Name:	Date:		Check the appropriate box:
			ME	MF	MS	WE	WF	WS
Competition:	Place:
Assignor of Referees:		FIE Observer:

Format

# of fencers:

# of pool flights:

# of fencers in DE Table:

Pool

I refereed in the pool round:		Yes	No	If you checked “Yes,” continue this section. If you checked “No,” go to DE section.
1^st Flight:	Indicate if you refereed alone or the name and country of other referee:
2^nd Flight:	Indicate if you refereed alone or the name and country of other referee:

Direct Elimination Table

Round of:

Name/Country of Winner

Name/Country of Loser

Score/Comments

(Sample form on other side. Please add additional pages if necessary.)