ENTRY FORM

ODYSSEY CHECKMATE-2011
11TH – 13TH March, 2011
(For SCHOOL/COLLEGE Students)





1.         Name                    : ____________________________________________                        PHOTHO

2.         YEAR/BRANCH   : _____________________________________________

3.         COLLEGE        : _______________________________________________

4.         Email ID           :  __________________________________ Cell No: ________________________

5.         ADDRESS         :  __________________________________________________________________

6.           CHECKMATE ID No: ___________________________________________

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 CHECKMATE Association I hereby declare that I will abide by the tournament rules and regulations and any misconduct on my part may result in my expulsion from the tournament.
3.                   Decision of checkmate association will be last and I have no objection further.
Date   :                                                                                                                         Signature
.LAST DATE OF ENTRY: 10TH MARCH, 2011 (with late fees 11th March, 2011)
……………………………………………………………………………………………………………………

RECIEPT                                                              www.sagarcheckmate.blogspot.com

NAME:__________________________________________

BRANCH/YEAR:_________________________________

COLLEGE:   _____________________________________      CHECKMATE ID NO._________________


RECEIVING:______________________________________    DATED:_________________________