E-mail Adresiniz :                          

Adı                :                                                          

Soyadı                

Cinsiyet               Male Female

ELO                   

FIDE  No           

UKD                  

TSF No              

Dogum Tarihi :     YIL AY: GUN:

Okulunuz :          

Sınıf:                   

Club                   

Lisans no :          

Adres                 

Tel           :   Uke İl:Kodu No:

Fax          :  Ulke İl Kodu No:

İli            :           

Ülkesi/    :           

Notunuzu Yaziniz:

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