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Fighter Nomination - Fight night #3 Undisputed
Fighter Nomination for Undisputed Fight Night #3
Date : Saturday ,
July 11th 2026
Time: 3:00pm onwards
Location: Coolangatta Hotel
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* Indicates required question
Fighter's full name - as it appears on Boxing Australia
*
Your answer
Mobile number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Name of gym
*
Your answer
Fight weight
*
Your answer
Prior boxing experience?
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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
Coach's name
*
Your answer
Coach's mobile number
*
Your answer
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