The Director Wireless Telegraphy
Office of the Prime Minister
Department of Wireless Telegraphy
Evans Building
Merchants Street
Valletta CMR 02
Malta
Sir,
I wish to apply for a visitor's amateur (sound) licence.
A. DETAILS OF APPLICANT:
1. Name of Applicant
(with Christian names in full)
2. Date of Birth
3. Home Address
4. Details of Occupation
5. Telephone number
6. Citizenship/Passport number
7. Father's Name
8. Mother's Name/Maiden Surname
9. Address in Malta
10. Duration of stay in Malta from: _________________ to: ___________________
11. Qualifications (Amateur licence)
- copy of current licence to be supplied.
B. TRANSMITTER/S:
Type, Class/es of Emission, Frequency Coverage, Power (Maximum DC Power energising the final stages, or any device energising the aerial shall
not exceed 150 Watts). Circuit Diagram of Transmitter/s to be enclosed.
C. RECEIVER/S:
Type, Modes of Operation, Frequency Coverage, etc.
D. DETAILS OF ANY OTHER EQUIPMENT:
I declare that I will adhere to all the conditions of the Radio Amateurs in Malta.
Date:____________ Signature of Applicant: ________________________