Manager Licensing Application Form - Pro Boxing League (PBL)

First Name *

Last Name *

Management Agency / Company Name

Mobile Number *

Email Address *

Date of Birth *

Office / Residential Address *

State *

Pin Code *

ID Proof - Aadhar/ Passport - Front & Back *

Click to upload ID Proof Aadhar, Passport or Government ID (Front & Back)

Recent Photo - Headshot only *

Click to upload Headshot Photograph Passport size headshot with a clear face and solid background

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Application Submitted!

Our licensing board will review your manager credentials and get back to you within 5 business days.

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