Entrant Online Submission

Before you submit your registration and photo online, you must obtain the "PDO Verification" from your PDO. The "PDO verification" section (you can scan it or photograph it) must be included in your online application. Without the prove of "PDO verification" we can not accept your application.

Name (first, last):
Gender: Male Female
ID Number (KTP/Passport):
Home address:
City:
State:
Country:
Zip/Postcode:
Phone no:
Email:
Date of birth: (YYYY-MM-DD)
Certified diver: Yes No

Age: Under 15 15-25 26-35 36-45 46-55 56-65 Over 65
Highest education: Undergraduate Diploma University Graduate Post Graduate Other
Status of employment: Employed for wages Self-employed Unemployed Homemaker Student Military Retired Unable to work
Income per year (USD): < 10,000 10,001 - 20,0000 20,001 - 50,000 50,001 - 80,000 80,001 - 100,000 > 100,000

Is this your first dive trip to this area? Yes No
How many days did you stay in this area on this trip? 1 - 2 days 3 - 5 days 6 - 10 days > 10 days
How many people came with you on this trip? By myself 1 person 2 - 4 people 5 - 8 people > 8 people
How do you hear about this area? Word of mouth Media Exhibition Other
Have you been diving in other areas of Indonesia? Yes No
How do you compare this area generally to the other area(s) in Indonesia you have visited for diving? Better Similar Worse
Reason:
Have you been diving in other parts of the world? Yes No
How do you compare this area generally to area(s) outside Indonesia that you have visited for diving ? Better Similar Worse
Reason:
Did you participate in other activity(ies) in this area besides diving? Yes No

General diving conditions Poor Good Excellent
Coral reef and marine life Poor Good Excellent
Accommodation and food Poor Good Excellent
Transportation to this destination Poor Good Excellent
Service of the dive operator Poor Good Excellent
Dive operator's facilities Poor Good Excellent
Knowledge and experience of the dive leader / dive guide Poor Good Excellent
Value for money Poor Good Excellent

Additional comments/ inputs/ complaints:

After you submit the data above, it cannot be edited and changed. Please make sure all information are correct.

And later you can upload your photos for IWUPC.