Telecommunication.

Date of birth

Address to which it is desired that the notification of examination shall be sent

System or systems in which examination is desired

Date and place of last examination (if any)

Height ...feet ...inches.

Colour of Eyes

Description of Applicant.

.Colour of Hair

Complexion

Any special peculiarities

NOTE—Evidence of British nationality, to the satisfaction of the Postmaster General, must be produced before the delivery of the application,

Candidates must bring with them at the time of their examination an unmounted photograph (preferably head and shoulders only and approximately 3 inches by 2 inches) to be signed in the presence of the Examiner and subsequently affixed to the Certificate.

FORM 7.

Telecommunication Ordinance.

(Chapter 106 of the Revised Edition).

Declaration of secrecy in the operation of wireless telegraphic apparatus.

I do declare that I will not improperly divulge to any person the purport of any message which I may transmit or receive by means of any radiocommunication apparatus operated by me or which may come to my knowledge in connexion with the operation of the said apparatus.

Date

Signature

Signature of witness

Address

Occupation

241

[CAP. 106

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