Federatia Romana de Fotbal

R A P O R T D E O B SE R V A R E
a jocului oficial dintre echipele ______________________________________,
disputat la data de ____________, ora ____, pe terenul ___________________,
din localitatea _____________________, in cadrul _______________________
(competitia)

Numele si prenumele observatorului ____________________ / _________________

(localitatea de domiciliu)

I. Rezultatul final al jocului ________________; la pauza _________________

*In cazul jocurilor eliminatorii: scorul dupa 90 minute _____; scorul dupa reprizele de prelungiri ____

II. Numele si prenumele arbitrilor / localitatea de domiciliu:

Arbitrul ______________________ / __________________________


Asistent 1 ____________________ / __________________________


Asistent 2 ____________________ / __________________________


Al 4-lea oficial ________________ / __________________________
III. Conditiile in care s-a desfasurat jocul


Starea terenului de joc ______________________________________


Conditiile admosferice _____________________________________


Nr. de spectatori __________; din care suporteri oaspeti ___________

Aprecieri cu privire la masurile de ordine si de organizare intreprinse de echipe gazda:

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Asigurarea asistentei medicale:

Numele si prenumele medicului delegat ________________________________
Numarul delegatiei si unitatea emitenta _______________________________
Nr. de inmatriculare autosanitare / autoturisme ________________________

IV. Comportarea jucatorilor si oficialilor celor doua echipe

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a) Incidente provocate de jucatori ______________________________________________
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b) Incidente provocate de spectatori (se va mentiona comportarea spectatorilor)
(inainte, in timpul si dupa terminarea jocului)
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V. Sanctiuni aplicate jucatorilor:

a) Avertismente (cartonase galbene): numele jucatorilor, abaterea, minutul
Echipa gazda _______________________________________________________________
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Echipa oaspete ______________________________________________________________
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b) Eliminari (cartonase rosii): numele jucatorilor, abaterea, minutul
Echipa gazda _______________________________________________________________
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Echipa oaspete ______________________________________________________________
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c) Sanctiuni aplicate oficialilor _________________________________________________
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VI. Jucatori accidentati: numele si prenumele, diagnosticul, cauza

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VII. Jucatori remarcati: numele si prenumele, postul

Echipa gazda _______________________________________________________________
Echipa oaspete ______________________________________________________________
Alte constatari si observatii ___________________________________________________
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Data completarii _______________

Localitatea _______________________

Semnatura observatorului __________________