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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

1" X 1" ID PICTURE LATEST PHOTO

MIDDLE NAME

BIRTHDATE M /D / Y

ADDRESS

CONTACT NUMBER

PERSON TO NOTIFY IN CASE OF EMERGENCY

ADDRESS AND CONTACT NUMBER

PROFFESSION

TIN NO.

SSS NO.

GSIS NO.

FIDE ID NO. SCHOOL

TITLE

EMAIL ADDRESS

EDUCATIONAL ATTAINMENT
YEAR GRADUATED

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.

1" X 1"

PICTURE LATEST PHOTO

SEX

NUMBER

GSIS NO.

ADUATED

ATURE