Ashutosh Chess Academy

Full Name of Student

Upload School ID Card / Birth Certificate (e.g., photo of front of ID)

Upload Government ID (Front) (Aadhaar/Passport/National ID)

Upload Government ID (Back) (Aadhaar/Passport/National ID)

Chess Level

Beginner Intermediate Advanced

Chess Achievements (if any)

Have a National Chess Federation ID?

Yes No

Have a FIDE ID?

Yes No

State/Regional Chess Association ID (Optional)

Upload State/Regional ID (Optional)

Full Name of Parent/Guardian

Occupation

Job Business

Email ID

Contact Number

Country

State

City

Name of Previous Academy or Coach (if any)

Have computer/laptop with Internet?

Yes No

Familiar with Zoom, Google Meet, etc.?

Yes No

Preferred Session Timings

Days

From

To

Terms and Conditions

Fees once paid are non-refundable and non-transferable.
Coaching sessions will be scheduled based on availability and confirmed via communication.
Students should have a distraction-free environment for online coaching.
The academy is not responsible for technical issues on the student's side.
Students must adhere to the coaching code of conduct during sessions.
Parents/guardians must supervise minors during coaching hours.

Declaration & Consent

I hereby declare that all the information provided above is accurate and true to the best of my knowledge. I agree to follow the rules and regulations of the coaching academy and consent to my enrollment in the online chess coaching program.

I agree to the terms and consent to enrollment.

Signature (Type Full Name)

Date

Chess Enrollment Form

🧒 Student Information

👨‍👩‍👧 Parent / Guardian Information

♟️ Previous Academy or Coach

💻 Online Readiness & IDs

🎯 Chess Goals

⚖️ Declaration, Terms & Consent

Terms and Conditions

Declaration & Consent