Karnataka State Under 19 Open & Girls Chess Championship 2017
This championship is for Citizen of India and Karnataka registered players only
This form is to be filled after submitting the entry fee as per prospectus
Email address
FIDE ID
Enter Fide ID If you have
Your answer
Name of Player
Enter the name as in FIDE ID
Your answer
FIDE Rating
Enter Rating if you have
Your answer
Date of Birth
Kindly email and scanned copy of Birth Certificate to promodrajmore@gmal.com
MM
/
DD
/
YYYY
Have you emailed the Birth Certificate
Male/Female
Your answer
Playing Open or Girls Category
Father/ Mother Name
Your answer
Club- District
Your answer
Mobile Number
Your answer
Address
Your answer
Entry Fee
UKCA Registraition
Life time Registered Players please provided details in the Bank details coloum
Total Fee
Your answer
Bank Transfer Details
Bank Transfer Details specify Bank name, a/c holder name,player name,transfer reference number and date of transfer
Your answer
Any Other Information
Your answer
Submit
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