A Requisition of New Amateur Station Operator Licence

From

R. AjayMugam
S/o Raji. A
3/7A, Nandavanakula Street,
Vedaraniam, Nagapattinam
Pin-614810
To

The Assistant Wireless adviser (C) COP Section

Department of Telecom
WPC Wing, Sanchar Bhavan, 20 Ashoka Road
New Delhi- 110001

Sub: Request for issuing Amateur Wireless license-new: regarding

Ref:
1. ASOC Exam held at SRHQ, Chennai on 18/09/2017
2. Result sheet from SRHQ, K-12011/01/2017-SR Dated 08/11/2017

Sir,
I have passed the ASOC exam conducted at Chennai as per the references cited above and I request
you to issue the Amateur Station Operator’s Licence, which is governed by IWT (Amateur service)
rules. I have also enclosed the necessary documents required for the issue of the same. And hereby,
I declare that the details furnished in my application are true and correct and I will abide the rules,
regulations and guidelines put forwarded by the IWT (Amateur Service) rules and its amendments
henceforth.

Name R. AjayMugam A boy of Scout

Date of Birth 13-02-2003 World Radio Day
Father’s Name Raji. A
Grade of ASOC passed Restricted
Transaction Details
Amount 1000/-
Transaction ID 1302180001469
Date 13-02-2018

My call sign preference details:

1.Vu3 PCI (Point Calimere International)
2.vu3 AJV (AJay Vedaraniam)
3.vu3 LRM (Laila-My grandmother-L, My father-R, My name Mugam-M)

Enclosures:
1. Transaction receipt from NTRP portal-(Ref.No:1302180001469-Feb 13 2018)
2. Result sheet (self attested copy)
3. Two photographs(Name noted behind)
4. Date of birth proof (attested copy)
5. Address proof (attested copy)
Yours faithfully,

R. AjayMugam
13.02.2018
Vedaraniam