RSGB

RSGB - Working for the future of Amateur Radio
ukrepeaters

    ON-LINE CLOSEDOWN OPERATOR CHANGE FORM (E3)

    Use this on-line form to notify changes to Closedown Operators ONLY.

    Repeater and Keeper

    Repeater Callsign: 
    Keeper Full Name:   Callsign:  *
    Address: 
      
    Town/County: 
    Postcode    Home Phone:  Mobile: 
    E-mail address:  *
    Web address: 

    Closedown Details

    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: 

    Submission

    1. 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.

      2.  accept   do not accept  *
    2. 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:

      3.  accept   do not accept  *

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