Contact information for Panvel Taluka Selection
Please fill up the form accordingly (only PANVEL Players)
Full name ( name-middle name-surname) *
LiChess ID *
Birthdate *
MM
/
DD
/
YYYY
Address *
Email *
Status *
If studying, College/School Name
If working, Company/Job Name
Fide Id
Fide Rating
Phone Number
Submit
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