The World Kickboxing Association's Official Website

WKA Licence No

(A WKA International Licence must be obtained to enable you to appear in the ratings and also to compete on the WKA Fighting Circuit. When you complete the form you will be directed to the registration page.)

Weight
(Kilos)

Notes/Comments:

Expiry Date of Licence
(dd/mm/yyyy)

Stance

(If you are a managed Fighter please complete there details below and all contacts will be made direct to them)

Date of Last Fight
(dd/mm/yyyy)

Style

Manager's Name

Home Address Line 1

Number Of Fights

Manager's Address

Home Address Line 2

Number Of Wins

Manager's Address

Home Address Line 3

Number Of KKO

City

Number Of KO

Code/Zip

Country

Number Of TKO

Country

Code/Zip

Number Of Draws

Telephone inc Code

Date Of Birth
(dd/mm/yyyy)

Number Of Losses

Fax inc Code

Your Tel No inc Code

+44(0)121 382 2995

Passport Number

Your Fax No inc Code

+44(0)121 382 5688

Expiry Date of Passport
(dd/mm/yyyy)

Nationality