Karnataka State Under 25 Chess Championship 2017
To be filled only after transferring entry fee as per prospectus
This championship is for Citizen of India and Karnataka registered players only
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Email address
FIDE ID
Enter FIDE ID if you have
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Name
Enter name as per FIDE ID
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Date of Birth
Kindly forward scanned copy of Birth Certificate to promodrajmoree@gmail.com
MM
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DD
/
YYYY
Have you emailed the Birth Certificate
FIDE Rating
leave blank if you are unrated/ not played rated tournament
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Gender
Male/Female
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Father/Mother Name
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Mobile Number
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District
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Address
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Entry Fee
Refer prospectus for details of entry fee
UKCA Registration
Life time Registered Players please provide details in the Bank details coloum
Entry fee Transfer Details
player name,mode of transfer, transfer reference number and date of transfer
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Any Other information
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