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81 DD/MM/YYYY Umpire Name: Tournament: Location: Tournament Date(S) From DOB: To 01/01/2011 UM(s) Name: FIH ID No: TD Name: Age: 0 0 Grade / List: FIH Current Grade/List A level of competence in FIH international standard game & be assessed by FIH approved official Performance Rating Comments 11 U nderstands/implements the formal briefing Not Achieved Shows commitment to briefing objectives/co-operation with colleague on t h e pitch T echnical appreciation of game strategies/skills Partially Achieved Game knowledge and understanding of various "plays" shown her e Management of teams/players at advanced level Halfway Pro-active/preventative actions displayed, understood and accepted by teams F low and Timing at advanced level of accuracy More than Halfway Where/When not to blow, appreciation factors in tempo of play and when game needs (Management) A dvanced level of overall competence Fully Achieved Game time to include a reasonable mix of international teams/players, includi ng senior level competition UM-- Umpire is ready/not ready for next level? New Grade FIH No of Games This Event: * Asterisk refers to Outdoor only Current Grade/List Mark: 7.00 Achieved at this Tournament: 7.25 Target for next Tournament: ENGLISH LANGUAGE: TEAM MEMBERSHIP: MATCH / TOURNAMENT FITNESS: Pre-Tournament Preparation & Fitness Work Decision Making Management Flow and Timing Overall & Development Action Plan (UM-TD) TD Signature 0 UM(s) Signature 0 -

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