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Réclamation sur une décision du juge-arbitre

Réclamation sur une décision du juge-arbitre

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Decision of the Jury of Appeal: Accepted: / Denied: <br />

Reason(s): ______________________________________________________________________<br />

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Date and Time: _________________________________________________________________<br />

Name and signature of officials (printed):<br />

____________________________________<br />

TO<br />

____________________________________<br />

TO<br />

____________________________________<br />

TO<br />

Signatures<br />

___________________________________<br />

___________________________________<br />

___________________________________

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