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Details

NT Titles

Sat 29 Mar 2025 17:00 — 23:30

Portuguese & Timorese Social Club, Batten Rd, Marrara NT 0812

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Name*

Date of Birth*

Age*

Gender*

Male Weight Category*

Female Weight Category*

Number of Fights*

Number of Wins*

Club*

Coach Name*

Coach Contact Number*

Boxing NT registration Number*

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*