| futsal referee |  Cédric Pelissier |
| date of birth [dd/mm/yyyy] | 02/07/1976 |
| nationality(ies) |  French |
| date | location | wdl | match | competition |
| 25/10/2019 |  Zielona Góra |
L | Poland - Finland 1-2 | FM World Cup Qualifying Group 1 |
| gms | pw | pd | pl | yp | avg yp | rp | avg rp | pfp (s) | pap (s) |
| 1 | 0 | 0 | 1 | 2 | 2.0 | 0 | 0.0 | 0 (0) | 0 (0) |