To Register Print out This form & MAIL to the IKF Asia

• SENT: ___/___/___
• REC: ___/___/___
• PAID: $______
• PHOTO: _______

1. Full Name:___________________________________________________________
2. Fight Weight in Pounds: ________ Lbs. – Height in Feet & Inches:____’____”
3. Current Age: ______ & Birthday (month, day & year): _____/_____/_____
4. P.O. Box Or Physical Street Number:_________________________________________
5. City: _______________________ State: _____________ Zip Code: __________________
6. Country:________________________________
7. Trainers Name: (List SELF if you train yourself)_________________________________
8. Contact Phone Number to be listed in Rankings: _______________________
9. e-Mail (If One):________________@_________________
10. FIGHT RECORD – IF NO FIGHTS PLEASE WRITE -0- IN ALL BLANKS
    • AMATEUR Fight record with KOs – IF ANY -
      • Kickboxing: ____Wins ____Loses ____Draws
      • MMA: ____Wins ____Loses ____Draws
      • Boxing: ____Wins ____Loses ____Draws
    • PROFESSIONAL Fight record If a PRO
      • Kickboxing: ____Wins ____Loses ____Draws
      • MMA: ____Wins ____Loses ____Draws
      • Boxing: ____Wins ____Loses ____Draws
11. RULE DIVISION: The $25 covers your listing in “1″ Rule Division. Please Add an additional $10 Per Additional Listing past 1 if you want to be in more than 1 ranking division. PLEASE “CHECK” the Appropriate Rule Style(s) you wish to be ranked in:
    ___ Full Contact Rules – ___ International Rules- ___ Muay Thai Rules – ___ San Shou Rules
12. I certify the above Is true and I confirm so by my signature here:________________________, Date: ___/___/___

Please send all required information and fees to: IKF Attn: RANKINGS DEPARTMENT
Dasht Behesht Co, Faraz Street, Saadabad, Tehran, Iran – +98-912-2249231 – FAX: +98-21-22124883
Registration Forms WITHOUT FEES will be Disposed of.