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NLO Match Referee Report Form

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NATIONWIDE LEAGUE ONE MATCH

REFEREE'S REPORT
Team A Team B
Played in / Host city Date
Stadium Time

NUMBER OF SPECTATORS

RESULT IN FAVOUR OF

HALF-TIME SCORE IN FAVOUR OF

REFEREE STATE

ASSISTANT REFEREE 1 STATE

ASSISTANT REFEREE 2 STATE

RESERVE ASSISTANT REFEREE STATE

Team A Team B
Goals Goals
Shirt No. Player Shirt No. Player
Own Own
Min. Pen. Min. Pen.
Goal Goal

INDICATE WHETHER THE GOAL WAS SCORED AS A PENALTY OR AN OWN GOAL INDICATE WHETHER THE GOAL WAS SCORED AS A PENALTY OR AN OWN GOAL

Penalty Shoot-Out Penalty Shoot-Out


Shirt No. Shirt No.
X/O X/O

X = goal O = missed X = goal O = missed


INDICATE WHETHER THE GOAL WAS SCORED AS A PENALTY (P) OR AN OWN GOAL (OG)

PLEASE NOTE THE FOLLOWING INSTRUCTIONS CONCERNING THE EXACT TIMING OF THE DIFFERENT EVENTS:
EXAMPLE: 1ST HALF 47M 20S = 45+ 3/ 2ND HALF 2M 20S = 48

Nationwide League One FIFA Goal Project Package B National Stadium Package Abuja.
Tel: +234-7012016300 E-mail:- nationwideleague@yahoo.com, WebSite:-www.nigerianationwideleague.com
Team A Team B
Substitutions / Replacements Substitutions / Replacements

Shirt No. Shirt No. Shirt No. Out Shirt No. In Min.
Out In Min.

CONDITION OF THE PITCH AND EQUIPMENT

 FIFA / NLO APPROVED THE MATCH STARTED ON TIME YES / NO 


KICK–OFF TIME
WHICH DESIGNATION APPEARED ON THE BALL?  FIFA / NLO INSPECTED 
FIFA / NLO MATCH BALL
 STANDARD 
 NONE 

Other Comments

Nationwide League One FIFA Goal Project Package B National Stadium Package Abuja.
Tel: +234-7012016300 E-mail:- nationwideleague@yahoo.com, WebSite:-www.nigerianationwideleague.com
Team A Team B
Cautions Cautions
A B C D A B C D

Expulsions Expulsions
A B C D A B C D

A = Shirt no. A = Shirt no.


B = Player B = Player
C = Min. C = Min.
D = Offence type D = Offence type

INCIDENTS CAUSED BY PLAYERS OR OFFICIALS*

*e.g. circumstances of red cards, racist behaviour, unsporting behaviour, violence towards persons or objects, insulting people, provocation, etc.

INCIDENTS CAUSED BY SPECTATORS*

*e.g. racist behaviour, throwing missiles, displaying insulting slogans, pitch invasion, incendiary devices, violence towards persons or objects, etc.
.

OTHER INCIDENTS BEFORE OR AFTER THE MATCH

DATE NAME SIGNATURE OF THE REFEREE

Nationwide League One FIFA Goal Project Package B National Stadium Package Abuja.
Tel: +234-7012016300 E-mail:- nationwideleague@yahoo.com, WebSite:-www.nigerianationwideleague.com
Abbreviations for cautions and expulsions A

A = unsporting behaviour;
B = dissent by word or action;
C = persistent infringement of the Laws of the Game; D = delaying the restart of play;
E = failure to retreat the required distance when play is restarted with a corner kick, free kick or throw-in;
F = entering or re-entering the field of play without the referee’s permission;
G = deliberately leaving the field of play without the referee’s permission; H = serious foul play;
I = violent conduct;
J = spitting at an opponent or any other person;
K = denying the opposing team a goal or an obvious goal-scoring opportunity by deliberately handling the ball (this does not
apply to a goalkeeper within his own penalty area);
L = denying an obvious goal-scoring opportunity to an opponent moving towards the player’s goal by an offence
punishable by a free kick or a penalty kick;
M = using offensive, insulting or abusive language and/or gestures; N = receiving a second caution in the same
match (cf. art. 17 par. 2 FDC).

* FIFA Disciplinary Code

Nationwide League One FIFA Goal Project Package B National Stadium Package Abuja.
Tel: +234-7012016300 E-mail:- nationwideleague@yahoo.com, WebSite:-www.nigerianationwideleague.com

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