Hatsun Idhayam 6th SCS International Fide Rated Open Chess Tournament

Entry Form

1. FIDE ID NO:..................................

2. Name (as in the FIDE list):……………………………………………………………………………….

3. Date of Birth:………………………………………….. Male Female

4. Fide Rating (If any):……………………

5. Address:………………………………………………………………

…………………………………………………………………………

6. Whether Accomodation required: Yes / No : If yes No. of person:

Name of accompanying person ……………………

Relation with player:………….. Age:……….. Accommodation with food fee for 5 days (Rs.750 x No. of persons) = ……….

.

7. Mobile No: ........…………………………………….

8. E-Mail: ………………………………………….

9. AICF Registration No:……………………………………………………………. (Fee enclosed/ Registration proof enclosed)

10. TNSCA Registration No (for TN Players only):…………………………………..

(Fee enclosed/ Registration proof enclosed)

11. VirudhunagarDCA Registration No (for Virudhunagar District Players only):

…………………………….. (Fee enclosed/ Registration proof enclosed)

Cash Deposit in Bank/Neft/Online Payment/ Demand Draft (DD)No…………………………… dt……………. for Rs ……………… in favour of “ SIVAKASI CHESS SPARKLERS” Payable at Sivakasi drawn On……………………Bank is enclosed.

Date: Signature