EDA | Emirates Diving Association

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Member Registration Form

* Required Field
Name : * Nationality : * Date of Birth : *

Clear Level of Diving Certificate : Certifying Authority : Blood Group : Address : Telephone No : Mobile No : E-mail : *

Interests,Please Tick

Other Interests : Upload Photograph : (Allowed File Types :gif, jpg or png
Dimensions(Preferred):Width:800 Height 600 in Pixels
Dimensions(Maximum):Width:1024 Height 768 in Pixels
Maximum file size :1 MB) Upload the Diving Certificate : (Allowed File Types :doc, xls or pdf
Maximum file size :1 MB) I hereby comply to the rules and regulations of the Association. I further undertake to protect the environment and the property of the Association as and when used.

I agreed with the above statement : *

Membership Fee :
AED 100/year can be sent by cash or cheque to
Emirates Diving Association, P.O. Box 33220, Dubai, UAE.