Karnataka State Under 11 Chess Championship - 2018 @ Udupi
TO BE FILLED ONLY AFTER PAYING THE ENTRY FEES
Account no. 01222200184581 IFSC Code: SYNB0000122 Bank: Syndicate Bank
Ac name: Shri Siddi Vinayaka Chess Academy(R) Uppunda Branch:Byndoor
NAME *
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DATE OF BIRTH *
Send scanned date of birth certificate to udpchess@gmail.com
MM
/
DD
/
YYYY
GENDER *
FIDE ID
Enter FIDE ID if have
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FIDE RATING
leave blank if you are unrated
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MOBILE NUMBER *
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EMAIL ID
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CITY *
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ADDRESS *
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ENTRY FEE *
Entry Fee Transfer Detail *
player name,mode of transfer, transfer reference number and date of transfer
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ANY OTHER INFORMATION
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