An application form for the Ocean Ranger program run by SSI GmbH, which requires applicants to provide personal information such as name, date of birth, address, and contact details. By signing, applicants agree to a 19 Euro lifetime membership fee, contribute to marine conservation practices, report any environmental violations witnessed while diving, and receive biannual emails about the program's activities and achievements without their contact information being shared.

1. OCEAN RANGER APPLICATION
SSI GmbH Johann-Höllfritsch-Str. 6 D-90530 Wendelstein eMail: info@diveSSI.com Fax: +49 (0)9129 90993850
PERSONAL INFORMATION
Name: _____________________________ First Name:____________________________________
DOB :____________________________________________________________________________
Street:___________________________________________________________________________
ZIP/POSTCODE :________ City:______________________________________________________
Phone.:________________________________ Email:____________________________________
PLEASE DO NOT FORGET TO SEND A PASSPORT PHOTO BY EMAIL (JPG)
I hereby register as an OCEAN RANGER and accept to get my OCEAN RANGER C-Card for
Euro 19,-- ( including a lifetime membership, irrespective of my training organization). I agree
to contribute to marine conservation practices. When I see environmental violations, I will
report these or I will take immediate action against these.
MISSION DEEP BLUE will inform me twice a year by email about recent activity and
achievements. My email account will be used for these information purposes only and will not
be forwarded to any third party for other purposes.
I DECLARE THAT AS AN OCEAN RANGER I WILL DIVE RESPONSIBILIY AND I AGREE TO
ADHERE TO THE OCEAN RANGER STANDARDS (which have been part of the application
form).
Date :____________ Signature :____________________________________________________