Surrey County Football Association - County Cup Match Result Sheet

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* 1. Competition

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* 2. Round

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* 3. Match Date (DD/MM/YY)

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* 4. Match Number

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* 5. Home Club - Please detail suffix (I.e: First, Reserves, A, B)

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* 6. Away Club - Please detail suffix (I.e: First, Reserves, A, B)

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* 7. Match Score (H-A) (H Pens)-(A Pens)

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* 8. Player Name (Full Name and League Registration Number)

1.

2.

3.

4.

5.

6.

7.

8.

9.

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* 9. Substitutes - Please clearly mark Substitutes used

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* 10. Referee

Referee Name:

Referee Mark ( ../100)

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* 11. Signed

Club Official:

Club:

Date (DD/MM/YY):