Western University Suite 701 Richmond Hill, on L4B 3P6 T: 905-508-3000 F: 905-508-4221

Western University Suite 701 Richmond Hill, on L4B 3P6 T: 905-508-3000 F: 905-508-4221

U SPORTS 45 Vogell Road Western University Suite 701 Richmond Hill, ON L4B 3P6 T: 905-508-3000 F: 905-508-4221 40.30.3.5.4.1 Eligibility Certificate - Men's Soccer Revision # 1 Current Is Date of Student Year of Year of presently Expected ID Jersey First Name Last Name DOB Eligibility Course Study Home Town / Prov Last Team Ineligible Eligibility Nimi Adeyemo BMOS Brampton ON Woodbridge 11111 17-Nov-98 3 3 Strikers Jeremy Arnold Kinesiology INVERARY ON Kingston 250928081 11-Nov-97 4 3 Clippers Ethan Augustin Kinesiology Newcastle ON FC Durham, 251059375 18-Aug-98 1 2 SAC Daymon Blackport Kinesiology London ON FC London 250869323 17-Jan-97 1 3 League 1 Carlos Buitrago Science Aurora ON Aurora FC 250898262 25-Oct-97 1 3 League 1 Cameron Cappelli BMOS Ottawa ON Ottawa South 250944637 21-Aug-99 1 2 United Anthony Chrysanthou BMOS Mississauga ON Prostars FC, 250988240 14-Oct-99 1 2 League 1 Raphael Cote Sociology London ON Pointe-Claire 250982558 15-Mar-99 1 2 Red Devils AAA Robert D`amario BMOS Vaughan ON North 250922053 25-Feb-98 3 3 Mississauga Connor Dalton Kinesiology Stratroy ON FC London 250966455 18-Feb-99 2 2 Cristian Devia King's College London ON jagiellonia, 250875291 20-Dec-97 3 3 western ontario Nishaan Dulay Kinesiology Delta BC Mountain United 251014637 8-Mar-00 1 1 FC in the Kareem El menyawi Business Richmond ON Vancouver 250916002 30-Oct-98 3 3 United & Pacific Owain Evans Social Science Toronto ON Richmond Hill 11111 14-Jan-97 4 4 Raiders OSL Sebastian Fischer Kinesiology Duesseldorf North Eller 04 251060950 4-Jun-96 1 4 Rhine Duesseldorf Braeden Gee IMS Dorchester ON FC London 250926403 17-Feb-97 3 3 League One Belal Halbouni Sociology london ON Team: FC 250979326 29-Dec-99 1 1 London, Hasein Halbouni King's College Komoka ON Fc London 250973291 17-Feb-99 1 2 Jonathan Hodge King's College London ON Fc London, 250866879 17-Jan-97 4 4 League One Jamu Iluya Engineering Kitchener ON PCC 250983526 15-Dec-99 1 1 Supersonics Kairav Juta Social Science Newmarket ON Aurora FC 250946896 30-Oct-99 1 2 League 1 Ian Kerr King's College Ottawa ON John McCrae 251035843 15-Feb-00 1 1 SS Bulldogs - Aidan Kovacs King's College London ON LS Croatia SC & 250966789 24-Oct-99 1 2 Western Ontario Nasong Luginaah Sciences london ON Fc 251028681 2-Feb-00 1 1 London-OYSL Kirit Mascarenhas Music Mississauga ON North 250801611 21-Dec-96 1 1 Mississauga SC Luca McLean BMOS Oakville ON Signs FC & Elite 250839817 8-Jun-97 1 3 U21 Glen McMahon BMOS Nottawa ON Oakville Blue 8-Jun-99 1 1 Devils U21 Prov Patrick Melo Sciences London ON FC London 250954016 23-Nov-99 2 2 Jesse Mingo Health Science Toronto ON North 11111 4-Mar-99 2 2 Scarborough James O`callaghan King's College mount brydges ON North London 250870268 4-Apr-97 4 4 Michael Parchomchuk BMOS West BC Mountain United 250964018 12-May-99 2 2 Vancouver FC Ryan Quong Business Vancouver BC Team Canada 250843405 26-Feb-97 4 4 (nations cup - Stevie ray Reid Education Mississauga ON North 250684421 14-Aug-94 5 2 Mississauga Evan Riccobon Kinesiology London ON St Thomas - 28-Sep-98 1 2 WOSL Premier Mark Serjeant King's College Toronto ON FC London - 250812116 19-Feb-96 5 5 League 1 Kody Thomson Business Calgary AB Calgary Foothills 250870889 22-Dec-96 4 3 FC PDL Luca Trivisonno BMOS Toronto ON Vaughan Azzurri 250968811 24-Aug-99 2 2 Lucas Ventura Engineering Richmond Hill ON Richmond Hill 250846469 2-Oct-97 4 4 Raiders Sokol Qamili King's College London ON FC London U21 9-Feb-99 1 1 Elite Note: Date Approved by Head Coach: October 4, 2018 Date Approved by Director of Athletics or Designate: October 10, 2018 Signature of Registrar or Designate: Date: *The information collected in this form is used and disclosed by U SPORTS in accordance with the terms of U SPORTS’ Student Athlete Acknowledgement Form and U SPORTS’ Personal Information Protection Policy. For further information about U SPORTS’ collection, use and disclosure of personal information, see our Personal Information Protection Policy at www.usports.ca .

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