Ikaya Primary School Chess Tournament 2017
REGISTRATION FORM

All Sections Open for Registration

Web Application Form: https://tinyurl.com/2017Ikaya

BANKING DETAILS
Bank Name: ABSA
Account Name: IKAYA PRIMARY
Account Number: 410 162 644
Account Type: CURRENT ACCOUNT
Please email proof of payment to lhlemnxakwe@gmail.com or 0732825553 by 19 October 2017.
Payments can also be done at the venue.

Please answer all the questions & complete one form per player.

Section? *
Please select the relevant playing section
Required
Surname *
Your answer
First Name(s) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Residential Area
In which area or suburb do you live? e.g. Stellenbosch?, Somerset West?, Durbanville?, Grassy Park?
Your answer
Email address *
Your answer
Cell-phone number *
Your answer
Landline
Do not type hyphens or spaces.
Your answer
MM
/
DD
/
YYYY
Chessa number: *
If you have a Chessa number and know what it is, enter it under "Other".
Current School or Tertiary Education Institution
Enter the name of your current school or university under "Other" below.
Payment *
Player Specific Payment Ref # Used or To Be Used for Electronic Payments *
Please use the player's first 3 letters of the player’s surname + initials, followed by date of birth in the format of DD MMM YYYY, as the reference number. (e.g. SmiJ23Jan1973 or KasG17Nov2001)
Your answer
Payment amount paid or to be paid: *
Please do NOT type R for Rands • Simply type the number
Your answer
Payment Description:
Please take a moment to describe what payment was made for (in words), which will help us identify deposits.
Your answer
Comments or Questions
Please indicate if you will be absent for any rounds • Also indicate anything further which you feel we should know about, including disabilities.
Your answer
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