Fighter Nomination - PPO16
Fighter nomination for the Paddo Punch-On 16
Saturday 13th September 2025
Paddo RSL
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Email *
Mobile number *
Fighter's Legal name (First name and surname) *
Fighter's Preferred name (only fill out if different to legal name)
Combat Sports Regisration Number - if a new registration is incomplete, please put "pending" *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Name of Gym? *
Fight weight *
Height (cm) *
Stance *
Prior boxing experience? *
If yes, please state boxing win/loss record
Prior MMA, Muay Thai or Kickboxing experience? *
If yes, please list win/loss record for each discipline
Are you nominated to fight prior to Sept 13th? If yes, please provide dates
Coach's name
Coach's mobile number
A copy of your responses will be emailed to the address you provided.
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