Submit Your Fighter Registration Below

Fighter Name *

Legal Name As Appears On Passport

Preferred Name/s *

You can also add in your Fight Nickname e.g Rodtang "The Ironman" Jitmuangnon

Email *

Phone *

Address

Street Address

City

State

Country

Postal code

Gym Name *

Head Trainer Name/s *

Head Trainer Phone Number *

Head Trainer Email *

Instagram Profile URL

Date of birth *

Age *

Height *

PRO Record

If this is your PRO Debut - please skip this and fill out your Amateur Record - PLEASE MAKE SURE THIS IS ACCURATE

Amateur Record

Major Titles Held

Last 3 Opponents & Result

For e.g Saenchai - Win, Rodtang - Loss, Seksan - Win By KO

Walk Out Song *

E.g ACDC - Sweet Child O Mine - Appetite For Destruction

Bank Details

Account Name - BSB - Account Number For payment of purse (Australia Based Fighters Only)

CSA Registration Number

Please add in your Combat Sports Authority Registration Number (NOTE: Please check and make sure this is up to date)

Please Upload High Resolution Photos For The Fight Posters & Marketing Collateral

Note: Please do not upload any low resolution images. We won't use them if they are below standard.

⚠️ Combat Sports Authority Registration Required

All fighters must be currently registered with their local Combat Sports Authority (CSA) in order to compete at 1774 Muaythai events.

Sydney, New South Wales Australia