Your requested exam time (in Alaska, AKT, time!!) *
Time
:
AM
PM
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Suffix
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Federal Registration Number (FRN) *
Your answer
Email Address (must be *ALL* lowercase): *
Your answer
CONFIRM Email Address (must be *ALL* lowercase): *
Your answer
Phone Number - Must be 10 digits, properly hyphenated (i.e. ###-###-####) *
Your answer
CONFIRM Phone Number - Must be 10 digits, properly hyphenated (i.e. ###-###-####) *
Your answer
Application Purpose *
Choose
New Amateur Radio License
Upgrading Existing License and KEEPING my Current Callsign
Upgrading Existing License and CHANGING my Current Callsign
Reissue an Expired General, Advanced or Amateur Extra Class License
Renew Unexpired License
Renew Expired License
Change Address or Name on License
Your amateur radio callsign, if already licensed
Your answer
Current class of amateur radio license you are holding *
Choose
Not currently licensed
Novice
Technician
General
Advanced
Amateur Extra
What exam(s) are you taking with us? *
Required
Basic Qualification Question: Has the applicant or any party to this application, or any party
directly or indirectly controlling the Applicant ever been convicted of a
felony by any state or federal court?
*
Do you have another application on file with the FCC relating to a current amateur radio license in your name that has not been acted upon?
*
If you answered "yes" to the previous question, please give us the purpose of your application and file number below.
Your answer
Do you have a visual impairment that requires the administration of an image free examination? *
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