Fill up the Form Below Please fill the complete details Please enable JavaScript in your browser to complete this form.Sample Image(for Reference purpose only) Athlete Passport Size Photo (2inch x 2inch) * Click or drag a file to this area to upload. Full Name *FirstMiddleLastMother Name *Date of Birth *Age *Gender *MaleFemaleAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeCoach Name *Contact No. *Email *Weight Category *46-4949-5252-5555-5858-6161-6469-7575-8181-9191+District / City / Unit *Choose Level (Fighter will fight with the same level fighter) *NoviceDistrictStateNationalInternationalBouts Played *ChooseNone0 - 55 - 10More Than 10Upload Payment Receipt / Screenshot * Click or drag a file to this area to upload. Fees- Rs. 400 Last Day of Registration is 15th December 2022 10:00 PM. Note :- fees is strictly not refundable but transferable Payment Must me Made in the following account :- Name:- MMAFI Mixed Martial Arts Federation of India A/C no.:- 9082759938 IFSC Code:- KKBK0001373 Bank:- Kotak Mahindra Bank Branch:- Tilak Nagar, Chembur Type:- Saving A/C Self DeclarationI State that above mentioned details are true as per my knowledge and I have read and I agree to all the below mentioned conditions. I State and confirm that I have been training in Boxing for at least 3 months and am aware of the rules of participation in such competitions. I have been provided with all the safety gear and accessories for this competition. I understand the risk involved in Boxing Competition and keep the organizers, Mixed Martial Arts Federation of India and all the official of the event including medical persons, fully indemnified from and against all claims, demands, actions and damages, whether arising directly or indirectly, in connection with my participation in this competition on my willful misconduct or gross negligence. I will Not hold the organizers, Mixed Martial Arts Federation of India, and all the officials of the event including medical persons responsible in case of any injuries, minor or major, or fatality, which I may suffer/incur during this competition. I understand that this event will be photographed and video graphed by the organizers and the same shall be used by them for promotions and other reasons. I grant the organizers the exclusive worldwide perpetual right to use my image (still/moving) therein and agree and confirm that I shall have no rights whatsoever on such material and I shall have no clam over such material. Whatever is stated herein above is true and correct.Submit
