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Please fill out this online form and put the number in the bottom in the specified field. Please notice that your data will be stored temporary. After the exam your personal data in our database will be deleted.

*Required information.
exam date * Please select your prefered exam date.
saludation *
first name *
last name *
phone * Please us international format like +44 1234 567890
Email *
US license * Did you got a valid amateur radio license?
US callsign If you do not have a US callsign until now please leave this field free.
FRN Federation Registration Number of the FCC if you have one.
US adress street and c/o, city, ZIP code (5 digit), state code
registration for * Multiple answers are possible.
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