ALL INDIA CHESS FEDERATION (Reg : 125 / 1958)
ARBITER REGISTRATION FORM FOR THE YEAR – 20 – 20
For Indian Citizens Only
( 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 State / Affiliated Unit to which the
Arbiter belongs : ______
8 FIDE Rating : ______FIDE ID No : ______OLD AICF Reg.No.______
9 Titles if any : ___IA / FA / Sr NA ______
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 : Arbiters’ Signature
Recommendation from State Chess Association
Mr. / Ms.______belongs to our state and his / her knowledge and performance as Arbiter is Please tick the appropriate
Excellent Very Good Good Moderate
Signature of the State Secretary with seal
Note : Application to be submitted along with a fee of Rs.1000/- . 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.