Maharashtra Boxing Association

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First Name * Enter First Name

Last Name * Enter Last Name

Father Name * Enter Father Name

Mother Name * Enter Mother Name

Mobile * Enter Mobile No

Email * Enter Email Enter Valid Email

Date of Birth * Enter DOB

Gender * Please select Gender

Blood Group

Affiliated Unit * Please enter affiliated unit

Adhar Card No. * Please enter adhar no

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Address *

Select Division * Select Division Select Unit * Select District

Select Taluka * Select Taluka

City

PIN Code *

Unit / Team Name (जिल्हा / संघाचे नाव)

Star 1

Star 2

Star 3

Star 1

Star 2

Star 3