Boxers License - Nigeria Boxing Federation

Download and Read NBF-PRO COMPREHENSIVE GUIDE FOR ALL LICENSED PERSONNEL

It is expected that before you fill this form; you must have:
1) filled the NBF-PRO Acknowledgement Form.
2) You must have downloaded and read the NBF-PRO COMPREHENSIVE GUIDE FOR ALL LICENSED PERSONNEL
3) Your NBF-PRO Acknowledgement Form have been reviewed and approved.
4) You have been issued your NBF-PRO License Registration Code

NBF Boxers License

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- Step 1 of 2

Boxer License Registration Code *

Kindly provide the Boxer License Registration Code sent to you from the NBF-PRO Desk Officer after you filled the NBF-PRO License Acknowledgement Form. You must get the Boxer License Registration Code before you fill this form

Full Name *

First

Middle

Last

(as on ID)

Ring Name

if any

Date of Birth *

DD/MM/YEAR

Place of Birth *

Address Line 1

City

State / Province / Region

Country

Place of Birth

Nationality *

Address Line 1

City

State / Province / Region

Country

Nationality

Gender *

Female
Male

Marital Status *

Single
Married
Seperated
Divorced
Widowed

Marital Status

Stance *

Orthodox
Southpaw
Switch

Height

Height in ft *

Height in in *

Height in cm *

Weight

Weight in lbs *

Weight in kg *

Weight Classes *

SECTION B: CONTACT INFORMATION

Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone Number *

Phone Number

Alternate Phone

Email Address *

Confirm Email

Email Address

Emergency Contact Name *

Emergency Contact Name

Emergency Contact Phone *

Emergency Contact Phone

Emergency Contact Relationship *

Emergency Contact Relationship

SECTION C: IDENTIFICATION DOCUMENTS

there disease of

ID Document Type *

National ID Card
International Passport
Driver's License
Voter's Card

(Provide at least one valid government-issued ID)

National ID Card Upload *

Click or drag a file to this area to upload.

National Identity Number *

National ID Card Date of Issue

National ID Card Expiry Date

International Passport Upload *

Click or drag a file to this area to upload.

International Passport Number *

Int'l Passport Date of Issue *

ID Date of Issue

Int'l Passport Expiry Date *

Expiry Date

Driver's License Upload *

Click or drag a file to this area to upload.

Driver's License Number *

Driver's License Date of Issue *

ID Date of Issue

Driver's License Expiry Date *

Expiry Date

Voter's Card Upload *

Click or drag a file to this area to upload.

Voter's Identity Number *

Voter's Card Date of Issue 4

ID Date of Issue

Voter's Card Expiry Date

Expiry Date

SECTION D: BOXING HISTORY

Have you fought Olympic Style Boxing (Formerly known as Amateur Boxing) *

Olympic Style of Boxing Record

Wins *

Total Number of Olympic Style Boxing Bouts Won.

Win by KO *

Total Number of Olympic Style Boxing Bouts Won by KO

Draws *

Total Number of Olympic Style Boxing Bouts Drawn.

Losses *

Total Number of Olympic Style Boxing Bouts Lost.

Total Number of Olympic Style Bouts *

Total Number of Amateur Bouts

Have you fought Professional Boxing *

Professional Boxing Record (for renewals or upgrades only)

Wins *

Total Number of Professional Bouts Won. Type 0 (Zero) if you have no Professional Boxing Record.

Wins by KO *

Total Number of Professional Bouts Won by KO. Type 0 (Zero) if you have no Professional Boxing Record.

Draws *

Total Number of Professional Bouts Drawn. Type 0 (Zero) if you have no Professional Boxing Record.

Losses *

Total Number of Professional Bouts Lost. Type 0 (Zero) if you have no Professional Boxing Record.

No Contest *

Total Number of Professional Bouts - No Contest. Type 0 (Zero) if you have no Professional Boxing Record.

Number of Professional Bouts

Number of Professional Bouts *

Number of Professional Bouts

Current Rankings/Titles:

List of Last 5 Professional Bouts (attach complete record separately if available)

Date of Bout *

Date of Bout

Name of Opponent *

Firstname Othername Surname

Result Method *

Location *

Date of Bout 2 *

Date of Bout

Name of Opponent 2 *

Firstname Othername Surname

Result Method 2 *

Location 2 *

Date of Bout 3 *

Date of Bout

Name of Opponent 3 *

Firstname Othername Surname

Result Method 3 *

Location 3 *

Date of Bout 4 *

Date of Bout

Name of Opponent 4 *

Firstname Othername Surname

Result Method 4 *

Location 4 *

Date of Bout 5 *

Date of Bout

Name of Opponent 5 *

Firstname Othername Surname

Result Method 5 *

Location 5 *

SECTION E: GYM AND TRAINING INFORMATION

Current Gym *

Gym Address *

Gym Phone *

Head Trainer Name *

Trainer License Number *

Trainer License # (if licensed). Provide Trainer's Name where Trainer's License is not available

Manager Name *

Manager License # *

Provide Manager's Name where Manager's License is not available

Number of Years of Training *

Days per Week Training *

SECTION F: MEDICAL DECLARATION

Have you ever been diagnosed with or treated for any of the following?

Concussion / Head injury *

If Yes, provide details *

Loss of consciousness *

If Yes, provide details *

Seizures / Epilepsy *

If Yes, provide details *

Vision problems *

If Yes, provide details *

Heart condition *

If Yes, provide details *

High blood pressure *

If Yes, provide details *

Lung / respiratory condition *

If Yes, provide details *

Liver disease *

If Yes, provide details *

Kidney disease *

If Yes, provide details *

Diabetes *

If Yes, provide details *

HIV / AIDS *

If Yes, provide details *

Hepatitis B or C *

If Yes, provide details *

Broken bones / fractures *

If Yes, provide details *

Surgeries *

If Yes, provide details *

Any other medical condition *

If Yes, provide details *

Current Medications:

Allergies (medications, latex, etc.):

SECTION G: SUSPENSIONS AND DISCIPLINARY HISTORY

Has your license ever been suspended or revoked by any boxing commission? *

If Yes, provide details *

Has your license ever been suspended or revoked by any boxing commission?

Have you ever been denied a boxing license? *

If Yes, provide details *

Have you ever been denied a boxing license?

Have you ever been fined or disciplined by any boxing commission? *

If Yes, provide details *

Have you ever been fined or disciplined by any boxing commission?

Are you currently under medical suspension anywhere? *

If Yes, provide details *

Are you currently under medical suspension anywhere?

Have you ever tested positive for a prohibited substance? *

If Yes, provide details *

Have you ever tested positive for a prohibited substance?

Have you ever been convicted of a crime? *

If Yes, provide details *

Have you ever been convicted of a crime?

Are there any pending criminal charges against you? *

If Yes, provide details *

Are there any pending criminal charges against you?

SECTION H: ACKNOWLEDGEMENT, DECLARATION AND SIGNATURE

I, (Above Named) acknowledge that I have received and reviewed the NBF-PRO Licensed Personnel Handbook (Version 1.0, 2026). I understand that:
1. This handbook contains important information about my rights and responsibilities as a licensed person.
2. I am responsible for knowing and complying with all rules, regulations, and policies contained in this handbook.
3. The NBF-PRO may update these rules, and it is my responsibility to stay informed of changes.
4. Ignorance of the rules is not a defense for violations.
5. I must maintain current contact information with the NBF-PRO Licensing Department.
6. I must complete required continuing education and renew my license annually.
I agree to abide by all NBF-PRO rules and the Code of Conduct.

Signature *

Clear Signature

Date *

Passport Photograph *

Click or drag a file to this area to upload.

Place

I, (Above Named) declare that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may result in immediate rejection of this application, revocation of any license issued, and disciplinary action. I have read and understand the NBF-PRO Rules and Regulations and agree to be bound by them. I agree to submit to medical examinations and drug testing as required. I agree to conduct myself in accordance with the NBF-PRO Code of Conduct. I authorize the 'Nigeria Boxing Federation' to verify any information provided in this application, including criminal background checks and verification of records with other boxing commissions. *

Yes I declare

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Email *

Height

Weight

SECTION B: CONTACT INFORMATION

SECTION C: IDENTIFICATION DOCUMENTS

SECTION D: BOXING HISTORY

Olympic Style of Boxing Record

Professional Boxing Record (for renewals or upgrades only)

Number of Professional Bouts

Current Rankings/Titles:

SECTION E: GYM AND TRAINING INFORMATION

SECTION F: MEDICAL DECLARATION

Have you ever been diagnosed with or treated for any of the following?

SECTION G: SUSPENSIONS AND DISCIPLINARY HISTORY

SECTION H: ACKNOWLEDGEMENT, DECLARATION AND SIGNATURE

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