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* 1. National Association

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* 2. Please confirm the NA supports this nomination

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* 3. Name of Contact person for National Association

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* 4. Email address for NA contact

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* 5. Nominated participant Full Name

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* 6. Nominated participant Date of Birth

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* 7. Nominated participant Gender

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* 8. Level of English

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* 9. Nominated participant Email

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* 10. Nominated participant Phone Number

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* 11. Nominated participant Skype

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

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

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

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

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* 16. Umpire Shirt Size

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