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

    Uploaded by

    Varghese PD
    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.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

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

    Uploaded by

    Varghese PD
    55 views1 page
    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.

    Original Description:

    Form for Arbiters

    Original Title

    Arbiter Form

    Copyright

    © © All Rights Reserved

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    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views1 page

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

    Uploaded by

    Varghese PD
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 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.

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