SOUTH AFRICAN RADIO LEAGUE
PO Box 1721 Strubensvallei 1735
Tel 011 675-2393 Fax 011 675-2793
Email: admin@sarl.org.za 

Un-Attended Station License Application Form
( Covers: Beacons, Bulletin Board Servers, Digipeaters, Repeaters and Weather Fax Relay Stations )

Club / Organisation:

  

Postal Address:

  

Postal Code:

  

Call sign:

 Note: The Call sign is allocated by the SARL VHF Band Planner

Station Type:

  

Operating Frequencies:

  

Transmitter Type:

  

Receiver Type:

  

Other:
 

  
 

Site / farm, mountain or stand name or number:

  

Physical Address:

  

Nearest Post Office:

  

Magisterial District:

  

Location:

 

Degrees

Minutes

Seconds

  

Latitude:

      

South

Longitude:

      

East

Height above sea level (m):

  

Antenna height above ground (m):

  

Antenna type:

  

Gain (dB):

  

Antenna power input (w):

  

Coverage Area (description):

 

 

 

Responsible Radio Amateur
Please make it as easy as possible for us to contact you with any queries!

Name:

  

Call Sign:

  

Tel. (H):

  

Tel. (W):

  
Email:   Fax No.  

Full name of applicant:

  
Identity Number:  

Signature:

  

Date: