The Addicts Golfing Society of Southern India ENTRY FORM COCHIN MEET 16th & 17th January 2015 (Friday & Saturday) Name: Mr/Miss/Mrs: …..................................................................H/C............Home Club............................................... Membership Status: Life Member ____ Invitation Member ____ *Addicts Code No..................................... *Those who have been confirmed but have not got their permanent numbers can still use their invitation addict number till such time your permanent number is allotted. Dependent Member: ….................................................................H/C...............Date of Birth......................................... (Dependent Members (Spouse and/or Child below the age of 21) must be accompanied by the Addicts Member) Doubles Event DHARM’S CUP: Four Ball Vs Par Competition (Gents: Full H/C: Max 18 strokes, Ladies: Full H/C: Max 24 strokes) Friday 16th January 06:30 A.M. 12:30 P.M. ____ ____ NOT PLAYING ____ Singles Event G. V. RAJA MEMORIAL CUP: Gents: Full H/C: Max 18 strokes, Ladies: Full H/C: Max 24 strokes) Singles Net Stableford Saturday 17th January 06:30 A.M. 12:30 P.M. ____ ____ NOT PLAYING ____ **BALAN NAMBIAR MEMORIAL CUP: Singles Gross Stableford **KERALA ADDICTS SENIOR GOLFER’S TROPHY: Net Stableford for Senior Golfers Singles Net Stableford, Max H/C 24, for Addicts above 65 years as on 17th January 2015 Date of Birth(dd/mm/yyyy)............../............./19............. (Compulsory for considering entry to Senior Event) **Will be played concurrently with G. V. RAJA MEMORIAL CUP The Addicts Golfing Society of Southern India COCHIN MEET 16th & 17th January 2015 Tournament Entry Fee: (Includes Friday & Saturday Dinner Charges, payable by all Playing Members including Dependants Spouses are our honoured guests) Rs. 2,500.00 Super Seniors (Age above 75 Years) – Entry Fee Exempted Dinner: Friday 16th January 2015 Guests: Rs.600/- ( No. s) Rs………………........ Non Playing Members: Rs.500/- ( No. s) Rs………………........ Dinner: Saturday 17th January 2015 Guests: Rs.600/Non Playing Members: Rs.500/- ( ( No. s) No. s) Bank Charges (only for cheques drawn outside Chennai) Rs……………............ Rs…………................ Rs 80.00 _______ (CHEQUE RETURN CHARGES WILL BE RS.1,200 + ENTRY FEE AMOUNT) Grand Total Rs................................. Enclosed please find Cheque / Draft No……………….……Dated…….….......... for Rs…...................................... Drawn on …………………………………………..…………………………………………………................................ E-mail Id …………………………………………………………….....……Mobile No …………................................. Signature Date: …....…/....…/ 2015 V. PRAKASH Honorary Scribe PLEASE NOTE 1. Entries Close: Tuesday 13th January 2015 at 6.00 p.m. positively. 2. Telephone/Telegraphic/Fax/Email entries will not be accepted. 3. Entry Forms with incorrect remittance or without remittance will not be entertained. 4. Cancellation of Entries: Must be Couriered to Thomas Chacko or the Convener, to reach before Wednesday 14th January 2015 5. Draws: Will be posted at the CIAL Golf Club, Golf View Hotel & Lotus Hotel on Thursday 15th January 2015. 6. Dinner Dress Code: Smart casuals (Trousers, Shirt & Formal Shoes). The dress code will be strictly followed for the Saturday night dinner. Any Member who does not adhere to the Dress Code will not be permitted to attend the function. 7. Cheques/Drafts: Should be drawn in favour of “The Addicts Golfing Society of Southern India” Payable at Chennai. Add Rs.80/- towards Bank Charges for Cheques Drawn outside Chennai. Cheque Return Charges will be Rs. 1, 200/- Plus Entry Fee Amount. 8. Invitation Members must complete both Singles & Doubles events, attend Dinners and Score a Minimum of 20 Stableford points in the Singles event to qualify for the Attendance. Entry Forms must be sent to the following: Mr. Thomas Chacko, Therakathu, 7 – Mavelipuram, Kakkanad, Cochin – 682030 Mob: 09447458889, Ph: 0484 – 2424235, E-mail: [email protected] For any help, please contact Convener, Cochin Meet: Mr. Kurian C George, Concord Credit Ltd., Golden Plaza Building, Cochin – 682018 Mob: 09846053581, Ph: 0484 – 2353581, E-mail: [email protected] E-mail: [email protected] / [email protected] Website: www.addictsgolfing.com
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