BoxerS License ApplicAtion 1 Personal Details 2 Career Details 0% Name Ring Name Email Phone Number Message Date of Birth Passport Copy Place of birth Age (At the date of Application) Nationality Select a Option Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (Democratic Republic of the) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic People's Republic of) Korea (Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States of America United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Height (cms or feet) Previous Next Weight Classes (You fight in) Heavyweight (224+ lbs / 101.605+ kg) Bridgerweight (224 lbs / 101.605 kg) - limit Cruiserweight (200 lbs / 90.719 kg) - limit Light Heavyweight (175 lbs / 79.379 kg) - limit Super Middleweight (168 lbs / 76.204 kg) - limit Middleweight (160 lbs / 72.575 kg) - limit Super Welterweight (154 lbs / 69.853 kg) - limit Welterweight (147 lbs / 66.678 kg) - limit Super Lightweight (140 lbs / 63.503 kg) - limit Lightweight (135 lbs / 61.235 kg) - limit Super Featherweight (130 lbs / 58.967 kg) - limit Featherweight (126 lbs / 57.153 kg) - limit Super Bantamweight (122 lbs / 55.338 kg) - limit Bantamweight (118 lbs / 53.524 kg) - limit Super Flyweight (115 lbs / 52.162 kg) - limit Flyweight (112 lbs / 50.802 kg) - limit Light Flyweight (108 lbs / 48.988 kg) - limit Minimumweight/Strawweight (105 lbs / 47.627 kg) - limit Other Boxrec ID Boxing Record (Win, Loss, Draw, & KOs). Date/Result/Location of last bout Name of Trainer (or gym training at) Name of Manager Name of Promoter Have you ever held a Pro Boxing License (If Yes) with whom? * YES NO Enter your PRO Boxing License details here: Have you ever been suspended by a sports authority (If yes, whom, when and where) YES NO Enter suspension details here: Boxing Stance Southpaw Orthodox Both Submit Previous Next
