APPLICATION FOR PERMANENT CHANGE OF LOCATION 
AMATEUR WIRELESS TELEGRAPH 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.

From
....................................................................
....................................................................
....................................................................
.........................................PIN....................
								Date: ...…/…../
Dear Sir,
	Sub: Request for change of address – regarding
            	Ref:  My Amateur Radio Licence No……….., Callsign VU………,
 ……………………. Grade  
 
As I have changed my address from …………………. to …………………., I request you to kindly endorse the same on my Amateur Radio licence also. The details are as follows:

	Old Address: …………………………………………………
			…………………………………………………
			…………………………………………………
			…………………………………………………
			…………………………………PIN…..………
 
	New Address: …………………………………………………
			…………………………………………………
			…………………………………………………
			…………………………………………………
			…………………………………PIN…..………

Enclosed please find my original licence and Crossed Demand Draft no……………. dated …………….. for Rs 5/- (Rupees Five Only)  drawn on State Bank of India in favour of ‘PAY & ACCOUNTS OFFICER (HQ), D.O.T , NEW DELHI’ payable at Service Branch No. 7687 New Delhi.

Please return licence to me after the new address endorsement as earliest possible.

Thanking you,

Yours faithfully,

(			)
Encl: 	1 Original Licence 
         	2. DD for Rs.5/-