SSI Customer Information Form
SSI 客户资料表
防机器人验证 / Anti-bot: 6 + 8 = ?
请填写以下资料,用于 StormDive 在 my.DiveSSI / CCM 查询客户并注册课程。
First Name*
名(请填写拼音)
Last Name*
姓(请填写拼音)
Date of Birth*
出生日期
Email*
电子邮箱
Country of Residence*
居住国家
Preferred Language*
首选语言
简体中文
繁体中文
English
Bahasa Melayu
Units
度量单位
公制 Metric(默认)
Requested Course*
申请课程
请选择 / Please select
OW — 93700550
AOW — 93700556
OW + AOW — 93700720
其他 / Other
我确认客户已在提交注册前签署 SSI《隐私声明及数据处理同意书》,并且该文件的内容和用途已向客户详细解释。
I confirm that the registered person has signed the SSI “Privacy Statement and Data Processing Consent” prior to registration, and that the content and purpose of the form have been explained in detail.
提交 / Submit
打印 / Save as PDF
提交后由 StormDive 审核;不要在公开聊天或不安全渠道发送身份证件、支付卡资料或密码。
After submission, StormDive will review the information. Do not send identity documents, payment-card details, or passwords through public chat.