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The Japan Amateur Radio League, Inc.
A JAPANESE AMATEUR RADIO LICENSE JARL-96-04 for non-Japanese only | ||
| ( ) New Station |
( ) Modification |
Your E-Mail Address: |
| 1.NAME OF APPLICANT: |
2.DATE OF BIRTH: |
3.NATIONALITY: |
| 4.MAILING ADDRESS (in your home country): |
5.DO YOU PLAN TO OPERATE AMATEUR-SATELLITE SERVICE?: ( ) Yes ( ) No | |
| 6.JAPANESE MAILING ADDRESS (where you can receive mail in Japan): Tel: Fax: | ||
| 7.ADDRESS WHERE YOU WILL INSTALL YOUR STATION: Tel: Fax: ( ) FIXED and/or ( ) MOBILE/PORTABLE | ||
| 8.CALL SIGN: |
9.LICENSE CLASS: |
10. DATE OF ISSUE AND EXPIRATION OF LICENSE: |
| 11.PASSPORT NUMBER (if available): |
12a. ESTIMATED DATE OF ARRIVAL IN JAPAN: |
12b. ESTIMATED DATE OF DEPARTURE FROM JAPAN: |
|
13.DESIRED BANDS, POWER, MODES AND EQUIPMENT DURING OPERATION IN JAPAN: (Cross out choices not desired) BAND / POWER / MODES / MODEL OF EQUIPMENT 1.9MHz 10/50/200 W CW 3.5MHz 10/50/200 W CW, SSB, PACKET, RTTY 3.8MHz 10/50/200 W CW, SSB 7MHz 10/50/200 W CW, SSB, PACKET, RTTY 10MHz 10/50/200 W CW, PACKET, RTTY 14MHz 10/50/200 W CW, SSB, PACKET, RTTY 18MHz 10/50/200 W CW, SSB, PACKET, RTTY 21MHz 10/50/200 W CW, SSB, PACKET, RTTY 24MHz 10/50/200 W CW, SSB, PACKET, RTTY 28MHz 10/50/200 W CW, SSB, FM, PACKET, RTTY 50MHz 20/50/200 W CW, SSB, FM, PACKET, RTTY 144MHz 20/50 W CW, SSB, FM, PACKET, RTTY 430MHz 20/50 W CW, SSB, FM, PACKET, RTTY 1200MHz 10 W CW, SSB, FM, PACKET, RTTY Select desired bands and power and carefully indicate modes and the corresponding equipment to be operated. Bands and maximum power permitted are determined by your license class. Cross out choices not desired.) | ||
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