Transcription of NCVEC QUICK-FORM 605 APPLICATION AMATEUR …
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Example: dental hygienist
NCVEC QUICK-FORM 605 APPLICATION AMATEUR …
NCVEC QUICK-FORM 605 APPLICATIONAMATEUR OPERATOR/PRIMARY STATION LICENSESECTION 1 - TO BE COMPLETED BY APPLICANTPRINT LAST NAMESUFFIX (Jr., Sr.)FIRST CALL SIGN (IF LICENSED)MAILING ADDRESS (Number and Street or Box)FEDERAL REGISTRATION NUMBER (FRN) - IF NONE,THEN SOCIAL SECURITY NUMBER (SSN)CITYSTATE CODEZIP CODE (5 or 9 Numbers)DAYTIME TELEPHONE NUMBER (Include Area Code)E-MAIL ADDRESS (MANDATORYTO RECEIVE LICENSENOTIFICATIONEMAILFROM FCC)Basic QualificationQuestion:Has the Applicant or any party to this APPLICATION , or any party directly or indirectly controlling the Applicant, ever been convicted of afelony by any state or federal court?YESNOIf YES , see FCC BASIC QUALIFICATION QUESTION INSTRUCTIONS AND PROCEDURES on the back of this HEREBY APPLY FOR(Make an X in the appropriate box(es)):EXAMINATIONfor a new license grantEXAMINATION forupgradeof my license classCHANGE mynameon my license to my new nameFormer Name:(Last name) (Suffix)(First name)(MI)CHANGEmy mailing address toaboveaddressCHANGEmy stationcall signsystematicallyApplicant s Initials: To ConfirmRENEWALof my license grantExp.
THE FCC APPLICATION FORM 605 The FCC Form 605 may not be submitted to a VE exam session team or a VEC since it does not request the information required by the administering VEs. The FCC Form 605 may be used to renew or modify your license. New vanity license requests and sequential call sign changes require an FCC schedule D form in addition ...
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