National Chess Federation of the Philippines

4/F Rm. 407 Bldg B, Philsports Complex, PSC Compound Meralco Avenue, Pasig City Website: www.ncf-phil.org E-mail: phichessfed2012@yahoo.com

MEMBERSHIP / ID FORM
SURNAME GIVEN NAME

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MIDDLE NAME

BIRTHDATE M /D / Y

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PERSON TO NOTIFY IN CASE OF EMERGENCY

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FIDE ID NO. SCHOOL

TITLE

EMAIL ADDRESS

EDUCATIONAL ATTAINMENT
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ELEMENTARY Primary HIGH SCHOOL secondary

College/University Tournaments
NORMS/ TITLES

COURSE

CHESS ACHIEVEMENTS Date

DATE ACHIEVED

Venue
EVENT

SIGNATURE I HEREBY DECLARE THAT ALL INFORMATION GIVEN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

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