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Federation Boxing Association
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APPLICATION FOR DESIGNATION AS MANDATORY CHALLENGER
The undersigned here by applies for designation of FBA Mandatory Challenger in the below designated Division, pursuant to and in accordance with the FBA Regulations of World Championship Contests. I agree to be subject to and to abide by the FBA Regulations of World Championship Contest and to be bound to participate in and comply with the results of a purse bid if negotiation with the World Championship does not result in a contract for the Championship fight.
I further certify that I am in compliance with the FBA and Association of Boxing Commissions Critieria for Ratings of Professional Boxers.

 

Date:______________ Signed:___________________
  Name:____________________

Acceptance Date:_______________