Digital Awards Data Entry Form

Use only for the Digital Awards.

To qualify for the Basic Certificate you only need to complete the top section of this form.

Basic certificate requires you to work the Cypress stations on two modes on two different days.

Endorsements require you to work five Cypress stations (other than those of the ones you worked for the Basic Award).

Your personal information needs to be entered whether you are applying for the Basic Award or any of the endorsements.
Your Callsign:
Your Cypress #:
Email:
First qualifying station information (ignore this section if this application is for endorsements):
Name:

Callsign:

10-10 #:

Cypress #:

Date worked:
Mode worked:
Second qualifying station information (ignore this section if this application is for endorsements):
Name:
Callsign:
10-10 #:
Cypress #:
Date worked:
Mode worked:
The following section is for Digital Award endorsements only (5 per mode required).
Callsign, date:
Callsign, date:
Callsign, date:
Callsign, date:
Callsign, date:

Select the endorsement this is for:

(you can only apply for one digital endorsement at a time)







 
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