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CIUDAD DE PAMPLONA
"PEPE LEUZA in Memoriam"
Formulario de inscripción / Registration form
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* Indicates required question
Email
*
Your email
Nombre / First Name
*
Your answer
Apellidos / Last Name
*
Your answer
Número DNI o Pasaporte / ID card or Passport number
*
Your answer
Código FIDE / FIDE ID
*
Your answer
ELO FIDE / FIDE Rating
*
Your answer
Titulación / Title
*
GM
IM
FM
CM
WGM
WIM
WFM
WCM
Ninguno de los anteriores / None of the above
Required
País / Country
*
Your answer
Autonomía / Autonomous Community
*
Choose
Andalucía
Aragón
Asturias
Baleares
Canarias
Cantabria
Castilla y León
Castilla La Mancha
Catalunya
Euskadi
Extremadura
Galicia
La Rioja
Madrid
Murcia
Navarra
Valencia
Ceuta
Melilla
Fuera de España / Outside Spain
Fecha de nacimiento / Birthday
Fecha
*
MM
/
DD
/
YYYY
Número de teléfono móvil de contacto / Contact mobile phone number
Your answer
Si necesita pedir bye en alguna ronda, indíquelo aquí / If you need to request a bye at any round, check the appropriate box
R 1
R 2
R 3
R 4
R 5
R 6
R 7
R 8
R 9
Observaciones / Comments
Your answer
Al hacer clic en esta casilla, el participante autoriza a la organización a tratar sus datos y acepta el uso de fotografías, audio y vídeo para el envío de comunicaciones a efectos de publicidad y difusión de noticias e información del torneo.
By clicking this checkbox, the player authorizes the organizers to treat their data and accepts the use of pictures, audio and video for sending communications for the purposes of advertising and dissemination of news and information of the tournament.
*
I agree with the terms / Acepto las condiciones
Required
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