Borneo Marine Additional Information Please enable JavaScript in your browser to complete this form.Applicant InformationFull Name *Gender *Passport numberOccupationDate of Birth *Nationality *Email Address *Phone number plus international dialling codeDiving informationWhat is your diving qualification? *NoneOpen WaterAdvanced Open WaterEmergency First ResponseRescue DiverOtherHow many dives have you done?Do you require any PADI courses at the project?NoYes, Open WaterYes, Advanced Open WaterYes, Emergency First ResponseYes, Rescue DiverSpecify other diving qualificationWhen was your most recent dive?Will you be bringing any of your own equipment?Medical / DietDietry requirementsPress ctrl button to select multiple optionsNoneVegetarianVeganPescatarianGluten FreeNut AllegyOtherOther dietry requirementsAre you allergic to anything? (eg. Penicillin, bees)Do you have any medical conditions that may affect your stay with us? If so, please list them (Think anxiety; ptsd; phobias; any relevant injuries etc).Any current medication (other than contraceptive pill) that we should be informed about?Do you have any medication which needs to be stored below 4C?Any previous dive incidents/accidents?Emergency contact - name & phone number including international dialling codeSubmit
