URDA Record Sheet

   

Applicant’s callsign___________________            Page___ of pages___

Band ____________                                  Mode ____________

Addresse ___________________________________________________________

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№№	District Code	CALL	DATE	Band	Mode	To check
1.	CR22	UT7RW	15-02-2013	14	CW
2.	DO18	UR5IUY	15-03-2013	7	SSB
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Date ______________   Signature______________

UZ1RR Updated: