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PREMIER LEAGUE

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<strong>PREMIER</strong> <strong>LEAGUE</strong><br />

LIST OF AUTHORISED SIGNATORIES OF<br />

(Rule A.1.17)<br />

Form 1<br />

FOOTBALL CLUB<br />

To:<br />

The Secretary<br />

The Premier League<br />

The following Officials of the Club are Authorised Signatories:<br />

Print Name Position Signature Limit of Authority (if any)<br />

<strong>PREMIER</strong> <strong>LEAGUE</strong> FORMS<br />

* In particular, please indicate if the individual is<br />

an Authorised Signatory for the purposes of an<br />

application for a UEFA Club Licence.<br />

Signed<br />

Position<br />

Date<br />

230

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