* 1. National Association

* 2. Please confirm the NA supports this nomination

* 3. Name of Contact person for National Association

* 4. Email address for NA contact

* 5. Nominated participant Full Name

* 6. Nominated participant Date of Birth

* 7. Nominated participant Gender

* 8. Level of English

* 9. Nominated participant Email

* 10. Nominated participant Phone Number

* 11. Nominated participant Skype

* 12. What skills and qualities do you have that will help you succeed in your umpiring career?

* 13. Current Fitness test result (please identify the test used)

* 14. What is the biggest game you have umpired and how do you feel it went?

* 15. Is this Umpire to be considered for UDP?

* 16. Umpire Shirt Size

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