Have you read and understood the ADAS Conditions of Certification?* Yes View the ADAS Conditions of Certification.Application TypeHas your ADAS certification expired more than 2 years ago?* Yes No If your ADAS certification has expired more than 2 years ago an additional rejoining fee of $150 (ex GST) applies. You will also need to provide Proof of Competency later in this application. Rejoining fee: Price: Select your renewal application type:*Diver RenewalSupervisor RenewalDiver and Supervisor RenewalOther RenewalPlease select which type of diver certification you want to renew.*Aquarium diver: $300.00 + GSTAquaculture diver: $350.00 + GSTPart 1 Restricted / Scientific diver (Restricted SCUBA to 30m): $300 + GSTPart 1 diver (SCUBA to 30m): $300 + GSTPart 2 Restricted diver (Restricted SSBA to 30m): $350 + GSTPart 2 diver (SSBA to 30m): $350 + GSTPart 3 Restricted diver (Restricted SSBA to 50m): $350 + GSTPart 3 diver (SSBA to 50m): $350 + GSTPart 4 diver (Closed Bell): $500 + GSTPlease select which type of supervisor certification you want to renew.*Aquarium supervisor: $300 + GSTAquaculture supervisor: $350 + GSTPart 1 only supervisor (SCUBA to 30m): $350 + GSTPart 2 only supervisor (SSBA to 30m): $350 + GSTPart 3 only supervisor (SSBA to 50m): $350 + GSTPart 1 & 2 supervisor (SCUBA & SSBA to 30m): $350 + GSTPart 1 & 3 supervisor (SCUBA to 30m & SSBA to 50m): $350 + GSTOffshore Air supervisor: $350 + GSTOffshore Air & Bell supervisor: $450 + GSTPlease select which type of certification you want to renew.*Chamber Operator - Stand alone qualification only: $300 + GSTAdvanced Chamber Operator: $300 + GSTLife Support Technician: $350 + GSTAtmospheric Diving System pilot: $300 + GSTRemote Operated Vehicle Pilot/Technician Level II: $300 + GSTHyperbaric Tunnel Worker: $150 + GSTLock Operator - Tunnelling: $150 + GSTDo you currently hold any of the below endorsements?* Chamber Operator Nitrox Heliox (SSMG) Don't have an endorsement If you wish to apply for an endorsement, please submit evidence of your Chamber Operator, Nitrox or Heliox certification.Applicant DetailsADAS Number: Name* First Last Postal Address* Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Shipping Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePlease select a shipping country to ensure your items are delivered correctly.Residential Address* Same as previous Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Mobile/Cell*Email* Is your billing address different?* Yes Billing addressIf your employer will be paying for your application, please enter the company details here.Company Details* Company Name Contact Name Email Address Company / Billing Address* Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Competency & QualificationsPlease attach a high quality passport style photo:*Accepted file types: jpg, jpeg, Max. file size: 50 MB.Photo to be taken within the last twelve (12) months. Files accepted: jpg, jpegPlease attach a high quality copy of your passport or alternative identification (e.g. drivers licence, ID Card):*Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB.Files accepted: jpg, png, pdf, doc, docx, jpegPlease attach your log book:*Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB.Attach a copy of your logbook showing you have completed at least logged 20 occupational dives/supervisions in the last 24 months. Logs must be signed by a supervisor and show the company stamp. Files accepted: jpg, png, pdf, doc, docx, jpeg.When was your current First Aid Certificate issued?* MM slash DD slash YYYY Divers/Supervisors - must also provide a copy of their current First Aid, CPR and Oxygen Management certifications. First Aid to be issued in the previous 3 years, CPR and Oxygen Management to be issued or demonstrated in the previous 12 months.Please attach your First Aid Certificate documentation:* Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB. Files accepted: jpg, png, pdf, doc, docx, jpegWhen was your current Oxygen Management & CPR qualification issued?* MM slash DD slash YYYY Please attached your Oxygen Management & CPR qualification documentation:* Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB. Issued or demonstrated within (12) months of the application date. NB: Oxygen Management and CPR certifications are to be issued within the previous twelve (12) months of application date. If Oxygen Management and CPR qualifications are not held, attach a Letter of Confirmation stating you have undertaken a Current Proficiency Assessment. This assessment can be performed by any competent person including: a Doctor; a Rig Medic; or a First Aid instructor. The Letter of Confirmation is to be signed by the assessor and written on letterhead paper. Please contact ADAS for assessment guidelines if required. Files accepted: jpg, png, pdf, doc, docx, jpeg.Please attach your Occupational Diver Medical Certificate:*Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB.Files accepted: jpg, png, pdf, doc, docx, jpegPlease attach your IMCA Continued Professional Development (CPD) evidence:*Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB.CPD evidence can be uploaded either as a Certificate of Completion showing your full name, or you can share your progress with firstname.lastname@example.org. If you don't have a Certificate of Completion you can upload a screenshot of your progress and then follow up by sharing your progress with ADAS. Files accepted: jpg, png, pdf, doc, docx, jpegPlease upload any additional files that may assist us with your application: Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB. E.g. Nitrox certification if you're applying for a Nitrox endorsement. Files accepted: jpg, png, pdf, doc, docx, jpeg.DeclarationApplicant declaration* I agree to the following I understand and warrant that, by my submission of all information herein electronically, I acknowledge that all information is submitted on the basis that it is truthful in its entirety and has the same effect as if I had personally executed this application. I understand that my electronic submission of the information herein, entitles ADAS, its Officers, Servants and/or Agents, to rely upon same as being truthful and accurate and I indemnify, and keep indemnified, all Parties that rely upon the information electronically submitted therein in the event that any such information is found to be false and/or misleading.Additionally, I understand, and agree to abide by, the conditions set out in the "Conditions of ADAS Certification" and that in making this application I am certifying that I: am current in the practical and theoretical skills and knowledge relevant to my level of ADAS certification as identified in the ADAS Diving Competency Standards; hold current First Aid, Oxygen Management, and CPR qualifications in accordance with Australian national requirements; have current medical certificates that meet requirements for occupational diving (if relevant). I also understand that I may be required to demonstrate to ADAS though the provision of log books or other appropriate equivalent evidence how those relevant skills and knowledge have been maintained. Application PaymentNote: GST is applicable to Australian destinations only.Australian shipping and handling Price: International shipping and handling Price: GST included in total: Price: $ 0.00 Total Payment Due: $ 0.00 How would you like to pay?* Credit Card Paypal Bill to Company Bank Cheque or Money Order Credit Card* MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name IMPORTANT: Do not close your browser once payment is submitted. If you're paying by credit card or PayPal, you will be transferred to a secure payment page when you click submit. Once the payment process is completed you will be returned to our website. Please wait till you are returned to the website before closing your browser. If you close the browser before this time we may not receive your order.If your company is paying for your application/order please ensure you enter all the relevant details in the 'Billing Address' section.Please make cheque or money order for payable to: "ADAS" and mail to 526 Duncan Road, Dunoon, NSW, 2480. Please allow approximately 7-10 working days for payment to be received.