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Physician License
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 Ringside Physician License
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Step 1 of 2
Kindly provide the Ringside Physician 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 Ringside Physician License Registration Code before you fill this form
Gender

Origin

Contact

Email

Residential Address

Office / Hospital Address

SECTION B: MEDICAL LICENSURE, CREDENTIALS AND IDENTIFICATION

ID Document Type
(Provide at least one valid government-issued ID)
Speciality

SECTION C: RINGSIDE MEDICAL EXPERIENCE

List recent event covered (last 2 years)

SECTION D: TRAINING AND CERTIFICATIONS

Advanced Cardiac Life Support (ACLS)
Advanced Trauma Life Support (ATLS)
Basic Life Support (BLS)
Pediatric Advanced Life Support (PALS)
Concussion in Sports Training
Ringside Physician Course
Have you attended any boxing-specific medical seminars?

SECTION E: EMERGENCY PROCEDURES KNOWLEDGE

Airway management / Intubation
Cervical spine immobilization
Management of acute head injury
Management of facial lacerations
Emergency neurological assessment
Cardiac emergency management
Recognition of concussion
When to stop a bout for medical reasons

SECTION F: MALPRACTICE INSURANCE

Do you carry malpractice insurance?

SECTION F: 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.
Clear Signature
Click or drag a file to this area to upload.
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.

SECTION G: FOR OFFICIAL USE ONLY