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ALL INDIA CHESS FEDERATION (Reg : 125 / 1958)
FIDE ARBITER SEMINAR REGISTRATION
( 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 Country / State / Affiliated Unit to which the
Arbiter belongs : _______________________________________________________________
8 FIDE Rating : ____________FIDE ID No : ___________OLD AICF Reg.No.____________
9 Titles if any : ___ ______________________________________________
10. I have enclosed my biodata : Yes / NO
11 Was any disciplinary action taken against you ? If yes, furnish details : _________________________
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 in any un-authorized
tournament / championship
Place :
Date : Participant Signature
Recommendation from State Chess Association ( Applicable only for Indian Participants )
Mr. / Ms.________________________________________ belongs to our state kindly enroll him / her in the seminar
Signature of the State Secretary with seal
Note : Application to be submitted along with the prescribed fee. All Payments should be paid by Demand Draft
favouring All India Chess Federation payable at Chennai. For Migration from one Affiliated Unit / State Association
to another, the No Objection Certificate of the former Affiliated Unit is to be obtained before getting registered with the
new Association.