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