Applicant's Name __________________________________________________________________
Amateur Radio Call Sign ____________________________________________________________
Arrival Date in Canada ___/___/___ Departure Date from Canada ___/____/______
Address in Canada
I, the undersigned amateur radio licensee, request a permit for operation of an amateur radio station in Canada. I understand that if a permit is granted, my operation of an amateur radio station must be in accordance with Canadian rules and regulations and the terms and conditions of the amateur licence issued by my government
1. A copy of operator's licence.