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Delhi Chess Association: Registration Form

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Delhi Chess Association For Office Use Only

(Affiliated to All India Chess Federation) ID:

Registration form Date:

(to be filled in Block letters only)

NAME:

FATHER’S NAME Passport


size photo

ADDRESS:

PHONE: MOBILE

Date of Birth D D MM Y Y Y Y FIDE ID

EMAIL:

SEX: MALE FEMALE

DECLARATION

1. I ........................................................ S/o/D/o .................................................................... residing at


(Furnish complete address) ............................................................................... ....................................
.................................................................................................. ...........................................................
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 decisions of the Delhi Chess
Association / All India Chess Federation, as the case may be and co-operative with the officials in
participating in tournaments / championships.

Date: Signature
Place:

DCA REGISTRATION RECEIPT


Name of Player ...............................................................................................................................

DCA ID: .................................. Year: ...........................................................

Date: Authorized Signatory

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