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STUDENT STATEMENT: I have had STUDENT STATEMENT: I have had STUDENT STATEMENT: I have had STUDENT STATEMENT: I have had
explained to me and I understand explained to me and I understand explained to me and I understand explained to me and I understand
the questions I have missed. the questions I have missed. the questions I have missed. the questions I have missed.
_____________________________ _____________________________ _____________________________ _____________________________
Student Signature Student Signature Student Signature
Student Signature
Date _________________________ Date _________________________ Date _________________________ Date _________________________
Day / Month /Year Day / Month /Year Day / Month /Year
Day / Month /Year
Product No. 70024-AK Ver. 3.01 5/10 USE ONLY WITH OPEN WATER QUIZZES AND EXAM VERSION 3.04 ©PADI 2010
Name (Please Print) ___________________________________________________ Date __________________
Version 3.01 USE ONLY WITH OPEN WATER QUIZZES AND EXAM VERSION 3.04 ©PADI 2010
Name (Please Print) ___________________________________________________ Date __________________
1. A□ B䡵 C□ D□
2.1. A䡵 B□ C□ D□
2.2. A䡵 B□ C□ D□
2.3. A□ B□ C䡵 D□
2.4. A□ B䡵 C□ D□
2.5. A䡵 B□ C□ D□
3. A䡵 B□ C□ D□
4. A□ B□ C□ D䡵
_______________________________________
Student Signature
Date __________________________________
Day / Month / Year
Product No. 70024-AK Ver. 3.01 5/10 USE ONLY WITH OPEN WATER QUIZZES AND EXAM VERSION 3.04 ©PADI 2010