Scribd
Upload
124 views1 page

Chess Association Kerala: (Reg - No.S.333/05)

This document is an arbiter registration form for the Chess Association of Kerala. It collects personal information like name, address, contact details, FIDE rating and titles from applicants. Applicants must declare that they will abide by the rules of the association and cooperate with officials. The form also includes a section for recommendation from the applicant's District Chess Association on their knowledge and performance as an arbiter. It notes the fees required for new or renewal registrations.

Uploaded by

Varghese PD
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
124 views1 page

Chess Association Kerala: (Reg - No.S.333/05)

This document is an arbiter registration form for the Chess Association of Kerala. It collects personal information like name, address, contact details, FIDE rating and titles from applicants. Applicants must declare that they will abide by the rules of the association and cooperate with officials. The form also includes a section for recommendation from the applicant's District Chess Association on their knowledge and performance as an arbiter. It notes the fees required for new or renewal registrations.

Uploaded by

Varghese PD
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

CHESS ASSOCIATION KERALA PHOTO

(Reg.No.S.333/05)
ARBITER REGISTRATION FORM FOR THE YEAR – 20_______

( To be filled in Block Letters )

1. Name Mr. / Ms. : ___________________________________DOB : ______________________

2. Father / Husband Name : ______________________________________________________________

3. Address for communication : ______________________________________________________________

______________________________________________________________

4. Telephone with STD Code : ______________________________ Cell No : ________________________

5. Email ID : _______________________ Languages known: _____________________

7 Name of the District to which the


Arbiter belongs : _______________________________________________________________

8 FIDE Rating : ____________FIDE ID No : ___________


9 Titles if any : ___IA / FA / Sr NA ______________________________________________

Was any disciplinary action taken against you? If yes, furnish details: _________________________
10
Declaration

1. I, ________________________________ age ____________ S/o / D/o. ________________________ declare


that the particulars given above are true to the best of my knowledge and belief.

2. I also declare that I shall abide by the rules and regulations and the latest amendments and decisions of the District
/ State Chess Association / Federation as the case may be and cooperate with the officials in participating in State
and National Tournaments / Championships. I also declare that I will not officiate/Organize any un-authorized
tournament / championship

Place :
Date : Arbiters’ Signature
Recommendation from District Chess Association
Mr. / Ms.________________________________________ belongs to our state and his / her knowledge and performance
as Arbiter is Please tick the appropriate

Excellent Very Good Good Moderate

Signature of the District Secretary with seal

Note: Application to be submitted along with a fee of Rs.300/- for Renewal (Rs.500/- for New Registration). All
Payments should be paid by Demand Draft favoring Chess Association Kerala, Kottayam. For Migration from one
District Association to another, the No Objection Certificate of the former District Association has to be obtained before
getting registered with the new Association.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy