Ikaya Primary School Chess Tournament 2018
REGISTRATION FORM

All Sections Open for Registration

Web Application Form: https://tinyurl.com/2018Ikaya

BANKING DETAILS
Bank Name: ABSA
Account Name: IKAYA PRIMARY
Account Number: 410 162 644
Account Type: CURRENT ACCOUNT
Please email proof of payment to lhlemnxakwe@gmail.com or 0732825553 by 18 October 2018.
Payments can also be done at the venue.

Please answer all the questions & complete one form per player.
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Section? *
Please select the relevant playing section
Required
Surname *
First Name(s) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Residential Area
In which area or suburb do you live? e.g. Stellenbosch?, Somerset West?, Durbanville?, Grassy Park?
Email address *
Cell-phone number *
Landline
Do not type hyphens or spaces.
MM
/
DD
/
YYYY
Chessa number: *
If you have a Chessa number and know what it is, enter it under "Other".
Current School or Tertiary Education Institution
Enter the name of your current school or university under "Other" below.
Clear selection
Payment *
Player Specific Payment Ref # Used or To Be Used for Electronic Payments *
Please use the player's first 3 letters of the player’s surname + initials, followed by date of birth in the format of DD MMM YYYY, as the reference number. (e.g. SmiJ23Jan1973 or KasG17Nov2001)
Payment amount paid or to be paid: *
Please do NOT type R for Rands • Simply type the number
Payment Description:
Please take a moment to describe what payment was made for (in words), which will help us identify deposits.
Comments or Questions
Please indicate if you will be absent for any rounds • Also indicate anything further which you feel we should know about, including disabilities.
Submit
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