
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  4. Captcha(*)
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