| futsal referee |  Monika Czudzinowicz |
| date of birth [dd/mm/yyyy] | - |
| nationality(ies) |  Polish |
| date | location | wdl | match | competition |
| 07/12/2019 | Toruń |
W | Poland - Slovenia 7-2 | FW International Friendly |
| gms | pw | pd | pl | yp | avg yp | rp | avg rp | pfp (s) | pap (s) |
| 1 | 1 | 0 | 0 | 0 | 0.0 | 0 | 0.0 | 0 (0) | 0 (0) |