Application

受験を希望される方は、以下の欄に必要事項を入力して、送信してください。

こちらからご連絡をさせていただかない限り、受験申込をしていただいた時点で受験可能となります。

受験申込書(Exam Application Form)

※印は必須項目です。

Exam Dates and Test Site
2017年7月15日(土)13:00~ 池田市
2017年7月16日(日)13:00~ 池田市












Applicant is qualified for operator license class:
TECHNICIAN (Element 2)
GENERAL (Elements 3)
AMATEUR EXTRA (Elements 4)

[Candidate Agreement]

  1. I certify that the information given in this application form is complete and accurate to the best of my knowledge.
  1. I have read and understood the important points written in the "Preparations for Exam" page.
  1. I have understood what I should bring to an exam site.
  1. I will follow the VE's instructions in an exam site.
  1. I understand that any willful violation of this agreement is sufficient cause for rejection of the application.

I acknowledge that I have read and agree to the above Terms and Conditions, and submit this application form for the exam.

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