AD Chess Club - Registration Form

Membership Form

Fill out the form carefully for registration
Registration Date *

DayMonthYear
Date
Nationality *
English Full Name As per Passport *
Full Name
Name*

First NameMiddle Name Family Name
Date of birth*

MonthDayYear
Gender*
Address*

Street, Building

Street Address Line 2

CityArea

P.O. Box
School / University (if any) *
NA if no School
Passport Number*
Passport Expiry Date*

DayMonthYear
Date
Emirates ID Number*
Emirates ID Expiry Date*

MonthDayYear
Date
FIDE ID ( If any )
if any
Chess.com ID ( If any )
If any
E-mail*

Confirmation Emailexample@example.com
Mobile Number*
Father Tel. Number*
your mobile number if you above 18 years
Please upload your photo*
Emirates ID ( Front )*

Front page
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Emirates ID ( Back )*

Back page
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Passport copy*

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Photo (passport size)*

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Note : Training is available only for the UAE nationality students between 5 to 16 years old
Signature*

Clear
Please verify that you are human*
Should be Empty:

Membership Form