Match Makers

Matchmaker Registration Form

Ghana Boxing Authority – Matchmaker 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. Matchmaking Information

License Number*

Expiry Date*

Years of Experience*

Number of Bouts Arranged*

Current Promotion Company / Organization*

Role / Position*

Membership ID (if any)

Level*

Status*

Active Inactive

C. Boxing Events Involved In

List up to 3 major events you have been involved in as a matchmaker (attach separate sheet if necessary).

Event Name 1

Date

Venue

Event Name 2

Date

Venue

Event Name 3

Date

Venue

D. Identification & Documents (Attach Copies)

Ghana Card / Passport Copy*

Boxing License Copy*

Passport Photo*

Certificate of Matchmaking (if any)

Proof of Address*

E. Professional Background

List of Promoters / Managers Worked With*

Most Successful Match Arranged*

Years Active in Boxing Industry*

International 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 license by the Ghana Boxing Authority.

Matchmaker’s Name*

Date*

Signature (Upload or Type Full Name)

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

Thank you, Matchmaker!

Your Matchmaker 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.

Match Makers

Matchmaker Registration Form

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