lost your certificate

$100,00

La-Libertad-Diving you can go to apply for a new PADI certification card that is lost or stolen. To request a replacement certificate we need additional data that can be entered at the bottom. Simply take your time and send a fun but appropriate photo.








    • Emergency contact and phone (Optional but good to have)
    NAME PHONE NUMBER
    • Where do you stay in Mexico? *

    • Enriched Air certified?
    • • Departure date (for the NO FLY time): *
    Date
    • Diving agency : *

    • Certification level : *
    • • CERTIFICATION DATE *
    Date
    • Please upload your certification
    Browse Files
    • I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences. I also declare that if any information provided by me is found false, my dives may be rejected at any point of time. *
    • • Max depth : ( METERS OR FEET)

    • MEDICAL HISTORY
    • Could you be pregnant, or are you attempting to become pregnant? *
    • • Are you presently taking prescription medications? (with the exception of birth control or anti malarial) *
    • • Dysentery or dehydration requiring medical intervention? *
    • • Any dive accidents or decompression sickness? *
    • • Inability to perform moderate exercise (example: walk 1.6 km/one mile within 12 mins.)? *
    • • Are you over 45 years of age and can answer YES to one or more of the following? *
    • Currently smoke a pipe, cigars or cigarettes - Have a high cholesterol level - Have a family history of heart attack or stroke - High blood pressure - Diabetes mellifluous, even if controlled by diet alone.
    • Recurrent back problems? *
    • • Back or spinal surgery? *
    • • Head injury with loss of consciousness in the past five years? *
    • • Diabetes? *
    • • Back, arm or leg problems following surgery, injury or fracture? *
    • • Asthma, or wheezing with breathing, or wheezing with exercise? *
    • • High blood pressure or take medicine to control blood pressure? *
    • • Frequent or severe attacks of hayfever or allergy? *
    • • Frequent colds, sinusitis or bronchitis? *
    • • Heart attack? *
    • • Heart disease? *
    • • Any form of lung disease? *
    • • Pneumothorax (collapsed lung)? *
    • • Angina, heart surgery or blood vessel surgery? *
    • • Sinus surgery? *
    • • Other chest disease or chest surgery? *
    • • Ear disease or surgery, hearing loss or problems with balance? *
    • • Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)? *
    • • Recurrent ear problems? *
    • • Bleeding or other blood disorders? *
    • • Epilepsy, seizures, convulsions or take medications to prevent them? *
    • • Hernia? *
    • • Recurring complicated migraine headaches or take medications to pre vent them? *
    • • Ulcer or Ulcer surgery? *
    • • A colostomy or ileostomy? *
    • • Recreational drug use or treatment for, or alcoholism in the past five years? *
    • • Frequent or severe suffering from motion sickness (seasick, carsick, etc.)? *
    • • Blackouts or fainting(full/partial loss of consciousness? *
    • • Sinus surgery? *
    • • COVID 19
    Within the 40 days immediately preceding the date of this Health Declaration Form, have you:
    • 1. TESTED POSITIVE OR PRESUMPTIVELY POSITIVE WITH COVID-19 (THE NEW CORONAVIRUS OR– SARS-COV2) OR BEEN IDENTIFIED AS A POTENTIAL CARRIER OF THE CORONAVIRUS? *
    No Yes
    • 2. EXPERIENCED ANY SYMPTOMS COMMONLY ASSOCIATED WITH COVID-19 (FEVER; COUGH; FATIGUE OR MUSCLE PAIN; DIFFICULTY BREATHING; SORE THROAT; LUNG INFECTIONS; HEADACHE; LOSS OF TASTE; OR DIARRHEA)? *
    No Yes
    • 3. BEEN IN ANY LOCATION/SITE DECLARED AS HAZARDOUS WITH AND/OR POTENTIALLY INFECTIVE WITH THE NEW CORONAVIRUS BY A RECOGNISED HEALTH OR REGULATORY AUTHORITY? *
    No Yes
    • 4. BEEN IN DIRECT CONTACT WITH OR IN THE IMMEDIATE VICINITY OF ANY PERSON WHO TESTED POSITIVE WITH THE NEW CORONAVIRUS OR WHO WAS DIAGNOSED AS POSSIBLY BEING INFECTED BY THE NEW CORONAVIRUS? *
    No Yes
    • ADDITIONAL DECLARATIONS / COVID-19
    • *
    I WILL, if asked, wear a protective mask at all times while participating in the diving training / activities arranged by La Libertad Diving, and will take all reasonable preventive steps that may be recommended by , or any relevant public authority. I WILL accept and observe all instructions by La Libertad Diving intended to abide by all existing regulations, required to help prevent the risk of transmission, including having my temperature taken prior to participating in any diving activities. I ACKNOWLEDGE and ACCEPT that this declaration will be considered as my consent to La Libertad Diving o retain this declaration and disclose it to any relevant authority or service provider for the purposes of ensuring the safety of any third parties that may come in contact with me prior to, during, and after any diving activity.
    • Date of the signature of all weavers : *
    Date
    • Signature *
    • Clear

    Enter your details and send it. After sending the information you can checkout using the cart. Without payment we unfortunately can not apply for a license.

    Your temporary certification card will be sent in most cases during the opening hours of the store are by mail the same day. By incorrectly filling in your details in the form of inserts and caps may lag because it will not be found in the PADI database. We then will contact PADI EMA which again takes time. Your dive certification at your home in the mail takes about 3 weeks, the passes are made in America then sent to England and then to you.

    We wish you much fun diving!

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