ASOCIATIA JUDETEANA DE FOTBAL HUNEDOARA

Hunedoara, Deva, Str. Octavian Goga, Nr.1

Tel/Fax: 0254219065

RAPORTUL ARBITRULUI
Arbitrul__________________________________din localitatea________________
Va facem cunoscut ca ati fost delegat sa arbitrati jocul de categoria_____, seria_____ dintre
echipa___________________________ din localitatea________________________
si
echipa___________________________ din localitatea________________________
Jocul se va disputa la data de ________ ora______ pe terenul_________ din loc.__________
Numele arbitrilor asistenti : _______________________________loc.___________________
_______________________________ loc.___________________
Nota: arbitrii au obligatia sa completeze clar si concis, toate rubricile si intrebarile din
raportul de arbitraj.
ASISTENTA MEDICALA: Nr. del__________
Nr. auto salvare 1___________
Numele medicului________________________
Nr. auto salvare 2___________
Semnatura si parafa_______________________
1.
ECHIPA GAZDA____________________________________________________
Nr.
NUMELE SI PRENUMELE
Anul nasterii Nr. carnet
crt.
JUCATORILOR

REZERVE

OFICIALI PE BANCA DE REZERVE

Antrenor P. :
Antrenor S. :
Director Tehnic:
Medic :
Maseur:
Delegat :

Semnatura:
1

2. Ce jucatori au fost inlocuiti in timpul jocului si in ce minut?

Gazde
Oaspeti
IESE
INTRA
MINUTUL
IESE
INTRA

3. Ce jucatori au marcat golurile si in ce minut?

Gazde
Oaspeti
NR.
MIN.
NR. MIN
NR.
MIN.

MINUTUL

NR.

MIN.

4. Ce jucatori au fost sanctionati( avertizati ) minutul- si din ce motiv ?

GAZDE____________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________Semnatura delegat gazde_________________________
OASPETI___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________Semnatura delegat oaspeti________________________
5. Ce jucatori au fost eliminati- minutul- si din ce motiv ?
GAZDE____________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________Semnatura delegat gazde_________________________
OASPETI___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________Semnatura delegat oaspeti________________________
6.Daca au avut loc incidente, inainte, in timpul si dupa terminarea jocului?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
7. Numele si prenumele observatorului____________________________loc.____________
2

8.ECHIPA OASPETE____________________________________________________
Nr.
NUMELE SI PRENUMELE
Anul nasterii Nr. carnet
crt.
JUCATORILOR

REZERVE

OFICIALI PE BANCA DE REZERVE

Antrenor P. :
Antrenor S. :
Director Tehnic:
Medic :
Maseur:
Delegat :

Semnatura:

9. CONTESTATIE
Echipa______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Delegatul echipei care contesta
Delegatul echipei contestate
________________
____________________
Echipa______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Delegatul echipei care contesta
Delegatul echipei contestate
________________
____________________
10. Ce jucatori au fost accidentati, din ce cauza si de ce natura a fost accidentul( se va
completa de arbitru, urmand ca medicul delegat sa scrie diagnosticul si natura accidentului
dupa
cum
urmeaza):
___________________________________________________________________________
___________________________________________________________________________
__________________________________________________Semnatura si parafa medicului

11. Observatii ale arbitrului

BINE

NORMAL

NESATISFACATOR

a) ORGANIZARE
b) COMPORTAREA ECHIPELOR
c) COMPORTAREA SPECTATORILOR
d) SERVICIUL DE SECURITATE
12. OBSERVATII SUPLIMENTARE ( datele jucatorilor care nu au prezentat carnetele de
legitimare, precum si alte detalii importante referitoare la joc)
___________________________________________________________________________
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13. Rezultatul jocului:_____________________ in favoarea:_________________________
Rezultatul la pauza :________________________in favoarea:_________________________
Rezultatul lov. din punctul de pedeapsa______________in favoarea:_________________________
Semnatura arbitrului :_________________ Data_______________ Loc:_______________
Arbitrii sunt obligati a trimite raportul de arbitraj organului competent in termen de 12 ore
de la terminarea jocului, impreuna cu carnetele de legitimare retinute in caz de contestatii,
eliminari de pe teren, sau din alte motive care contravin prevederilor regulamentului.
Comisia de disciplina si etica a AJF Hunedoara, in sedinta din __________ a omologat
jocul de categoria __________ dintre echipa ___________________________ __________si
echipa_______________________________________ cu rezultatul de _________________
in favoarea echipei ___________________________________________________________
SANCTIUNI________________________________________________________________
___________________________________________________________________________
DATA_____________PRESEDINTE_______________ SECRETAR___________________