Thank you for entering the FCC exam administered by the "ARRL/VEC Michinoku VE Team." Please follow the steps below to complete your exam registration. ---------------------------------------------- 0) Security Check ---------------------------------------------- Given the high likelihood of malicious access on the internet, this question has been included to enhance security. Please enter the characters displayed in the image below using alphanumeric characters. <-- This is the image. Characters: ---------------------------------------------- 1) Desired exam date and location ---------------------------------------------- Please enter your preferred date and test location. Exam Date : "mm/dd/yyyy" Test Location : "Sendai", "Aomori" and so on ---------------------------------------------- 2) Japanese Name (Japanese nationals only) ---------------------------------------------- If you are Japanese, please enter your name using full-width kanji. Last Name : Fiest Name : ---------------------------------------------- 3) Your Name ---------------------------------------------- Please enter your name. Last Name : "Sendai" Suffix : "Jr.", "Sr." ...etc Fiest Name : "Saburo" Middle Initial : "A" , "C" ...etc ---------------------------------------------- 4) FRN ---------------------------------------------- Please enter your FRN (10-digit numeric code) obtained from the FCC in advance. FRN : "0123456789" ---------------------------------------------- 5) Address within Japan (if applicable) ---------------------------------------------- If you are residing in Japan, please enter a Japanese address where we can contact you. "Kita 1-2-3, Aoba, Sendai 980-0011, Japan" ---------------------------------------------- 6) Address in the U.S. ---------------------------------------------- Please enter your U.S. address. "225 Main St., Newington, CT 06111" ---------------------------------------------- 7) Contact Information ---------------------------------------------- Please enter your email address and phone number for contact purposes when we reach out to you. E-mail : "w2zz@arrl.net" Phone : "022-123-4567" Cell Phone : "090-1234-5678" ---------------------------------------------- 8) U.S. amateur radio licenses held ---------------------------------------------- Please enter the call sign of your current U.S. license in half-width characters and select the license category. (If you do not possess one, enter "NONE.") US Callsign : "WC9QTC" Class : Please Select Advanced General Technician Plus Technician Novice NONE -- If you had a call sign from an expired U.S. license that qualifies for subject exemption, enter it and select the license type. (If you do not possess one, enter "NONE.") US Callsign : "KA9QSL" Class : Please Select Amateur Extra Advanced General Technician Plus Technician Novice NONE ---------------------------------------------- 9) Valid Subject Exemptions ---------------------------------------------- If you currently hold valid course exemptions (CSCE, etc.), please check the applicable items below. Subject Exemption : CSCE, Element 2 CSCE, Element 3 CSCE, Element 4 Expired Technician issued BEFORE 03/21/1987, Element 3 Current Technician issued BEFORE 03/21/1987, Element 2 and 3 Current Technician issued on 03/21/1987 or LATER, Element 2 Current Technician with old expired General, Element 2 and 3 Current Technician with old expired Advanced, Element 2 and 3 Current Technician with old expired Extra, Element 2,3 and 4 Expired General, Element 3 Current General, Element 2 and 3 Expired Advanced, Element 3 Current Advanced, Element 2 and 3 Expired Extra, Element 3 and 4 ---------------------------------------------- 10) Exam Subjects ---------------------------------------------- Please check all subjects you wish to take in this exam. Element 2 Element 3 Element 4 Up Grade only ---------------------------------------------- 11) Questions for Examination ---------------------------------------------- If you have any questions, requests, or concerns regarding this examination, please write them here. ---------------------------------------------- 12) Signature ---------------------------------------------- Please sign your name and today's date. Date : "mm/dd/yyyy" Full Name : "Saburo Sendai" ============================================== That completes the required fields. Thank you for your hard work. Display a copy of the sent content (we recommend checking this box) Send without displaying the confirmation screen (we recommend leaving the checkbox unchecked)