U.P. State FIDE Rating Chess Tournament-2011
(Affiliated with All India Chess Federation)
Lucknow - 7th to 11th June, 2011
Entry Form
Name of Player (In capital letters) | Category | |
FIDE Rating (only for Rated players) | ||
FIDE ID | ||
Father’s Name | ||
Date of Birth | ||
Address | ||
State | ||
E.Mail ID | ||
Mobile No./Phone No. | ||
District / School/ Institution representing | ||
Payment Details:-
Entry fee for regular players Rs. 1000/- ( only 4 players from a Unit ) : ………………..
Special entry fee ( open) Rs. 1250/- :- ………………..
Accompanying person Charges :- ………………..
UPCSA Registration Fee 2011-12 (Rs.100) :- ………………..
AICF Registration Fees ( 2011-12 Rs.250/- ) :- ………………...
LDCSA Registration Fees (2011-12 Rs.100/- ) Only For Lucknow Players:- ………………..
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Total Rs:-
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Checked By :- ……………………………………….
Payment Received by Mr…………….
Receipt No. …………….. Coupan issued to ……………………………………
(Three Ticket Size Photo graphs required For Out Station Player and Five for Lucknow players.)
