APPLICATION FOR THE ISSUE OF DUPLICATE AMATEUR STATION LICENCE

To

The Assistant Wireless Advisor to Govt. of India,
Ministry of Communication & Information Technology,
Department of Telecommunications, (WPC Wing),
Amateur Section, Room No. 619, Sanchar Bhavan,
Parliament Street, NEW DELHI – 110 001.
	Date :      /      /200	

From:
………………………………………………..
………………………………………………..
………………………………………………..
……………………………….PIN…………..
Dear Sir,
Subject: Application for Duplicate License of Amateur Radio Licence
Ref: 	Licence No ………… Call sign VU………...Category of Licence………. 
Valid upto:….../….../……… 
My above mentioned Amateur Radio License has been lost / mutilated / destroyed under the following circumstances  ……………………………………………………………………… ………… ……………………………………………………………………………………………………………..... 
Reasonable search has been made for the licence. I hereby declare that in the event of the original licence be found, either the original or the duplicate shall be sent to the Ministry of Communications. 

Enclosed please find the following items: 
a) 	Two stamp size photographs
b) 	Orginal FIR Copy from  Police Station
c)	Demand Draft for Rs.10 (No…………dated…………) drawn in favour of “Pay & Accounts Officer  (HQ) D.O.T. New  Delhi”  from State Bank of India  payable at Service Branch No. 7687, New Delhi.

I request you to issue the Duplicate License at your earliest convenience
Thanking you
  Yours faithfully

Signature