Application form YCP DM9EE station CQWW SSB 2018
*applicants are selected by IARU R1 member society
Email address *
First name *
Last name *
Callsign
Date of birth *
MM
/
DD
/
YYYY
Country of residence *
Member of which IARU R1 member society *
Level of contest experience *
Why should we select you for this program? (motivation) *
Name contact person (from your Member Society; e.g. youth coordinator) *
E-mail address contact person *
Extra information
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