License Application Form 610

1.

Applicant

I promise to read each question of my simulated examination carefully and to maybe even think about it a little bit before making my guess. I also won't hassle my examiners even if I think I'm going to have to try this twice.
 
Name:
Address:
Phone:
Email:

2.

Examiners

As examiners we promise to make sure the applicant has fun and maybe even learns something while taking the simulated license examination.
 
Name:
Callsign:
Signature:

 
Name:
Callsign:
Signature:

3.

For Official Use

As officials we don't promise much of anything.
 
Issued Callsign:
Extra Effort:
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