Referees Registration

Referee Registration Form

Ghana Boxing Authority – Referee 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. Referee Information

License Number*

Expiry Date*

Years of Experience*

Level*

Affiliated Association*

Membership ID (if any)

Number of Bouts Officiated*

Last License Renewal Date*

Status*

Active Inactive

C. Officiating Record

List up to 3 recent bouts officiated (attach separate sheet if necessary).

Recent Bout 1

Date

Venue

Recent Bout 2

Date

Venue

Recent Bout 3

Date

Venue

D. Identification & Documents (Attach Copies)

Ghana Card / Passport Copy*

Boxing License Copy*

Passport Photo*

Referee Training Certificate / Accreditation*

Proof of Address*

E. Professional Background

Previous Tournaments / Events Officiated*

Prominent Boxers / Promotions Worked With*

Years Active in Ghana 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.

I agree to the declaration above*

Referee’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, Referee!

Your Referee 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.

Referees Registration

Referee Registration Form

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