Irish football association disciplinary report form



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IRISH FOOTBALL ASSOCIATION
DISCIPLINARY REPORT FORM


Referees are required to submit this report form containing details of misconduct in relation to:

a) Cautionable offences; b) Dismissal offences


Match:

BALLYMENA UNITED

v

BALLINAMALLARD UNITED

Competition:

NIFL PREMIER LEAGUE

Date of match:

Saturday 23 April 2016

Venue:

BALLYMENA SHOWGROUNDS

Name of Player:

DAVID CUSHLEY

Player’s Team:

BALLYMENA UNITED

Time of Incident:

92ND

I must report the above player for the following offence: (Place x were appropriate)




Cautionable Offences:

Unsporting behaviour

 

Dissent by word or action

 

Persistently infringes the Laws of the Game

 

Delays the restart of play

 

Fails to respect the required distance at a free kick, corner kick or throw in

 

Enters or re-enters the field of play without the permission of the referee

 

Deliberately leaves the field of play without the permission of the referee

 




Dismissal Offences:

Serious foul play

 

Violent conduct (involving a head-butt)

 

Violent conduct (other than above)

 

Spits at an opponent or any other person

 

Denies a goal or an obvious goal-scoring opportunity by deliberate hand-ball

X

Denies an obvious goal-scoring opportunity by physical means

 

Uses offensive, insulting or abusive language and/or gestures

 

Receives a second caution in the same match

 




Description of Incidents: (Only Required for Dismissal Offences)

IN THE 92ND MINUTE WITH THE BALL HEADING TOWARDS THE GOAL, THE ABOVE PLAYER DELIBERATELY SAVED THE BALL WITH HIS HAND DENYING A CERTAIN GOAL. HE WAS DISMISSED FOR THIS ACT.







Date:

Sunday 24 April 2016

Referee:

LEE TAVINDER

Signature:

BY EMAIL


NOTE: Further information on the submission of disciplinary reports can be found in the IFA Disciplinary Report Guidance.

IFA DR1

ELECTRONIC COPY


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