Masterskill Commonwealth Chess Championship Entry Form

THE MASTERSKILL

COMMONWEALTH CHESS

CHAMPIONSHIPS 2009

14 – 21 July, Ipoh, Malaysia

 

ENTRY FORM

 

Name: ______________________________________________      

Federation: __________________________________________

FIDE ID: __________ FIDE Title: __________ FIDE Rating:____

Citizenship:________    Passport (Country & Number):__________

E-Mail: ____________________________        

Mobile Phone: ________________________

Address: __________________________-

 

Category: Open / Women / Boys / Girls  Entry: Official / Individual

Fee:  USD 300/USD 200 /USD 100/ USD 150/USD 100/USD 50/F.O.C.

Hotel:  Official Entry/3 Star/Budget   Airport Pick Up: Yes/No

Arrival Date & Time, Flight Details:   

Departure Date & Time, Flight Details:

 

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Signature                           Federation Endorsement (As Applicable)

 
This entry is not official till USD 100 refundable deposit is made to:

Intchess (M) Sdn. Bhd. (Co. Registration No. 623221-X)
22-1  Jalan 27/70A, Desa Sri Hartamas, 50480 Kuala Lumpur, Malaysia.
Bank Account:  Maybank Berhad, Jalan Yong Shook Lin Branch
                            No. 514187 350467, Swift Code:  MBBEMYKL