DCCA Training Registration Form
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Email *
Course Name *
Course Location *
Applicant's Name *
Island and Atoll *
Gender *
Age *
Date of Birth (Must be 18yrs and above) *
MM
/
DD
/
YYYY
Height (in feet), must be 5ft and above.
National ID Card Number (Please viber the ID card photo to 9958800) *
Phone Number *
Educational Qualification *
Do you know how to swim?
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Introduced by (Optional)
A copy of your responses will be emailed to the address you provided.
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