Registration Form

ENTRY FEE : Rs. 2500/-
GM/IM/WGM/WIM FREE
Chandigarh Players Rs. 2200/-
Discount of Rs. 300 if received on or before 10th Dec, 2016

Last Date of Entry: 17-12-2016

  1. Entries must be deposited by 17 Dec, 2016, thereafter a late fee of Rs. 300/- will be charged.
  2. Entries should be sent by DD in favor of “Chandigarh Chess Academy” payable at Chandigarh.
  3. For online transfers (NEFT):-

A/C Name: Chandigarh Chess Academy. Bank Name: Bank of Maharashtra. A/C No. : 60060371863. A/C Type : Current A/C. IFSC Code: MAHB0001296

Note : please send the transfer slip via Email to nbansal99@yahoo.com.

Address for sending entries :

Dr. Vipnesh Bhardwaj, Chairperson,Chandigarh Chess Academy.

House No. 58, Sector-16 A, Chandigarh-160015

Mobile : 09814615100, Email: nbansal99@yahoo.com, vipneshb@gmail.com
Registration Form

(Please transfer the money before registering and attach the payment proof below)

Name (required)
Son/Daughter of (required)
Gender (required) Male Female 
Email (required)
Mobile No.(required)
Address
Date of Birth (required)
Name of the State / Affiliated Unit to which the
Player belongs (required)
AICF Reg. No. (leave blank if you don't have)
Fide Rating (leave blank if you don't have)
Fide Id No. (leave blank if you don't have)
AICF Fee (Rs. for the Year 2016-17) (leave blank if already paid)
Entry Fee (Rs.) (required)
 Attach payment proof
Accommodation Charges(Rs.)
Remarks (please mention any other details below)
File1 File2

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