Application for award of the title of FIDE Arbiter FA2 (continuation sheet) The ______federation herewith applies for the title of FIDE Arbiter for

last name first name code (if any) date of birth place of birth Federation Address: Tel. Fax. e-mail address:

The candidate possesses an exact knowledge of the Laws of and other FIDE regulations to be observed in chess competitions. He (She) speaks the following languages (this must include sufficient knowledge of at least one official FIDE Language) ______

The candidate has worked as Chief or Deputy Arbiter in the following four competitions (which must be of at least two different types. The application must also be submitted not later than the second FIDE Congress after the date of the latest event listed). The undersigned encloses, for each competition, a FIDE Arbiter Report Form (FA1), which is signed by an appropriate qualified person, who should, if possible, be an , failing that a FIDE Arbiter.

5. XX1. Event Sliema Fast Chess, 2nd ed. Dates 03.03.2018 Location Sliema (MLT) Date included in FIDE Rating List April 2018 Type of event Swiss blitz individual

6. XX2. Event Preliminaries 2014 Dates 24.02.2014 - 17.03.2014 Location Qormi (MLT) Date included in FIDE Rating List April 2014 Type of event Swiss individual

7. XX3. Event Malta Team League 2012 Dates 15.04.2012 - 27.05.2012 Location Gzira (MLT) Date included in FIDE Rating List July 2012 Type of event Swiss team

4. Event Dates Location Date included in FIDE Rating List Type of event

Suitable examination passed if necessary______In his (her) activity as an Arbiter s/he has shown at all times absolute objectivity. Name of Federation official ______date______Signature______