Coach Registration

Coach Registration Form

Ghana Boxing Authority – Coach Registration

A. Personal Information

Full Name*

Date of Birth*

Gender

Male Female Other

Nationality

Ghana Card / Passport No.

Contact Number

Email Address

Region

City / Town

Digital Address

Residential Address

B. Coaching Information

Coaching License Number

License Expiry Date

Years of Coaching Experience

Primary Gym / Club

Coaching Level

Main Weight Divisions Coached

Number of Active Boxers Coached

GBA / Other Membership ID

Coaching Status

Active Inactive

C. Certifications

Coaching Certifications / Courses Attended

Affiliations (e.g. GBA, WBC, WBO, etc.)

D. Identification & Documents (Attach Copies)

Ghana Card / Passport Copy

Coaching License Copy

Passport Photo

Coaching Certificate(s)

Proof of Address

E. Professional Background

Previous Gyms / Clubs Worked With

Notable Boxers Coached

Major Achievements (Titles Won by Boxers, Awards, etc.)

Years Active as a Coach

International Coaching Exposure (if any)

G. Declaration

I hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that providing false information may lead to disqualification or withdrawal of my coaching license by the Ghana Boxing Authority.

I agree to the declaration above

Coach’s Name (for Declaration)

Date

Signature (Upload or Type Full Name)

If you cannot upload a signature file, you may type your full name below:

Thank you, Coach!

Your Coach Registration has been submitted and is pending approval by the Ghana Boxing Authority.

A confirmation message will be sent to your email or mobile number you provided:

A PDF copy of your submission should download automatically. Please keep it for your records.

Coach Registration

Coach Registration Form

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