FIGHTFAX

REMOVAL OF BOXER FROM SUSPENSION LIST

 

BOXER’S NAME: ___________________________________________________ FEDERAL IDENTIFICATION NUMBER: ____________________________

 

The above named boxer is being removed from suspension because:

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

If boxer was required to complete a medical test(s) in order to be removed from the suspension list, please state what type of test was taken and the date the test was completed.

TYPE OF TEST                                                                                DATE TAKEN

_____________________________________________________________ __________________

_____________________________________________________________ __________________

_____________________________________________________________ __________________

_____________________________________________________________ __________________

 

__________________________________________________________________  __________________________________________________________________
COMMISSION MEMBER NAME                                                                                         NAME OF COMMISSION

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DATE