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Application for an Amateur Radio Special ... - Ofcom Licensing

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<strong>Application</strong> (Please complete in black using block capitals)<br />

Call signs <strong>for</strong> use in special contests as listed in a) above are available to UK amateur radio clubs<br />

(i.e. to the holder of <strong>an</strong> <strong>Amateur</strong> Full (Club) Licence) or to individuals holding <strong>an</strong> <strong>Amateur</strong><br />

Full/Reciprocal Licence who c<strong>an</strong> demonstrate previous participation <strong>an</strong>d achievement.<br />

Name of club or individual<br />

Call sign<br />

Licence No. (reference of licence)<br />

relating to the call sign above<br />

If the application relates to a club, give name <strong>an</strong>d<br />

call sign of club licence holder<br />

Main station address of club or licensee<br />

Mailing address of licensee to<br />

which the NoV should be sent<br />

Telephone (Home)<br />

Telephone (Work)<br />

E-mail address<br />

Postcode<br />

Postcode<br />

Call signs will consist of either G or M, a regional letter (if applicable), a single digit, <strong>an</strong>d a single<br />

suffix letter (e.g.GM8M, M6Z) – (See b) above)<br />

1 st choice 2 nd choice 3 rd choice<br />

Indicate at least 5 of the special contests (listed in a) above) participated in (Club or individual as<br />

relev<strong>an</strong>t) within the last 3 years, together with the relev<strong>an</strong>t call sign used, Section of the special<br />

contest entered if relev<strong>an</strong>t <strong>an</strong>d the position achieved.<br />

<strong>Special</strong> contest name Date<br />

Call sign<br />

used<br />

Section of special<br />

contest entered<br />

Page 3 of 4<br />

No. of<br />

contacts<br />

gained<br />

No. of contacts<br />

gained by the<br />

winner (leader)

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