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Fighter Nomination - PPO17
Fighter nomination for the Paddo Punch-On 17
Friday 5th December 2025
Paddo RSL
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* Indicates required question
Email
*
Your email
Mobile number
*
Your answer
Fighter's first name - as it appears on ID
*
Your answer
Fighter's surname - as it appears on ID
*
Your answer
Fighter's Preferred name (only fill out if different to legal name)
Your answer
Combat Sports Regisration Number - if a new registration is incomplete, please put "pending"
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Name of Gym?
*
Your answer
Fight weight
*
Your answer
Height (cm)
*
Your answer
Stance
*
Orthodox
Southpaw
Switch-hitter
Prior boxing experience?
*
Yes
No
If yes, please state boxing win/loss record
Your answer
Prior MMA, Muay Thai or Kickboxing experience?
*
Yes
No
If yes, please list win/loss record for each discipline
Your answer
Are you nominated to fight prior to Dec 5th? If yes, please provide dates
Your answer
Any other info you'd like to share?
Your answer
Coach's name
Your answer
Coach's mobile number
Your answer
A copy of your responses will be emailed to the address you provided.
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