Entry Registration Form

Name*

Prefered Name*

Picture*

Date of Brith*

Age*

Gender*

MaleFemale

Nationality*

Mobile Number*

Weight (Kg)*

Height (cm)*

Gym / Company (representing)*

Previous experinence (martial art Record)*

Discipline*

Muay ThaiBoxing

Image guidelines*

Please attach a picture same as the sample provided

You must wear a T-shirt and short.

No people can appear on the background

A neutral background is a must (white, boxing, ring punching bag) or related.

Attach Image

I hereby declare that the above particulars of facts and information stated are true, correct and complete to the best of my belief and Knowledge*

I can confirm I have read and accepted theTerms and Conditions