To the Governor of Aruba
Plaza Henny Eman #3
Oranjestad, ARUBA

The undersigned requests a license to operate an amateur radio station in ARUBA and agrees that if a license is granted his/her operation will be in accordance with:

1. The rules of the ITU Radio Regulations concerning amateur radio operation.

2. The terms and conditions of the amateur radio license issued to him/her by his/her government.

3. The terms and conditions of the bilateral agreement concerning amateur radio operation between his/her government and the government of ARUBA.

4. Any further conditions attached to this license by the government of ARUBA.

Further he/she understands that any license issued to him/her may be summarily modified, suspended or cancelled without advance notice. He/she certifies that all the information submitted herein is true, correct and complete to the best of his/her knowledge.

Surname: ________________________________ First name(s): _____________________________

Nationality: ______________________________ Occupation: ______________________________

Birthplace: ______________________________ Date of birth: _____________________________

License number: __________________________ Expiration date: ___________________________

Call sign: _______________________________ Country of issue: __________________________

Proposed operation in Aruba from: _____________________ to ____________________ 19 _____

Requested special call sign* _______________________ Other option(s): _____________________

Frequency band(s)______________________________ Type(s) of emission: __________________

Description of XMTR: ____________________________________________________________

Type of station: ___________________________________ XMTR power: _____________WATT

Location if fixed: ________________________________________________________________

Mailing address in ARUBA: ________________________________________________________

Mailing address in your country: _____________________________________________________

Date signed: ___________________________ Signature: ________________________________

THIS APPLICATION MUST BE COMPLETED AND RETURNED TO DIRECTIE TELECOMMUNICATIE ZAKEN (DTZ), WINDSTRAAT 21, ORANJESTAD, ARUBA, Tel: (+297) 8-26069, Fax: (+297) 8-25307, ACCOMPANIED BY A PHOTOCOPY OF YOUR VALID LICENSE. PLEASE DO NOT SEND MONEY, WE WILL BILL YOU UPON YOUR ARRIVAL.

* The applicant of a special call sign can only do so if he /she is participating in international competitions e.g. DX, CW etc. Formation of special call sign: prefix P40 followed by a suffix of 1 or 2.


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