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THE FOOTBALL ASSOCIATION
OFFICIAL REPORT FORM FOR REFEREES
Home:
Orange
U12
Away
Blue
U12
U12 - xxxxxxxx Junior League
Played at:
xxxxxxx Pitch
On:
27 January 2008
I have to report that
I, as the Refereeam_reporting_for_misconduct
(Full Name) :
Unknown Players
Of:
Blue
Names of Assistant Referees (where neutral and involved in the Report),or Name of Referee if Assistant Referee report :
N/A
Under Section:
1a
incident which came under my notice was as follows:-
Referee’s Name:
Daniel Foster 
Date:
27 January 2008
NPD Number: County:
Leicestershire & Rutland Football Association
FAMOA Number:E-mail Address: File Ref:
(For FA use only)Form Ref:MRF-V1-07/08-MISC
Reports must be submitted by First Class Mail or via email attachment to the Association within two days of the match. (Sundays notincluded). Email reports need only be submitted as single reports, however if sent by post reports must be submitted in duplicate and onlysent via First Class Mail.
Competition:
During the match, several players from Blue FC were upset at my decision to order the retake of acorner kick. At full time, as I was leaving the pitch, I was immediately surrounded by approximately "xnumber" players, all belonging to Blue FC.The players persisted to argue my decision to order the retake of a corner kick, and they continued tosurround me, which I found very intimidating.After verablly showing Dissent towards my decisions, they finally walked away, after around "x"minutes.I collected my belongings and left immediately.
If submitting by Email, unless otherwise specified by the County, the emailaddress is discipline@countyfa.comeg. discipline@essexfa.com or discipline@thefa.com
  post code) :
 
CategoryClubs1stOrangeReservesBlueVeteransA TeamB TeamC TeamU18U17U16U15U14U13U12U11U10U9U8
Offence Type Description
U7
of 00

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