dr cafe entry form final

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DATO’ ARTHUR TAN CHESS CENTRE
P p P p P p P p
DR. CAFÉ LEISURE CHESS RAPID TOURNAMENT
RESTRICTED TO 80 PARTICIPANTS ONLY DUE TO SPACE CONSTRAINTS
Date
Saturday, 29th July 2017 (AGUNG’S BIRTHDAY)
Time:
10:30 – 13:30 - Rd 1 – 3 (Lunch: 13:30 – 14:15) 14:15 – 17:00 - Rd 4 – 6
Dr. Café Coffee. Encorp The Strand, Lot No. T-47, The Red Carpet Boulevard,
Jalan PJU 5/21, 47301, Petaling Jaya, Selangor.
Venue:
GPS Location: Latitude : 3.1548330783844 -Longitude : 101.593780517578
Tie-Break:
(1) Bucholz – (2) Sonneborn Berger – (3) Cumulative
LUNCH
Time Control: 20mins to finish
PROVIDED
Dr. café COFFEE LEISURE PRIZES
CHESS RAPID TOURNAMENT
OPEN (Entry Fee RM 40.00)
UNDER-12(Entry Fee RM 25.00)
Date ofUNDER-18
Birth* (Entry Fee RM 30.00)
Sex
Name
Champion
RM 300 + 1st Place Medal + Cert
RM 200 +1st Place Medal + Cert
RM 100 + 1st Place Medal + Cert
nd
nd
Second
RM 200 + 2 Place Medal + Cert
RMRating*
100 + 2 Place Medal + Cert
RM 50
+ 2nd Place Medal
+ Cert
FIDE
Nat Rating
Country
Third
RM 100 + 3rd Place Medal + Cert
RM 50
+ 3rd Place Medal + Cert
Dr Café Souvenir + 3rd Place Medal + Cert
Address
Fourth
Dr Café Souvenir + Cert
Dr Café Souvenir + Cert
Dr Café Souvenir + Cert
Fifth
Dr Café Souvenir + Cert
Dr Café Souvenir + Cert
Dr Café Souvenir + Cert
Category
Best Girl
Dr Café Souvenir
+ Medal + Cert
Dr Café Souvenir + Medal + Cert
Dr Café UNDER-12
Souvenir + Medal + Cert
OPEN
UNDER-18
Best Selangor Player
Dr Café Souvenir + Medal + Cert
Dr Café Souvenir + Medal + Cert
Dr Café Souvenir + Medal + Cert
(√)
Contact Persons: Tournament Director: ShanYing (016-9979170 WhatsApp Only ) or Noor Dr Cafe (019 7697020)
Tel No
Email
LUNCH PACKAGE
Please select for the drink & one sandwich :

Iced Chocolate


Chicken Fajita Panini
Cheddar Cheese Panini
*Strickly to be inform that, outside food is not allowed
Bank Account: DAT CHESS CENTRE, Maybank Current Account: 5145 9822 0396, Jln Bunus, 50100 KL
MODE OF PAYMENT (Bank In) : The entry form and a copy of pay-in-slip & mobile no MUST be faxed to 03-40244337, OR a scan copy emailed to:
[email protected], [email protected], [email protected], (Attn: Abd. Hamid Majid, not later than 20th July).
An acknowledgement SMS will be sent as confirmation of receipt.
DR. CAFÉ COFFEE LEISURE CHESS RAPID TOURNAMENT
Date of Birth*
FIDE Rating*
Name
Country
Address
Category (√)
Tel No
OPEN (RM40)
UNDER-18 (RM30)
Sex
Nat Rating
UNDER-12 (RM25)
Email
Bank Account: DAT CHESS CENTRE, Maybank Current Account: 5145 9822 0396, Jln Bunus, 50100 KL