JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inscripción FIDE DIS
Registro de Ajedrecistas con Discapacidad
* Indicates required question
Opción 1
Clear selection
Apellido
*
Your answer
Nombre
*
Your answer
DNI
*
Your answer
Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Sexo
*
Mujer
Hombre
Dirección
*
Your answer
Número de teléfono
*
Your answer
FIDE ID
Your answer
Elo Clásico
Your answer
Federación que representa
*
Your answer
Discapacidad
*
Choose
Motriz
Visual
Auditiva
Otras (especificar en comentarios)
¿Tiene Certificado de Discapacidad?
Si
No
Clear selection
Nro. Certificado Unico de Discapacidad (CUD)
*
Your answer
Fecha Vencimiento CUD
*
MM
/
DD
/
YYYY
Comentarios
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report