Complaints Board - Claim Response

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Malta FA Statute, Article 63

Claim Details

Claim*

Example: Team A vs Player C

Claim Number

Insert reference no. showing on the complaint received

Date of Claim

Date of Receipt

2. Details of Respondent

In which capacity are you submitting this response*

Please select

Please select
Lawyer or Legal Representative
Club or Member Association
In my own capacity

First Name*

Surname*

ID Card No*

Tel/Mob*

Email*

Upload Proxy*

Drop files here or click to select

Responses submitted by a Lawyer or Legal representative are to be accompanied by a proxy.

Client Name*

Client Email*

Client Tel/Mob*

If Complainant is representing a Club or a Member Association, the following details must be entered:*

Please select

Please select
President
Secretary
Teasurer
Vice-President
Asst. Secretary
Deputy Treasurer

Club Name:*

Club Email*

3. Claim request details

Click here to access regulations

a.) Please insert below a detailed description of your response to the claim received, including all required information in an accurate manner:

b.) Please insert below the details of any witnesses being presented or requested

Details to include Last Name, First Name, I.D. card No., Tel/Mob Number & E-mail address. Any written evidence submitted by witnesses should be listed here and included in the attachments in Section 3d.

Upload Documents

Drop files here or click to select

Any evidence or additional material can be uploaded here

c.) Please list below all the documents being attached to this claim response (if applicable):

4. Confirmation

Signature*

Applicant Details

, ID Card:
on behalf of ,
Date: 26th September 2023

Claim Details

2. Details of Respondent

3. Claim request details

4. Confirmation

Applicant Details

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