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Application for Appointment as a Referee

Surname (With Initials) *
Other Names
Postal Address *
Email Address *
NIC Number *
Date of Birth *
Telephone Numbers
Mobile *
Office
Residence
Schools Attended *
Academic Qualifications *
Present Employment *
Rugby Playing Experience *
Rugby Coaching Experience *
Are you a referee at present? *
Grading
Refereeing Experience *
Availability for Refereeing *
Refereeing Courses Attended *

Please download the code of conduct and upload the signed copy.

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Maximum file size: 512 MB

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