FEMALE DIVERS_PARTICIPATION FORM

SUSTAINING OF WORLD ENVIRONMENT DAY, WORLD OCEAN DAY & WORLD CORAL TRIANGLE DAY

2 - 5 JULY 2020 - KEPULAUAN KOMODO
By joining this trip, you'll get:
- Airport transfer; airport - hotel - airport
- Twin sharing, AC room accommodation; - 4 days/3 nights
- Free Ocean Environment Workshop
- 5x dives
- Tanks
- Weights
- Guides
- Boat Dives
- Breakfast 3x
- Lunch 3x
- Dinner 2x
- BBQ Dinner Party 1x
- Snack & Beverages
- Goodie Bag
- Prizes & Doorprize
- Celebration Night
Please log-in to your FEMALE DIVERS FORUM to find the event itinerary. Click here EVENT ITINERARY

Name*

First NameLast Name
Nick Name*
Gender*

FemaleMale
Birth Date*

DayMonthYear
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ID Number*
KTP/SIM/Passport
Nationality*
Scuba Diving Information
Current Certification Level*
Diving Agency*
Current Dive Log*
Last Dive (Date & Place)*

Date-Month-Year

Street Address Line 2

Destination/LocationCity

Postal / Zip CodeCountry
DAN Insurance
If You Have DAN Insurance Only (Optional)
Provide Copy of Your Current Scuba Diving License*

Browse Files
File JPG/JPEG/PDF (max size 500kb) Cancelof
Provide Copy of Your ID*

Browse Files
File JPG/JPEG/PDF (max size 500kb) Cancelof
Emergency Contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Birth Date*

DayMonthYear
Relation*
Ooh, One More Thing ;)
Your Reason To Join This Event?
Where Did You Hear About This Event?

FriendsSocial MediaRadio/TVNewsletter
Participation Rules
This event open for anyone who's:
- Female
- Age min. 18
- Hold diving certification at minimum Advanced Scuba Diver
- Physically fit and psychologically healthy, without recent illness.
TERM & CONDITION:

By joining this Event:
- You promise that information you give us will be true and accurate and not misleading in any way.
- The Event Participation Fee you have to pay are set out in the details.
- Your participation may also be terminated if any Fees remain unpaid for an extended period.
- Rundown for this event will be send through email.
- By agreeing to these Terms & Condition, you consent to us collecting, using, disclosing and dealing with your personal information in accordance with the terms and our privacy policy.
- Term & Condition apply.
I have read, understood, and accepted the Participation Rules of the event.
We’re excited to welcome you in this awesome event.

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PAYMENT SECTION

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PARTICIPATION FEE

IDR 5.500.000,- /pax (USD 424).

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- PAYPAL: Simple and secure for you to make payment online by Credit Card, Debit Card or your Paypal Account.
- TOKOPEDIA: Available for instalment payment
For further information, you can send email to: femaledivers.id@gmail.com

CANCELATION

If you choose to cancel your order, you may do so within 15 days from when you received your Invoice Receipt. To meet the cancelation deadline, you must send your cancelation request through email: femaledivers.id@gmail.com before the 15-days period has expired. No refund will be made after the cancelation deadline ended.

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SUSTAINING OF WORLD ENVIRONMENT DAY, WORLD OCEAN DAY & WORLD CORAL TRIANGLE DAY

Scuba Diving Information

Emergency Contact

Ooh, One More Thing ;)

Participation Rules

PAYMENT SECTION