PETITION FOR CALL SIGN FOR AMATEUR SERVICE FOR FOREIGN OPERATORS ESTABLISHED IN FRANCE (Request for use in France of a radio station) Information about petitioner M Mme Family name: /__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ First name: /__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ Date of birth: /__/__/__/__/__/__/ Place of birth :___________ Country : _____________________________________ Nationality : ________________________________________________________________________________________ Present residence : ___________________________________________________________________________________ __________________________________________________________________________________________________ Telephone number – Home :________________________ Cellular phone : ________________________________ Email : ______________________________________@______________________ Call-sign: /__/__/__/__/__/__/__/__/ Would you accept that your surname, first name, address will appear in the files sent to amateur radio associations and published on the ANFR web site - www.anfr.fr ? § Yes (1) § No (1) Information about station AdressPeriod :when __________________________________________ the station will be used : From /__/__/ /__/__/ ________________________________________________ /__/__/ to /__/__/ /__/__/ /__/__/ _____________________________Adress : __________________________________________ /__/__/ /__/__/__/ _________________________________________________________________________________________________ _____________________________Longitude * : ______ ° _____ min /__/__/ ____ se/__/__/__c /E (East) _____________________________________________ W (West ) ____ £ £ Longitude * : ______ ° _____ min ____ sec E (East) W (West ) Latitude *: ______ ° _____ min ____ sec N (North) ££ S (South) ££ * WGSLatitude 84 *:coordinate ______ reference ° _____ systems min ____ sec N (North) S (South) £ £ * WGS Frequency 84 coordinate range and reference Effective systems Radiated Power (ERP) Frequency range and Effective Radiated Power (ERP) HF VHF UHF SHF (from 3 MHz to 30MHz) (from 30 MHz to 300 MHz) (from 300 MHz to 3000 MHz) (from 3 GHz to 30GHz) HF VHF UHF SHF Frequency (from 3 MHz to 30MHz) (from 30 MHz to 300 MHz) (from 300 MHz to 3000 MHz) (from 3 GHz to 30GHz) Range Frequency ERP (W) Range PutERP a cross (W) under each frequency range used. Specify the maximum ERP of the installation in each frequency range. Only stations with a power greater than 5W must be declared. Put a cross under each frequency range used. Specify the maximum ERP of the installation in each frequency range. Only stations with a power greater than 5W must be declared. Undertaking I the undersigned (family and first names of petitioner) ................................…..................... certify on my honour to the accuracy of the information given above. At ............................., on ......................... At ............................., on ............................... Signature of legal representative Signature preceded by handwritten words "read and approved" (for minors) Edition de Janvier 2019 1/3 Submittal of request Together with copies of your operator certificate"HAREC"class and your call sign, a proof of being set up in France for more than 3 months and a proof of your identity (passport, national identity card). This request must be filled in fully and returned to : AGENCE NATIONALE DES FREQUENCES DLC – 4 Rue Alphonse Matter – BP8314 – 88108 St-Dié des Vosges Cédex For any questions concerning the management of the call-signs, thank you for calling the phone number : 03-29-42-20-74 The information gathered through this form will be put through computer processing to manage the call signs and amateur service certificates by ANFR. In conformity with Européan Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data , you are entitled to the right of access and correction. If you wish to take advantage of this right, please contact us to the telephone number mentioned above or to the following e-mail address: [email protected] The conditions for the use in France of foreign amateur radio service call sign Any French or foreign radio "ham" (amateur) living in France is required to comply with French regulations and in particular the decision of the Electronic Communications and Post Regulating Authority N° 2013-1515 of 17 December 2013 who modify the N°2012 - 1241 of 2 October 2012 homologated by the ministerial order of 4 March 2014 (Official Gazette of 12 March 2014) and the order of 23 April 2012, modified by the order of 21 September 2000, defining the conditions for obtaining amateur radio service operator certificates. For all infomation concerning an amateur radio authorization in France, please contact : ANFR - DLC - Service Radioamateurs - 4 rue Alphonse Matter - BP 8314 – 88108 SAINT DIE DES VOSGES Cedex. International tel.: 33 3 29 42 20 74 Country of origin : A £ Member Countries of the European Union (EU) B £ Countries outside the EU applying EPTC regulation TR/61-01 (European Post and Telecommunications Conference) C £ Countries outside the EU applying EPTC regulation TR/61-02 D £ Countries that have signed a State to State agreement with France E £ Other countries (no authorizations) A Member Countries of the European Union: Germany Austria Bulgaria Belgium Cyprus Croatia Denmark Spain Estonia Finland Greece Hungary Ireland Italy Latvia Lithuania Luxembourg Malta Netherlands Poland Portugal Czech Republ. Romania United Kingd. Slovakia Slovenia Sweden B Countries outside the EU applying EPTC regulation TR/61-01 Albania, South Africa, Netherlands Antilles, Australia, Belarus, Bosnia and Herzegovina, Canada, Curacao, United States of America, Iceland, Israel, Liechtenstein, Macedonia, Moldova, Monaco, Montenegro, Norway, New Zealand, Peru, Russian federation,Serbia, Switzerland, Turkey, Ukraine C Countries outside the EU applying the EPTC Regulation T/R 61-02: Albania, South Africa, Australia, Belarus, Curacao, Hong Kong, Israel, Iceland, Japan, Macedonia, Moldova, Monaco, Montenegro, Norway, New Zealand, Russian Federation, Serbia, Switzerland, Turkey D Countries that have signed a State to State agreement with France Australia, Brazil, Canada, Ivory Coast, United States, Japan, Kenya, Thailand E Other countries Edition de Janvier 2019 2/3 Length of stay Country Call sign Formalities A Member Countries of the European Union (EU) (1) F/+ Germany, Austria, Bulgaria, Belgium, Cyprus, Croatia, Denmark, Spain, Released from national Estonia, Finland, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, request for call-sign Luxembourg, Malta, Netherlands, Poland, Portugal, Czech Republic, United call-sign/P Kingdom, Romania, Slovenia, Slovakia, Sweden Stay lasting B (TR 61-01 outside EU) (1) F/+ less than Albania,South Africa, Netherlands Antilles, Australia, Belarus, Bosnia and national Released from 3 months Herzegovina, Canada, Curacao, United States, Iceland, Israel, Liechtenstein, call-sign/P Macedonia, Moldova, Monaco, Montenegro, Norway, New Zealand, Peru, request for call-sign Russian Federation, Serbia, Switzerland, Turkey, Ukraine. D (State to State agreement) (1) F/+ Released from Australia, Brazil, Canada, Ivory Coast, United States, Japan, Kenya, national request for call-sign Thailand call-sign/P E Other countries No authorization F4Vxx Request for A Member Countries of the European Union (EU) authorization Germany, Austria, Bulgaria, Belgium, Cyprus, Croatia, Denmark, Spain, (CEPT) Estonia, Finland, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, (as long as Luxembourg, Malta, Netherlands, Poland, Portugal, Czech Republic, United established in France Stay lasting Kingdom, Romania, Slovenia, Slovakia, Sweden for a stay exceeding more than 3 months) 3 months C (TR 61-02 outside EU) Albania, South Africa, Australia, Belarus, Curacao, Hong Kong, Israel, F4Wxx Request for Iceland, Japan, Macedonia, Moldova, Montenegro, Norway, New Zealand, authorization Russian Federation, Serbia, Switzerland, Turkey. D (State to State agreement) F4Wxx Request for Australia, Brazil, Canada, Ivory Coast, United States, Japan, Kenya, authorization Thailand E Other countries No authorization (1) F (Metropolitan France) TK (Corsica) FG (Guadeloupe) FM (Martinique) FR (Reunion) FP (St Pierre et Miquelon) FH (Mayotte) E.g.: F/+ country call-sign There is no reciprocal agreement in France regarding beginner amateur radio classes. To request a call-sign for periods exceeding 3 months within the French borders, The petitioner must attach the following items to his or her request: - the copy of " HAREC" class certificate issued by the administration where the examination took place - the license (please specify the validity term of your license issued by the administration of your country and supply this document in French or English). - the proof of being set up in France for more than 3 months according to ministerial order of 23 april 2012, Art. 8 (ex : electricity company or home phone invoice) - a proof of your identity (passport, national identity card) Edition de Janvier 2019 3/3 .