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Integrity Declaration Form

The document is an integrity declaration form that asks individuals to agree not to engage in betting or match fixing related to football, report any suspicious activity, and comply with relevant statutes and regulations.

Uploaded by

James Mathuku
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2K views1 page

Integrity Declaration Form

The document is an integrity declaration form that asks individuals to agree not to engage in betting or match fixing related to football, report any suspicious activity, and comply with relevant statutes and regulations.

Uploaded by

James Mathuku
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Integrity Declaration Form

(For Referees/Players/Coaches/Club Officials)

This information will be treated confidentially and will not be passed to third parties;

Surname;

First Names;

Date of birth;
Photo
Club/License No;

Nationality;

Designation;

Email Address;

All Mobile Nos;

I, the undersigned ……………………….…………………… (e.g player, referee, etc), agrees that I shall;

a) not take part in any betting connected with football, including soliciting or facilitating or
attempting to solicit or facilitate another person to do so;
b) not tolerate any form of manipulation (by offering or attempting to offer bribe or by receiving or
attempting to receive or seek a bribe) or unlawfully alter or influence the result or any other
aspect of a football match or competition;
c) report any approach or other activity which contravenes, or which may contravene, the sport’s
regulatory framework, in particular any statutes, regulations or any other law applicable to the
undersigned, and cooperate with any investigation and/or request for information.
d) comply with all provisions applicable to any activity within the sport that is associated with me,
particularly those of the FKF Statues, FKF Rules and Regulations, CAF Statutes, FIFA Statutes, the
FIFA Code of Ethics, the FIFA Disciplinary Code and the FIFA regulations Governing International
Matches.

I confirm that I have read the above and that I will contact FKF immediately in
the event of any suspicious situation, contact or information Yes No

Date;

Signature;

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