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Tournament Athlete Registration - Wrestling Indonesia PB PGSI
1. Identity Data
ID Number
Will be generated automatically if left blank.
Full Name & Degree
*
Place of Birth
*
Date of Birth
*
NIK Number (National ID)
*
Required 16 digits for official identity verification by PB PGSI.
Membership Card Number (KTA)
(Optional)
Optional. Official membership card number from PB PGSI / Club (can be left blank).
BPJS Insurance Number
*
Health/injury safety assurance for athletes during matches.
Origin / Region (Prov / Club)
*
Gender
*
Male
Female
Weight Category
*
57 KG FS
65 KG FS
74 KG FS
77 KG FS
86 KG FS
97 KG FS
125 KG FS
60 KG GR
67 KG GR
77 KG GR
87 KG GR
97 KG GR
130 KG GR
50 KG WW
53 KG WW
57 KG WW
62 KG WW
68 KG WW
76 KG WW
Format: [Berat Badan] [Nomor Gaya: FS / GR / WW].
Weight (kg)
Kg
2. Track Record & Experience
Athlete Track Record (Past competitive achievements)
3. Upload Documents & Photo
Upload Profile Photo (JPG, PNG, WEBP)
JPG/PNG (Maks 5MB).
Upload National ID / Identity Card
PDF / Gambar (Maks 8MB).
Upload BPJS Document
PDF / Gambar (Maks 8MB).
4. Login Account & Contact
Active Email Address
*
Active WhatsApp Number
*
Password
*
Confirm Password
*
I declare that the submitted information is true and accurate.
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