Professional Documents
Culture Documents
MEMBERSHIP FORM
_________________________________ ____________________________ ____________________________
First Name
Middle Name
Last Name
Gender: ____________
Age: ___________
Rated : Yes _____ No ______ Rating: _________ FIDE/Natl ID: _____________ Title: __________________
Complete Address: ____________________________________________________________________________
_____________________________________
Person to notify in case of emergency
______________________________________________
Address and Contact Number
Cellphone: ____________________________________
E-mail: __________________________________