| Document Date: 2014-01-14 18:20:27
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Company International PADI Inc. / / Country French Polynesia / / IndustryTerm scuba equipment / respiratory and circulatory systems / / MedicalCondition allergies / panic attacks / active asthma / seizures / hayfever / fainting / nervous system disorder / emphysema / bronchitis / agoraphobia / pneumothorax / stroke / heart disease / ear infection / diabetes / blackouts / serious injury / injury / lung disease / heart attack / ear disease / angina / epilepsy / high blood pressure / sinusitis / blood disorders / tuberculosis / claustrophobia / asthma / / MedicalTreatment sinus surgery / ear surgery / heart surgery / surgery / chest surgery / / Organization Female Tahiti Dive Center / PADI Dive Center / / Person Paul Gauguin / Laurent Luchet / Clement Casadei / Thierry Cadeau / / Position physician / PADI Open Water Diver / / SportsGame scuba diving / / Technology pdf / /
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R Discover Scuba/Discover Scuba Diving Statement Return top portion to PADI for Instructor Credit. You must register participants within 30 days of their first open water dive. PADI Instructor Statement: