Registration Form

For the Nationals of MMA1 Federation - A road to Warrior Hunt

For queries please get in touch with us

Tel: +(91) 85913 05655 / Email: info@mma1federation.com

(* Mandatory Fields)

Full Name* (as per government id):

Nick Name:

Gender *:

Date of Birth*(as per government id): Minimum age should be 19

E Mail*:

City/State *:

Mobile Number*:

Education Qualification*:

Alternate Contact Number:

Full Address* (as per government id):

ID / Address Proof*:

Only PDF, PNG, JPG types are allowed
(Upload) - Either PAN, Aadhar, Driving License, Voter ID, Passport, Ration Card (any one).

Disclose your fighting style* :

1. Video link of Padding/Bag work - Duration: 1 Minute (Use Combination of Kicks and Punches)*:

2. Video link of Shadow Fight - Duration: 1 Minute (use kick and punches and add 2-3 Sprwals and takedowns/shoots)*:

3. Video link of Grappling - Duration: 1 Minute (Use Maximum Transactions with flow)*:

4. Video link (interview describing yourself)*:

Fight Weight Category*

Weight*: (IN KGS):

Height*: (IN CMS):

Amateur MMA Record :

W L D NC

Other Achievements in Combat Sports?

Name of Gym / Dojo / Club:

Name of your Coach:

Coach Contact Number:

Upload your Image*

Please Upload 2 photos- 1 full length + 1 mug shot

Upload your Medical Documents:

CBC

HIV

Hepatitis B

Hepatitis C

Fitness Certificate from doctor

Only PDF, PNG, JPG types are allowed

Facebook Profile:

Twitter Profile:

Instagram Profile

What do you fight for?

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