Annex B.1 to Section 7 2017

INDIVIDUAL BOXER’S REGISTRATION APPLICATION 2017

*Applications are to be accompanied by Nominal Roll (Annex C), Registration Fees proforma (Annex D) and Passport sized photograph of boxer (NAME + SERVICE NUMBER written on reverse)

APPLICANT’S DETAILS (BLOCK CAPITALS)

REGTL NO / RANK / SURNAME / First Names / GENDER (M/F)
BOXING REG
NUMBER (Renewal only) / Civilian Club if previously registered / Date of Birth / UNIT
HOME ADDRESS / SECONDARY SCHOOL / PREVIOUS SURNAME IF KNOWN BY ANY OTHER SURNAME

APPLICATION TYPE (1 x application is required for every individual)

SERVICE
BOXING ONLY
(NEW OR RENEWAL) / New
Never registered with Army BA or England Boxing / England Boxing
to Box Civilians / New
Never registered with Army BA or England Boxing / LOST OR REPLACEMENT CARD
(Only if appropriate)
Renewal
Reg book is required to accompany this application / (NEW OR RENEWAL) / Renewal Reg book is required to accompany this application
AGE CATEGORY (CIRCLE AS APPROPRIATE)
JUNIOR / YOUTH / ELITE
(ADULT)

Lost cards – any lost or destroyed card will result in the immediate suspension of the boxer for a minimum of 30 days. This will occur regardless of how lost or damaged (see Section 7 Lost or Misplaced Registration Card)

Service Boxing Only – Boxing other soldiers or RAF or R Navy personnel. (£5)

England Boxing Registration – For soldiers who wish to box civilians (£11)

All boxers and coaches are required to complete the remainder of this application and declaration overleaf.

Annex B to Section 7 (Contd)

PREVIOUS EXPERIENCE

All boxing applications will be subject to an internet and National Boxing database search by the ARMY BA Registrations Officer. All boxers and coaches are to ensure that the declarations made on applications are accurate, failure to do so will result in the suspension of the boxer, may result in the suspension of the coach and could result in disciplinary action for both.

1. All individual physical contact sports experience must be declared.

2. Enter total number of bouts, including Junior / Youth bouts.

Definition of an individual physical contact sport

“Individual Physical Contact Sport” means any of the following sports in any of its forms: Aikido, Boxing, Cage Fighting, Judo, Ju-jitsu, Karate, Kendo, Kickboxing, K-1, Muay thai, MMA, Sambo, Savate, Sumo, Taekwondo, Wrestling, Wushu and Unlicensed or White / Pink Collar Boxing or such other sports as may be deemed by AIBA to be an individual physical contact sport.

Complete the table leaving no box empty, put a zero in any box where a soldier has no experience.

PREVIOUS BOXING EXPERIENCE / INDIVIDUAL PHYSICAL CONTACT SPORT EXPERIENCE
JUNIOR / YOUTH / ELITE / SPORT & LEVEL (Pro, Amateur, National, Club etc)
………………………………………......
WIN / LOSS / WIN / LOSS / WIN / LOSS / WIN / LOSS / Full or Semi contact

I (BOXER NAME)…………………………………………..declare that all of the information I have given in respect of my declaration of experience is true and no details have been omitted. I understand that false information or non-declaration will result in serious consequences including possible disqualification of myself / team and subsequent disciplinary action. The seriousness of any such failure has been fully detailed to me by my Boxing Officer/Team Coach.

SIGNED Boxer: …………………………………………………………………..………..

SIGNED Head Coach …………………………Print Rk & Name……………………….

SIGNED Boxing Officer……………………….Print Rk & Name ………………………