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City & Country: SURAKARTA - INDONESIA

Match no.: Date: Kick-off: Stadium:

Referee : 2nd Referee:


Time out Time out
Score: 1st half Score : 1st half
Team A: Time out Team B: Time out
Captain No.: 2nd half Captain No.: 2nd half
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 T 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 T
1st Half

1st Half
Accum. Fouls

Accum. Fouls
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 T 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 T
2nd Half

2nd Half
1st 2nd Goals 1st 2nd Goals
No Name P N E Red No Name P N E Red
Yellow Yellow 1 2 3 4 5 6 7 8 Yellow Yellow 1 2 3 4 5 6 7 8

P = Playing ( ) N = Non Playing ( X ) E = Not Eligible ( O )

Signature: Time Keeper:


3rd Referee (Name): Country :
DAFTAR SUSUNAN PEMAIN DAFTAR SUSUNAN PEMAIN

TIM : TIM :
WARNA KAOS WARNA KAOS
TANGGAL : WAKTU : TANGGAL : WAKTU :
NPG N A M A M C N NPG N A M A M C N

PELATIH - TANDA TANGAN PELATIH - TANDA TANGAN

M : MAIN C : CADANGAN N : TIDAK MAIN M : MAIN C : CADANGAN N : TIDAK MAIN

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