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Hierdie vorm moet na die wedstryd deur die skeidsregter voltooi word en binne 48 uur moet ‘n kopie aan die volgende persoon besorg word:
This form must be completed by the referee after the match and a copy must be submitted to the following person within 48 hours:
Die Sekretaris/The Secretary, GLRU Tugkomitee/Disciplinary Committee
Coca-Cola Park Rugbystadion/Rugby Stadium
Doornfontein
Tel: 402-2960 X 132
Fax: 4042000 or 086 632 7175
1.Besonderhede van die speller wat van die veld gestuur is.
Information about the player sent off.
Naam/Name: ________________ Nommer/Number:__________________
Posisie/Position:______________ Klub/Club:___________________
Skool/School:__________________
2.Besonderhede van die wedstryd
Information about the match
Liga/League:___________________ Datum/Date:___________________
Span/Team:___________________vs. _________________________
Tyd/Time: ____________________ Gespeel te: _________________
Played at:
3.Besonderhede van die Skeidsregter
Information about the Referee
Naam/Name: ______________________________
Tel: (h): ________________ (w): __________________ (c): ____________
4.In watter stadium van die wedstryd het die voorval plaasgevind?
In what stage of the match did the incident occur?
EERSTE HELFTE? FIRST HALF TWEEDE HELFTE/ SECOND HALF
Tydsverloop/Time : 5 min 10 min 15 min 20 min 25 min 30 min 35 min 40 min 40+
Was ‘n waarskuwing gerig?
Was a warning given? JA/YES NEE/NO
Indien wel, was dit aan die: SPELER ALGEMEEN KAPTEIN
In case so, was it to the : PLAYER GENERAL CAPTAIN
Vir watter oortreding(s)was die waarskuwing gegee?________________________
For which offence(s) was the warning given?
5. Rede(s) vir die afstuur van die speller(s). Gee ‘n kort maar saaklike beskrywing van die incident.
Reason(s) for the sending off of the player(s). Give short but to the point description of the incident.
Insident plaasgevind by; Skrum, Lynstaan, Doodvat, Losskrum, Losgemaal, algemene spel.
Incident occurred at: Scrum, Line-out, Tackle, Maul, Ruck, general play.
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Oortreding was : Minder ernstig Ernstig Gevaarlik
Offence was : Less Serious Serious Dangerous
Was noodhulp noodsaaklik? JA/YES NEE/NO
Was first aid necessary?
6. Wat was die speler se reaksie(indien enige): Aanvaar Betwis Ander
What was the player’s reaction (if any): Accepted Dispute Other
7. Was die afgestuurde speler onder provokasie? JA/YES NEE/NO
Was the send-off player provoked?
8. Was die veld omhein/Was the field enclosed? JA/YES NEE/NO
9. Handtekening van die skeidsregter/Signature of the referee.
_______________________ Datum/Date:-----------------------------------
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