WORLD JUNIORS AND JUNIOR GIRLS U-20 CHESS CHAMPIONSHIPS

PUNE, MAHARASHTRA, INDIA05th to 20th October, 2014

Registration Form

All Entries to be forwarded by the National Federation

Please return this entry form on or before 05 th August , 2014

Tick the appropriate Box

Name of the Federation:

Telephone : Fax : E-mail :

Name of the Player / Accompanying person

FIDE Rating

FIDE Id Title Date of Birth

Gender

Passport No : Date of Issue:

Date of Expiry: Place of Issue: Please attach your recent copy of the passport.

Flight DetailsArrival Date: Time:

Arriving From: Flight No.:

Name of Responding Official :

Please return this entry form on or before 05 th August , 2014 The Hon.SecretaryRoom No.70, Jawaharlal Nehru StadiumChennai – 600 003.Ph : +91 44 65144966 Tele Fax : +91 44 25382121Email id : indianchessfed@gmail.com

Recommended by - Name : Signature :

Designation : Federation Seal

Invited player Extra Player Accompanying person