Professional Boxer License Application Form

Name *

Gender *

Date Of Birth *

Full Address *

Do you have a professional boxing record? *

Share your Boxrec ID? Leave Blank if you don't have one

Name of your fight promoter? Leave Blank if you don't have one

Fight Date Leave Blank if you are not a pro boxer.

Your Mobile Number *

Your Email Address *

Name Of the boxing club where you train *

Your chief coach's name *

Boxing Manager Details *

Boxing Manager's Name & Contact *

Weight Category *

Height (in Cms) *

Body Weight (in Kgs) *

Blood Test Report -HIV Test *

Blood Test Report -HbAsg Test *

Blood Test Report -HCV Test *

ID & Address Proof (Front) - National ID / Driving License / Passport *

ID & Address Proof (Back) - National ID / Driving License / Passport *

Please upload a recent photograph *

Consent *