Baltimore VE Team

Exam Session Registration

Please complete this form to register.
The Federal Communications Commission (FCC) does not accept the use of your SSN on the registration form.
Please provide your FRN instead.
The FCC requires that you provide an email addres on your registration form through which they may contact you.
You may apply to the FCC for the FCC Registration Number (FRN) if you do not already have yours.

Exam Session

Select the exam session: *


FCC Information

Amateur radio call sign (if you have one):

Class Expiration date (mm/dd/yyyy): 
     
Your FRN: *
Click for FCC Registration Number (FRN) and place in the space above.
If you already have an FRN, please do not request another.

Personal Information

First name: *      Middle initial:    

Last name: *      Suffix (Jr, Sr, II, III, IV):
Use the same name you used to register your FRN. Change my name (for your existing license).

Mailing Address

Street address: *      PO Box (box number only): *
Enter your street address and/or PO Box number; both are not required.

City or Town: *      State: *

Your ZIP code: - *    Change my address (for your existing license).

Contact Information

Your E-mail address: *
The FCC requires your email address on your application. You must be able to receive messages through this addres.

Your daytime phone (0000000000):
We use phone number to make contact when needed faster than email.
Do not include phone number on application.

Question Required by the FCC

Have you ever been convicted of a felony in any state or federal court? *
This question is required.

Exam Elements Desired

Check the exam(s) you plan to take:
Element 2 - Technician Class Element 3 - General Class Element 4 - Amateur Extra Class

Additional Information

Please identify any pending amateur radio license applications with the FCC.
List any concerns for your exam session.
Do not hit the enter key until you have completed all fields in this form.

Failure to disclose pending amateur radio modifications may delay the grant of your license.



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Registration form ver 4.0.4

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