ukrepeaters e1-ONLINE FORM TYPE e1

RSGB - Working for the future of Amateur Radio

ukrepeaters

ETCC ON-LINE APPLICATION FORM (e1)

You should use this form to apply for any of the following:

ANALOGUE VOICE REPEATER
DIGITAL VOICE REPEATER
TELEVISION REPEATER
SIMPLEX ANALOGUE GATEWAY
SIMPLEX DV GATEWAY
RF INTERNET REPEATER LINK

NOTE: For SIMPLEX GATEWAY RENEWALS ONLY click here.
ALL questions should be completed, but the form will not send unless fields denoted* are completed plus the image verification (spam-resistant measure)
On submission the form goes to committee members of the RSGB Emerging Technology Co-ordination Committee for vetting, and you will be contacted by one of them in due course.

If you have (or have been given) a security access code you can
click here to access your application to allow corrections during
the vetting stages only.
Your ETCC regional member will be able to advise.

Section 1 - The Applicant/Keeper

First Name:		* Last Name: * Callsign: *
Address:

Town/County:		Postcode:
Phone Numbers		Landline: Mobile:
E-mail address:		*
Web address:
Ofcom Licence Number:

Section 2 - Service

Requested Callsign:		NOTE: For RF INTERNET REPEATER LINK enter the REPEATER callsign here please.
Region/Location:
Type:		*
Reason:		*
Band:
Channel:		*
TX (TV and non std):		MHz
RX (TV and non std):		MHz
alt.RX Frequency:		MHz
Channel Bandwidth (TX):		kHz * (e.g. for 2 Metres analogue enter 12.5)
Channel Bandwidth (RX):		kHz
CTCSS:

Section 3 - The Site

Describe Site:		km of (town) (less than out 5km please)
NGR		* or Irish Grid (NB: Minimum 3+3 digits, for example TQ123987) Note for RF INTERNET REPEATER LINK the NGR and other site details should be for your station, NOT the repeater.
WGS84:		Latitude Longitude Use decimal format, for example 55.123456, -2.987654 (ensure West of Greenwich is "-")
Previous location (NGR)		Enter NGR for previous site for SITE CHANGE applications please.
GPS accurate:		yes no IARU Locator:
Site Address:		different (enter below) same as applicant (now goto Base of mast)
Site Name/Address:

Town/County:
Site Postcode
Base of mast above sea level		Metres Note this will be equivalent to pavement/field level NOT roof level.
Mast Owner:
Is site shared?:		Yes No
If Yes, list:

Section 4 - Equipment

Transmitter type:

include Make/Model

Receiver type:

include Make/Model

Power Levels:

Transmitter Antenna Type: * Gain: dBd * Height agl: Metres *
Transmitter Power Output (Watts): Watts
Losses in System: dB *

Receive Antenna:

Type: Gain: dBd Height agl: Metres

Azimuth:

deg ETN else OMNI if not directional.

Polarisation:

Vertical Horizontal

Elevation:

degrees Usually 0 but sometimes tilt applied.

Section 5 - Closedown Details

Note: For RF INTERNET REPEATER LINK the closedown details below refer to your station, NOT that of the linked repeater.

Access:

Describe briefly access to the site. This should include how Closedown Ops will get to the site.
*

OnSite:

Describe where repeater is located on site.
*

Disabled:

How is repeater disabled?
*

Repower:

State the person authorised to restore the power.
*

Closedown
Operator 1:
(Keeper)

Closedown Operator 1 must be the Keeper/Applicant
Keeper details have been entered above, but must confirm time taken to effect a closedown request.
Expected time for Keeper to close down station from home:
Estimate of time to close down station if not from home:

Closedown
Operator 2
(cdo#2)

Full name: Callsign:
Landline Number: Mobile:
Home town of cdo#2:
Expected time for cdo#2 to close down station if from home:
Estimated time cdo#2 to close down if not from home:

Closedown
Operator 3
(cdo#3)

Full name: Callsign:
Landline Number: Mobile:
Home town of cdo#3:
Expected time for cdo#3 to close down station if from home:
Estimated time cdo#3 to close down if not from home:

Closedown
Operator 4
(cdo#4)

Full name: Callsign:
Landline Number: Mobile:
Home town of cdo#4:
Expected time for cdo#4 to close down station if from home:
Estimated time cdo#4 to close down if not from home:

Closedown
Operator 5
(cdo#5)

Full name: Callsign:
Landline Number: Mobile:
Home town of cdo#5:
Expected time for cdo#5 to close down station if from home:
Estimated time cdo#5 to close down if not from home:

Band:

Band to be used for remote closedown.

Alternative:

Any alternative remote closedown method.

Section 6 - Submission

A coverage prediction map is prepared by the ETCC. You should attach any maps you may have already received or prepared yourself. Briefly describe what area you are trying to cover:
coverage description:

The following may be required to support your application.
A facility to send up to 2 documents with this application (max.size 3MB) is at the foot of this form and can be used to send items required from the list below.

Copy of Keeper's Licence Document (required to prove your eligibility)

G3XYZ.pdf

Coverage Map (you may use ETCC map if one was prepared beforehand)

Evidence of local area support may be requested for completely new applications.
Your ETCC regional manager will discuss this requirement with you during the vetting stage.

You must have permission to use the intended site and it is the Keeper's responsibility to ensure
that there is adequate 3rd Party insurance liability cover.

Information given in this form is subject to the provisions of the Data Protection Act 1998 and will be used
in accordance with the appropriate entry attributed to the Radio Society of Great Britain and Ofcom.
Please indicate your acceptance:

Section 7 - Your say

Support Message:
Comments made here may be published.

Note that any major issues should have been discussed with the ETCC prior to this stage.

Private Message:
For ETCC agents only.

Security Ident Generator

File 1 to upload: (optional)
File 2 to upload: (optional)
(max.file size 2MB total)

A feature has been provided to allow you to edit your entry (up until it has completed the vetting stages)
If you wish to use this feature (it is optional!) please copy the code shown here WPF6kK6d and use it to access your record in the future, or when requested by the ETCC.
Note: Refreshing this page before form submission will change this code and the image verification characters below.

Image Verification
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