| referee |  Włodzimierz Bartos |
| date of birth [dd/mm/yyyy] | 12/05/1971 |
| nationality(ies) |  Polish |
| date | location | wdl | match | competition |
| 05/09/2021 | Malbork |
D | Poland - Netherlands 2-2 (5-6 Penalties) | MU17s 2021 Syrenka Cup |
| gms | pw | pd | pl | yp | avg yp | rp | avg rp | pfp (s) | pap (s) |
| 1 | 0 | 1 | 0 | 3 | 3.0 | 1 | 1.0 | 1 (1) | 0 (0) |