UNITED KARNATAKA CHESS ASSOCIATION ®

(Affiliated to All India Chess Federation and Recognized by SAK, & Dept. of Youth Services & Sports, Govt of Karnataka)

Instructions to register for UKCA Membership

Step 1: Please make NEFT/IMPS transfer of onetime fee of Rs. 1,000/- to below account. Membership goes into effect April 1st, 2016 onwards.

             Bank Name : State Bank of India
             Branch : Mysore Bank Circle Branch, Bangalore
             Account : United Karnataka Chess Association
             Account No. : 37696954575
             Account Type : Current
             IFSC Code : SBIN0040007
Step 2: After making NEFT/IMPS, please capture the screenshot of the transaction along with transaction Reference Number.
Step 3: Keep scanned copy of your passport size photograph (jpg format) and Date of Birth Certificate Image (jpg format) ready. You need to upload these pictures when you are registering. Photo image should be exactly 132px X 170px and Date of Birth Certificate Image should be within 595px x 842px. File size should not be more than 2MB. Click here for Instructions to resize an Image.
Step 4: Accept the below check box when you have completed the above steps.
Step 5: Fill in the Registration Form as shown below thoroughly without any mistakes and upload the PP Size photo Image and DOB image and click submit. Once you submit your information, one filled form will be generated. You need to right click on the generated page and print the membership form, sign it and send it via email to ukcareg@gmail.com along with and NEFT/IMPS screenshot.
Step 6: The player ID Card will be emailed within 10 working days of the receipt of the Membership Form email with payment.

I have understood all the steps and I am ready with all requred details(Click the checkbox to fill the form)

PLAYER’s MEMBERSHIP FORM

(For Karnataka Residents Only)

(Scanned image of Passport size photo of dimensions 132 pixels X 170 pixels in .png or .jpg format. File size should not be more than 2MB.)

Your Name :*

Player Name should be same as the one in their date of birth certificate. Please mention the name and then the Initials. E.g. If date of birth certificate says K. H. Rama, please write it as Rama K H (no dots)

Son / Daughter of :*

Gender :* Female Male

Communication Address:*

City Name :*

Pin Code :*

Telephone with STD Code :

Cell No :*

Email ID :*

Date of Birth :* Under 19 Upload DOB Proof. Maximum allowed size of 2Mb.

Date of Birth Certificate (issued only by Panchayat or Registrar of Birth & Death) to be enclosed with registration form if the player is less than 19 years of age. File size should not be more than 2MB.

Place of Birth:*

Name of the District You are Representing :*

Are you an Indian Citizen ?* Yes No

FIDE ID :

Was any disciplinary action taken against you ?* Yes No

Disciplinary Action Details:*

Membership Fee Payment Reference No. & Date:*

Declaration

I declare that I shall abide by the rules and regulations and the latest amendments and decisions of the United Karnataka Chess Association / All India Federation as the case may be and cooperate with the officials in participating in State and National Tournaments / Championships.
I declare that I shall represent UKCA in all National Championships subject to eligibility as long as I live in Karnataka.
I understand that my membership is non-refundable and is valid as long as I live in Karnataka.

I agree to all the terms mentioned above

Once you have verified that all above details are correct, Click this checkbox and you will get a submit button

What is the sum ?