PANCRASE
FIGHTER PROFILE

Passport name:
given name
surname
middle name
Nationality:
Spoken language:

line

Fight style:
Gym name:

line

Manager:
tel/fax:

line

Place of birth:
city
state
country

Date of birth date month year/ age

Blood type A B O AB

Height ' " (cm)

Weight lbs. (kg)

Postal address
tel

Marital status married single

Occupation:

Past entry into Japan: no ; if YES,times
last entrymonthyear

Fight records in Japan: datemonthyear
hall name
event name
opponent
result win loss draw by round

Professional debut: datemonthyear
hall name
event name
opponent
result win loss draw by round

Most recent fight: datemonthyear
hall name
event name
opponent
result win loss draw by round

Length as a fighter: fight style
year(s) month(s)

Title:
name
wt. class
sincemonth year
name
wt. class
sincemonth year
name
wt. class
sincemonth year

Fight records: fight style
matches win (KO) loss draw
fight style
matches win (KO) loss draw
fight style
matches win (KO) loss draw

Your best techniques:

Posture: orthodox southpaw both

training hours: hour(s) per day/ hour(s) per week

Sports experience:

Other martial arts experience: fight style
year(s) month(s)
fight style
year(s) month(s)

Fighters you most respect:

Your resolution and any message out for fans:


Please send me the following materials to the mailing address to judge your skill and to know if you are ready to compete in our events.
Thank you.

a) Fighter Profile *Please see the above form and fill out all blanks completely.
b) color photos(shirtless, fight pose, chest-shot, head-shot, etc.)
c) recent fight VHS videotape or DVD
d) one(1) valid passport photocopy
e) four(4) passport sized photos

World Pancrase Create, Inc.
Attn: Ms. Mayumi Yamamoto
4-2-25 Minami Azabu, Minato-ku,Tokyo 106-0047 Japan
Tel: 81-3-5792-7077
Fax: 81-3-5792-7080
e-mail : myamamoto@mctwist.co.jp
PANCRASE