CHESS ASSOCIATION KERALA
Aaryattuparampil Building, Behind Andhra Bank,
Kanjikuzhy, Kottayam-686004
PLAYERS REGISTRATION/APPLICATION FORM
(For the period 1st January 20 to 31st December 20 , Rs. 100/- per player)
1. Name of Applicant (BLOCK Letters) Male/Female
2. Name of Father
3. Member of which District Association
4. Age as on 01st January & Date of Birth
5. Proof of date of birth
6. Permanent Address
7. Status
8. Phone
9. Mobile
10. Fax
11. E-mail
1. I,S/o/D/o residing at
...(furnish full address)
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 decisions of the Chess
Association Kerala/ All India Chess Federation, as the case may be and co-operate with the
officials in participation in the chess tournaments/championships.
3. I also declare that I will not participate in any tournaments/championships, not
authorized/recognize by the CAK or its parent body AICF and I opt for ...
District Association/Employer for playing in Chess tournaments during the period 1 st January
20 to 31st December 20 .
4. I shall also be responsible o return/produce the CAK Registration Card as and when required
at the venue of tournaments or to the CAK office.
Place:
Date: Name and Signature of Player/Parent
(After paying the Registration fee, insist on receiving the signed receipt below)
TEMPORARY
RECEIPT
The CAK Registration fee of the following player has been received
Sri. / Smt. . for the period 1st Jan 20 to 31st Dec 20
Place:
Date:
(Rubber Stamp of the Organizer) Name of the Organizer
(Name in Block letters)