24TH GACC IVCC Registration Form (International) (1) - 1

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

IVCC24TH_INTERNATIONAL_A

24TH GACC CHESS CHAMPIONSHIP


TUANKU BAHIYAH RESIDENTIAL COLLEGE, UNIVERSITY OF MALAYA,
50603 KUALA LUMPUR, MALAYSIA
Tel: 03-7967 3416 / 03-7954 3603
E-mail: gacc24delegateaffairs@gmail.com

24TH GACC INTERNATIONAL INTER-VARSITY CHESS CHAMPIOSHIP (FIDE RATED)

REGISTRATION FORM (INTERNATIONAL PARTICIPANTS)

NAME OF CONTACT PERSON* :

UNIVERSITY/ COLLEGE* :

COUNTRY* :

ADDRESS :

DESIGNATION : Player/ Manager/ Coach EMAIL*:

TELEPHONE NUMBER* : FAX:


*Mandatory fields

Individual Player
Name (Underline Surname) Gender FIDE ID* FIDE RATING* Passport Number & Expired Date

Team
Name (Underline Surname) Gender FIDE ID* FIDE RATING* Passport Number & Expired Date
IVCC24TH_INTERNATIONAL_A

Accompanying Personnel (Team Manager/ Coach etc.)


Name (Underline Surname) Gender FIDE ID* FIDE RATING* Passport Number & Expired Date

*Participants are required to attach one passport sized photo together with registration form.
*Players should be registered as per board order upon submission. Charges in board order, changes of names etc. will
be surcharged @USD 10 per change.

Food preference: (Vegetarian/ Chicken Rice)

Food Allergic: Yes / No *If yes, please state:

T-Shirt Size: (2XS, XS, S, M, L, XL, 2XL)

Transportation Details

Arrive By Air: Refer Section A Others: Refer Section B

Section A (By Air):

Date Time (Local Time – Malaysia) Carrier & Flight Number


Arrival
Departure

Section B (By other modes of transportation):

Mode of transport: Date of Arrival:

Time: Location of arrival in Malaysia:

*Transportation from airport to Tuanku Bahiyah Residential College only provided from 9.00 a.m. to 4.00 p.m. .(local
time-Malaysia)
*No transportation will be provided for departure to Airport.

Accommodation Details

a) International Participant
Description Fees Per Individual (USD) Tick (/)
No Food, No Stay 120
No Stay 150
Normal (Stay at KK2) 170
Normal (Stay at Hotel) 370

b) GM, WGM, IM, WIM, FM and WFM


Description Fees Per Individual (USD) Tick (/)
Normal (Stay at KK2) 120
Normal (Stay at Hotel) 320
IVCC24TH_INTERNATIONAL_A

c) Accompanying Personnel
Description Fees Per Individual (USD) Tick (/)
Normal (Stay at KK2) 110
Normal (Stay at Hotel) 310

Amount of Payment (Please choose either one of the categories)

a) International Participant
Description Fees Per Individual (USD) Number of Players Total (RM)
No Food, No Stay 120
No Stay 150
Normal (Stay at KK2) 170
Normal (Stay at Hotel) 370
TOTAL

b) GM, WGM, IM, WIM, FM and WFM


Description Fees Per Individual (USD) Number of Players Total (RM)
Normal (Stay at KK2) 120
Normal (Stay at Hotel) 320
TOTAL

c) Accompanying Personnel
Description Fees Per Individual (USD) Number of Persons Total (RM)
Normal (Stay at KK2) 110
Normal (Stay at Hotel) 310
TOTAL

*Please do not attach your payment along the registration form. You are only required to make your payment upon
arrival.

DECLARATION

I/We agree to participate in this 24TH GACC INTERNATIONAL INTER-VARSITY CHESS CHAMPIONSHIP 2019
and to abide by its rules and regulations.

NAME OF PARTICIPANT/ TEAM MANAGER:

Signature of Team Manager Seal of University/ Institute Date

*Kindly return this registration form to the organizing committee by: 22nd of December 2019.

You might also like