1. Contact details of Club (employer) Name (Club Secretary): POINTS BASED SYSTEM Application for a Governing Body Endorsement for a Player Telephone: Mobile: E-mail: 2. Player details Title: Surname/Family Name: First Name: Date of birth: Nationality: Government issuing passport: Has the Player previously held a Work Permit/Certificate of Sponsorship: YES / NO If YES, please give details of employer and dates: Where is player currently residing: 3. Automatic Criteria In order to satisfy the criteria, the player must have played in the Required Percentage of his National Association s international matches in the relevant Reference Period prior to the date of the application. The Required Percentages are detailed below. Please list all matches the player s national association have played in the necessary reference period, indicating where the player appeared, did not appear and/or missed the match through injury/suspension. Supporting evidence for the player s appearances, non-appearances and injuries/suspensions must be provided in the appendix. The application will be assessed solely against the information provided by the applicant club. Required Percentage: for National Associations ranked between 1 and 10 of the FIFA Aggregated World Rankings, 30% and above; for National Associations ranked between 11 and 20 of the FIFA Aggregated World Rankings, 45% and above; for National Associations ranked between 21 and 30 of the FIFA Aggregated World Rankings, 60% and above; and for National Associations ranked between 31 and 50 of the FIFA Aggregated World Rankings, 75% and above; Reference Period means the twenty four (24) month period immediately preceding the date of the application for a Governing Body Endorsement unless the player is twenty one (21) or under at the time of the application for a Governing Body Endorsement when the reference period is reduced to the immediately preceding twelve (12) month period; 1
(a) Reference Period Age of applicant player: Reference Period: 12 / 24 months (delete as applicable) (b) FIFA Ranking Confirmation of the FIFA average rankings can be found on www.thefa.com FIFA Aggregated Ranking: (c) International appearances National Association: Date Match Competition Played/Injured/Suspended (Delete as appropriate) (Example) 19.3.08 v England European Championship Qualifier Total Matches Percentage of Competitive International Matches Played: 2
Injury: In the event that the player did not play as a result of an injury, written confirmation must be provided from either the National Association doctor or the relevant club doctor. Competitive Matches: If less than 30% of a National Association s matches during the Reference Period are Competitive International Matches, friendly matches will be included in the calculation. Does the applicant player meet the automatic criteria: YES / NO Delete as applicable 4. Period of Employment If you have offered the player a contract please set out the start and end date of the contract. From: day month year To: day month year Length of any Option period: Under which Tier are you making this application?: TIER 2 / TIER 5 5. Exceptions Panel Skills and Experience If a player does not meet the automatic criteria set out above, an applicant club can request that an Exceptions Panel consider the player's experience and value in order to determine whether a Governing Body Endorsement should nevertheless be granted. Do you require the case to go to an Exceptions Panel? YES / NO Delete as applicable Part A Objective Criteria Criteria player is above the 75 th percentile of Qualifying Transfers player is between the 50 th and 75 th percentile (inclusive) of Qualifying Transfers club are above the 75 th percentile of Qualifying Wages club are between the 50 th and 75 th percentile (inclusive) of Qualifying Wages The player s current club is in a Top League and the player has played in 30% or more of the Available Minutes The player s current club has played in the group stages or onwards of a Continental Competition within the last 12 months and the player has played in 30% or more of the Available Minutes Total Part A Objective Criteria Points Requested Points Requested (Yes/No) Where Yes, please provide details e.g. exact transfer fee, league, % of league minutes Points Available 3 points 2 points 3 points 2 points 3
Part B Objective Criteria Please note that the Exceptions Panel will not duplicate points across Part A and Part B. For example, a player who scores points in respect of his Transfer Fee at Part A will not be permitted to also score points in respect of his Transfer Fee at Part B (if necessary) Criteria player is within 20% of the 50 th percentile of Qualifying Transfers Players for whom no transfer fee is payable who have been ascribed a virtual transfer value (on such basis and in such amount as the Exceptions Panel deems to be appropriate in its absolute discretion) which is within 20% of or exceeds the 50th percentile of Qualifying Transfers club are within 20% of the 50 th percentile of Qualifying Wages The player s current club is in a Secondary League and the player has played in at least 30% of the Available Minutes The player s current club has played in the final qualification rounds of a Continental Competition within the last 12 months and the player has played in at least 30% of the Available Minutes The applicant club is able to show that the player has participated in the Secondary Percentage of senior Competitive International Matches played by that player s National Association during the Reference Period OR The player s National Association was a semi-finalist in the Asian Cup or African Cup of Nations in the immediately preceding 12 months of the date of the application for a GBE. If the National Association is ranked outside the top 60 in the FIFA Aggregated World Rankings at the time of the application, the club must be able to show that the player participated in 75% or more of the Competitive International Matches played by the National Association during the Reference Period Total Part B Objective Review Points Requested Total Part A and Part B Objective Review Points Requested Points Requested (Yes/No) Where Yes, please provide details e.g. exact transfer fee, league, % of league minutes Points Available Subjective Criteria: The Exceptions Panel will then conduct a subjective review of the information presented by the club and any other information which it considers to be relevant in its absolute 4
discretion in respect of the player in order to determine whether the player is of sufficient quality to justify it recommending that a GBE be awarded. Clubs should ensure that all evidence that they want to be considered in respect of the player is submitted at the same time as this application. Examples of the matters which the Exceptions Panel will take into account when conducting the subjective review are set out in the Points Based System Governing Body Endorsement Requirements for Players 2017/2018 season. Oral Submissions: In addition to written evidence, do you wish to present oral evidence to the Exceptions Panel? YES / NO Delete as applicable 6. Details of Representatives being used by Club (e.g. Solicitors) Name: Telephone: Mobile: E-mail: 7. Declaration Please note: Where a club obtains a GBE for a player following an Exceptions Panel but subsequently submits to The FA as part of the registration process documentation which contains different information (for example different wages and/or transfer fee) from that submitted as part of the GBE application process, The FA reserves the right to refer the case back to an Exceptions Panel and ultimately to inform the Home Office who may curtail the player s right to work in the UK. This declaration must be signed by an authorised signatory of the employer. The details given in this application are true and complete to the best of my knowledge and belief. The employer named in this application is responsible for the terms and conditions of employment and any requirements for registration or licensing necessary for the employment which is subject to this application. Signature Date Name (CAPITALS please) Position: For and on behalf of (employer) Please submit the application to: Player Status Department The Football Association Wembley Stadium PO Box 1966 London SW1P 9EQ Email: Registrations@thefa.com 5