| Referee | Country |  |
W | D | L |  |
 |
 |
 |
|---|---|---|---|---|---|---|---|---|---|
| George Simmons |
|
1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| Referee | Country | |
W | D | L | |
|
|
|
|---|---|---|---|---|---|---|---|---|---|
| George Simmons |
|
1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| Born: | 02.11.1887 † 09.07.1916 |
| Place of birth: |
Berlin, 
Germany |
| Nationality: |
Germany
|