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  • WRITTEN STATEMENT BY ACTUAL PARTICIPANT 
    COMMITTING THE OFFENCE – MISTAKEN IDENTITY
    IN A MATCH OFFICIAL INCIDENT REPORT
    (SECTION 7.3)

    Prescribed Form 08

  • Your Details

  • Match Details

  • Date & Kick off time*
     - - :
  • Submission

  • 1.       I declare that I participated in the above Fixture:

    2.       I declare that I was responsible for the Offence issued against the Participant referred to below: 

  • 3.       I consent to being issued with a Notice of Suspension instead of the Participant referred to in paragraph 2 above.

    4.       I declare that the information in this statement is accurate and to the best of my knowledge.

    5.       I acknowledge that I may be charged with Misconduct if it is established that contents of this statement are incorrect and amount to an abuse of process. 

  • Notes:

    1.      Please submit this form by 4pm the next working day after the issuance of the notification of the Incident Report to the Club by the CDSFA.

    2.       Participants MUST submit Prescribed Form 07 at the same time as submitting this Form.

    3.      Participants should read and consider section 7.3 prior to signing and submitting this form with the Disciplinary Committee.

    4.      If the CDSFA does not receive  properly completed forms by the time specified in paragraph 1, the Participant issued with the Notice of Suspension shall serve the Suspension.

    5.      Capitalised words used in this document are defined in the Regulations.

  • Submitter Details

  • Submission Date*
     - -
  •   
  • Should be Empty: