潛聚力會員申請表
Divers Kinetic Membership Application Form

 

Please fill in all fields marked with * 必須填寫*
新註冊 New Apply           續會 Renewal *
會員號碼 (如有)
Membership No. (if any)
姓名 Name *
性別 Sex 男 Male 女 Female *
出生日期 Date of birth
(日dd/月mm/年yy)
* *
手提/聯絡電話 Mobile/Tel No.
地址 Address
電郵 E-mail *
hkdiver.com 會員名稱 (如有)
Usename of hkdiver.com (if any)
潛水資歷 (如有)
Diving qualification (if any)
開放水域潛水員 Open water diver
進階開放水域潛水員 Advanced Open water diver
救援潛水員 Rescue diver
潛水長 Dive master
教練 Instructor
付款資料 Payment details
(請使用自動櫃員機/ 銀行櫃台入數, 恆生銀行 259-9-099898, Holder Name: Divers Kinetic。)
並把付款資料填入空格入內
*
(Ref No., 過數日期, 過數途徑, 過數金額)
個人資料 Personal Information:
  1. 你提供的資料只作報名、統計、日後聯絡及當取消活動後處理退款時作核實身分之用。你提供的個人資料,除獲本組織授權的職員外,不會提供予其他人士。
    The personal data you provided will be used only for the purpose of joining our activities, analyzing your preference, and identity verification in the event of refund. The personal data provided will not be disclosed to any third parties without your prior consent unless required by law.

  2. 若要求更正或索取你申報的個人資料,請與我們聯絡。
    Please contact us if you would like to access or correct your personal data.
    網址 Website : www.diverskinetic.org 電郵 E-mail: info@diverskinetic.org