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
* Required
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
/
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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