Forename |
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Initials |
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Surname |
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Address |
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Postcode |
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Email Address |
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Home Telephone |
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Work Telephone |
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Mobile Telephone |
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Fax Number |
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Occupation |
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Date Of Birth (dd/mm/yyyy) |
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Are you an active referee? |
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Are you an advisor? |
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Are you an RFU touch judge? |
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From what date will you be
available for the coming season? |
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Dates not available
(those already known): |
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Available: |
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Aims/Goals for season? |
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Available to run touch if not
appointed to referee? |
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Would you be prepared to mentor
a new/inexperienced referee? |
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If you a member of another society
please tell us which |
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Are you a member of a club ?
If so which one? |
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Have you completed any refereeing
courses (e.g. ELRA) ? If so please tell
us the latest course and date completed. |
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Experience |
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