Boxing Manager

Boxing Manager Registration Form

Ghana Boxing Authority – Boxing Manager 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. Managerial Information

License Number

Expiry Date

Years of Experience

Company / Management Entity Name

Position

Membership ID (if any)

Number of Boxers Managed

Level

Status

Active Inactive

C. Boxers Under Management

List up to 5 boxers (attach additional sheet if necessary).

Boxer Name 1

Weight Division

Record (W-L-D)

Boxer Name 2

Weight Division

Record (W-L-D)

Boxer Name 3

Weight Division

Record (W-L-D)

Boxer Name 4

Weight Division

Record (W-L-D)

Boxer Name 5

Weight Division

Record (W-L-D)

D. Identification & Documents (Attach Copies)

Ghana Card / Passport Copy

Boxing License Copy

Passport Photo

Managerial Certificate / Accreditation

Proof of Address

E. Professional Background

Previous Boxers Managed

Prominent Achievements / Titles Won by Boxers

Years Active in Boxing Management

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*

Manager’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, Manager!

Your Boxing Manager 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.

Boxing Manager

Boxing Manager Registration Form

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