Maharashtra Boxing Association

Boxer - New Registration

* indicates mandatory fields

Upload Your Photo *

You can upload a JPG or PNG file (File size limit 4 MB).

Upload your Photo Please select a valid (JPEG|.JPG|.PNG) Photo.

Personal Information (वैयक्तिक माहिती)

Family Name (कौटुंबिक नाव) * Enter Family Name

First Name (पहिले नाव) * Enter First Name

Father's Name (वडिलांचे नाव) * Enter Father's Name

Mother's Name (आईचे नाव) * Enter Mother's Name

Date of Birth (जन्मतारीख) * Select Date of Birth

Place of Birth (जन्मस्थान) * Enter Place of Birth

Select Gender (लिंग निवडा) * Select Gender

Mobile (मोबाइल) * Enter Mobile No

STD Code (एसटीडी कोड)

Telephone (दूरध्वनी)

Email (ईमेल) * Enter Email Enter Valid Email

Blood Group (रक्त गट)

Adhar Card No. (आधार कार्ड क्रमांक) * Enter Adhar No

Upload Adhar Card (आधार कार्ड अपलोड करा) *

Upload Adhar Card

Permanent Address (कायमचा पत्ता)

Address (पत्ता) * Enter Address

Select Division (विभाग निवडा) * Select Division Select Unit (जिल्हा निवडा) * Select Unit

Select Taluka (तालुका निवडा) * Select Taluka

City (शहर)

PIN Code (पिन कोड) * Enter Pincode

District / Team Name (जिल्हा / संघाचे नाव)

Other Information (इतर माहिती)

Boxing Club Name (बॉक्सिंग क्लब नाव)

Club Address (क्लब पत्ता)

Boxing Coach Name (बॉक्सिंग प्रशिक्षक नाव)

Contact Tel. / Mobile (संपर्क दूरध्वनी / मोबाइल)

Documents (कागदपत्रे)

Upload Birth Certificate (जन्म प्रमाणपत्र अपलोड करा) *

Upload your Birth Certificate

Upload your signature (आपली स्वाक्षरी अपलोड करा) *

Upload your Signature

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Declaration: I / We declare & take full responsibility of participation in boxing event/s. I / We will ensure physical & mental fitness of boxer and undergo required pre-medical check-up from authorised medical practitioner. If I suffer any related injury or damage during the event / championship/ Tournament, I on behalf of myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against Maharashtra Boxing Association ( including its officials & employees) , the organizers of the event/ championship/ tournament (including local organizing committee or the host district association) and the competition venue owners for such injuries or damage. I accept & promise to abide all terms / conditions which will be included / updated in rules / guidelines of Association.
You must accept declaration to proceed.

Add Club Details

Club Name
Email ID
Address
City
State
District
Pincode
Contact No