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Diver Statement (Australia) Mobile App

The Diver Statement mobile app is designed to provide personnel with a company's diving statement including terms and conditions and equipment. The app allows the user to sign up for diving services and provides the ability to capture signatures for different levels of qualification. The statement serves as an agreement between a client and diving company.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Diver Statement (Australia) Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico dropdown

    Have you dived the HMAS Brisbane before?

  • Ico checkbox

    Diving EX-HMAS Brisbane

  • Ico checkbox

    Reef Diving

  • Ico textbox

    Name:

  • Ico multiline

    Postal Address:

  • Ico textbox

    Suburb:

  • Ico textbox

    Postcode:

  • Ico textbox

    Email Address:

  • Ico statictext

    By providing your email address you give permission for company to contact you in regards to divi...

  • Ico textbox

    Mobile No.

  • Ico textbox

    Phone No.

  • Ico date

    Date of Birth:

  • Ico textbox

    Emergency Contact:

  • Ico textbox

    Emergency No.

  • Ico dropdown

    Qualification Level:

  • Ico textbox

    Other (specify):

  • Ico textbox

    Diver No:

  • Ico integer

    No.

  • Ico date

    Date last dived:

  • Ico statictext

    Dates diving with company:

  • Ico date

    from:

  • Ico date

    to:

  • Ico statictext

    Card sighted by staff

  • Ico textbox

    Initial:

  • Ico statictext

    Please read the following points carefully.

  • Ico statictext

    I understand and state that I am physically and mentally capable and trained to participate succ...

  • Ico statictext

    I have no medical condition that would affect my ability to safely dive and I am not taking any ...

  • Ico statictext

    I will not fly within 24hrs from surfacing after my last dive.

  • ...and More!

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