International Diving Schools Association ______

(Reference : Section 4.3)
IDSA OPERATIONAL & ADMINISTRATIVE PROCEDURES
APPENDIX F2 : IDQC REQUEST - AFTER GRADUATION
SCHOOL : Reference No ;
ADDRESS :
This is to certify that the divers listed on the attached sheet(s) were not issued with an IDQC on graduation for one
of the reasons described in Sections 4.3.1 to 4.3.4 below - tick Table as appropriate)
4.3.1 Graduated from a Full Member School and a card was
not issued
4.3.2 Graduation was before the School became a Full
Member
4.3.3 Card not issued on graduation and the School has
since closed
4.3.4 Card no issued on Graduation because of insufficient
bottom time
and may be awarded the IDSA Qualification indicated below :
IDSA QUALIFICATIONS
IDSA LEVEL 1 :
Commercial SCUBA Diver
(Modules A+B)
IDSA LEVEL 2 :
Surface Supplied Inshore Air Diver
(Modules A+B+C)
IDSA LEVEL 3 :
Surface Supplied Offshore Air Diver
(Modules A+B+C+D)
IDSA LEVEL 4 :
Closed Bell/Mixed Gas Diver
(Modules A+B+C+D+E or A+C+D+E)
SIGNED NAME (Please print)
DATE
For use by School For Use by Secretariat
Date forwarded to IDSA Secretariat Date received at Card Order Number Date of Issue (See
IDSA Secretariat
note 1)
Date IDQC’s received
Notes :-
1. The date of Issue will be the date this form is received at the Secretariat.
2. The attached form is designed to allow divers who graduated on different dates, and at different IDSA
Levels to be listed at the same time.
(Publications – OAP) 9 December 09 77