Application for award of the title of International Arbiter IA2 The Georgian Federation herewith applies for the title of FIDE Arbiter for Last Name: GIORGADZE First name: Giorgi Code (if any) - ID_No: 13600044 Date of birth:10.10.1964 Place of birth: GEO Federation: GEO Address: Kostava 37a, 0179 , Tel: 00995-32-997736 Fax: e-mail address: varlam.vepkvi @hotmail.com The candidate possesses an exact knowledge of the Laws of Chess and other FIDE regulations to be observed in chess competitions. He (she) speaks to 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. See Title Regulations 2.24 and 2.24a. The application must also be submitted not more than eight years after the first event). The undersigned encloses, for each competition, an International Arbiter Report Form (FA1), which is signed by an appropriate qualified person. 1. Event: : GEO 73rd Ch Dates: 21.01 -06.02.2014 (#88983) Location: Tbilisi (GEO) Date included in FIDE Rating List: 01.03.2014 Type of event: Round Robin (12 players)

2. Event: GEO Women 71st Ch Dates: 17.02-01.03.2014 (#88985) Location: Tbilisi (GEO) Date included in FIDE Rating List: 01.04.2014 Type of event: Round Robin (12 players)

3. Event: FIDE Women’s Grand Prix-5 Dates: 19.06-01.07.2014 (#98399) Location: Lopota (GEO) Date included in FIDE Rating List: 01.08.2014 Type of event: Round Robin (12 players)

4. Event: Nona Gaprindashvili Cup(A) Dates: 09.09-17.09.2015 (#119426) Location: Tbilisi (GEO) Date included in FIDE Rating List: 01.10.2015 Type of event: Swiss(61 players) Suitable examination passed id necessary ______in his activity as an Arbiter s/he has shown at all times absolute objectivity. Name of federation official: Rating Officer, Int.Arbiter, FM Varlam Vepkhvishvili Date: 21.09.2015 Signature: