Scribd Logo
Upload

Welcome to Scribd!

  • 102 views

    Application For Exam Amateur New

    Uploaded by

    admer
    This document is an application form for amateur radio operators' examinations in the Philippines. It contains sections for the applicant to provide personal details like name, address, citizenship, and date of birth. The applicant must check the class of examination they are applying for, which includes classes A through D, covering different elements related to amateur radio operation. The form also lists the requirements for new applicants, repeat/upgrade applicants, and re-examination applicants. These include documents providing identity and age, proof of attendance in an amateur radio seminar, examination fees, and self-addressed stamped envelopes. The completed form is to be submitted to the Chairman of the Radio Operators Examination Committee to admit the applicant for their selected examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application For Exam Amateur New

    Uploaded by

    admer
    102 views1 page
    This document is an application form for amateur radio operators' examinations in the Philippines. It contains sections for the applicant to provide personal details like name, address, citizenship, and date of birth. The applicant must check the class of examination they are applying for, which includes classes A through D, covering different elements related to amateur radio operation. The form also lists the requirements for new applicants, repeat/upgrade applicants, and re-examination applicants. These include documents providing identity and age, proof of attendance in an amateur radio seminar, examination fees, and self-addressed stamped envelopes. The completed form is to be submitted to the Chairman of the Radio Operators Examination Committee to admit the applicant for their selected examination.

    Original Description:

    amateur radio

    Original Title

    Application for Exam Amateur New

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for amateur radio operators' examinations in the Philippines. It contains sections for the applicant to provide personal details like name, address, citizenship, and date of birth. The applicant must check the class of examination they are applying for, which includes classes A through D, covering different elements related to amateur radio operation. The form also lists the requirements for new applicants, repeat/upgrade applicants, and re-examination applicants. These include documents providing identity and age, proof of attendance in an amateur radio seminar, examination fees, and self-addressed stamped envelopes. The completed form is to be submitted to the Chairman of the Radio Operators Examination Committee to admit the applicant for their selected examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views1 page

    Application For Exam Amateur New

    Uploaded by

    admer
    This document is an application form for amateur radio operators' examinations in the Philippines. It contains sections for the applicant to provide personal details like name, address, citizenship, and date of birth. The applicant must check the class of examination they are applying for, which includes classes A through D, covering different elements related to amateur radio operation. The form also lists the requirements for new applicants, repeat/upgrade applicants, and re-examination applicants. These include documents providing identity and age, proof of attendance in an amateur radio seminar, examination fees, and self-addressed stamped envelopes. The completed form is to be submitted to the Chairman of the Radio Operators Examination Committee to admit the applicant for their selected examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    REPUBLIC OF THE PHILIPPINES

    Department of Transportation and Communications


    NATIONAL TELECOMMUNICATIONS COMMISSION
    Quezon City

    APPLICATION FOR AMATEUR RADIO OPERATORS' EXAMINATION


    Check CLASS of examination being applied for:
    [

    Class "A" Elements 8, 9 & 10 (Element 1 - Code)

    Class "B" Elements 5, 6 & 7

    Class "C" Elements 2, 3 & 4

    Class "D" Element 2 Only

    Place of Exam

    1x 1
    picture

    Date of Exam

    APPLICANT
    PRINT

    (last name)

    (first name)

    (middle name)

    MAILING ADDRESS
    Tel. Nos.
    DATE OF BIRTH
    Place of Birth
    CITIZENSHIP
    AGE
    Civil Status:
    Latest Amateur Radio Examination Taken (For Re-examination):
    State Class, Date and Place of Examination:

    (Married/Single)

    Applicant is:
    [

    Holder of valid First Class Radiotelephone/Radiotelegraph Operator Certificate


    Registered Electronics and Communications Engineer
    Holder of Amateur Operator Certificate (Class
    )

    Copy this in your costumary handwriting:


    "This is to certify that I have read and understood the instruction in this application form"

    SIGNATURE OF APPLICANT
    Requirements to be submitted:
    New Applicant

    Removal/Re-examination

    1. Copy of Birth Certificate, Baptismal Cert.,


    Passport, PRC License, Driver's License or

    1. Copy of Report of Rating of previous


    examination taken.

    Upgrading
    1. Authenticated copy of Amateur Radio
    Station License.

    any document which can serve as a basis for

    2. Two (2) identical copies 1"x1" picture.

    2. Two (2) identical copies 1"x1" picture

    age and Filipino citizenship.

    3. Two (2) self-addressed stamped

    3. Two (2) self-addressed stamped

    2. Proof of Attendance in a seminar

    envelopes.

    conducted by an NTC accredited amateur


    club.

    envelopes.

    4. P50.00 Examination Fee

    4. P50.00 Examination Fee.

    NOTE:

    3. Two (2) identical copies 1"x1" picture.

    New applicants who are graduates of BSECE or Holder of 1RTG/2RTG/1PHN

    4. Two (2) self-addressed stamped envelopes

    must present their license/certificate to be qualified to take Class "B"

    5. P50.00 Examination Fee

    examination directly.

    TO: THE CHAIRMAN, Radio Operators Examination Committee


    PLEASE ADMIT Mr/Ms.
    with mailing address at
    in the amateur radio operator examination indicated below:
    [

    Class "A" Elements 8, 9 & 10 (Element 1 - Code)

    Class "B" Elements 5, 6 & 7

    Class "C" Elements 2, 3 & 4

    Class "D" Element 2 Only

    1" x 1" Picture

    NOTES:
    1. Examination starts at 8:00 AM or as designated two days before the date of examination
    2. Examinees late for more than 30 minutes will be considered absent.
    3. Request for re-schedule of examination must be filed at least 1 week before the date of examination

    Date of Exam:

    Place of Exam:

    GLENN ANTHONY C. MERCADO


    Chief, Safety Radio Services
    & STCW Compliance Division

    You might also like