Forms

As the Centre Boss/Lead Instructor please enter the students Unique Reference Number (URN). The URN can ONLY be used once to apply for the qualification card for that specific course. REMEMBER you can only have 1 x course to 1 x Unique Reference Number (URN). Please take a passport style head shot of the student and attach image to their form area. Once you have completed the form as the instructor please add your Centre name, instructor name, instructor number and BSAC membership number at the foot of the form to verify they have completed their course.

YOU CAN ONLY APPLY FOR ONE QUALIFICATION FOR THE GROUP OF STUDENTS BEING AWARDED.

The qualification card will then be issued in due course to the student by BSAC Egypt.

All fields marked with * are required.

Student 1 - Details

Please list the name, BSAC number and URN for the student in the format below:

John Diver - A001234 - URN:000000

1. Student details

1. Upload passport photograph

1. Alternative delivery address

1. If training was completed in a drysuit please check button

Drysuit

Student 2

2. Student details

2. Upload passport photograph

2. Alternative delivery address

2. If training was completed in a drysuit, please check button

Drysuit

Student 3

3. Student details

3. Upload passport photograph

3. Alternative delivery address

3. If training was completed in a drysuit, please check button

Drysuit

Student 4

4. Student details

4. Upload passport photograph

4. Alternative delivery address

4. If training was completed in a drysuit, please check button

Drysuit

Student 5

5. Student details

5. Upload passport photograph

5. Alternative delivery address

5. If training was completed in a drysuit, please check button

Drysuit

Student 6

6. Student details

6. Upload passport photograph

6. Alternative delivery address

6. If training was completed in a dryuit, please check button

Drysuit

Centre name and Lead instructor/Instructor verification

Centre name

Name of instructor

Instructor number

Instructor membership number

Course date completed

Please use the following date format: dd/mm/yyyy. If your course covers more than one day please use the last date of the course.

Was the training completed at a registered Centre/Branch partnership

Qualification to be awarded to the student

Please select the course that your student/s have completed. You can only select one course.

Diver Grades

Snorkel Grades

SDC - Rescue

Last step

BSAC Egypt pre-paid qualification card application

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