Cray Valley Radio Society

FOUNDATION LICENCE COURSE APPLICATION AND REGISTRATION FORM

(Please complete all sections legibly in capitals and using blue or black ink)

The following information is required by Ofcom (the Licensing Authority)

Surname….……………....……………...…………………………………………………………………

First names….……………………………………………………………………………………………...

Name I like to be known as ……………………………………Date of birth………………………...

Address……………………………………………………………………………………………………...

………………………………………………………..……………………………………………………...

………………………………………………………………...… Postcode………………………………

We also require the following information:

Telephone:Home ……………………………… Mobile / Work ..…………...………..……………

Email ………………………….………….………Course dates.……………………………….………

The Society publishes members’ details, following contact information can be included:

Address Yes / NoHome phone number Yes/NoE-mail address Yes/No

Do you have a copy of the RSGB book “Foundation Now”? Yes / No

The course will be held at the 1st Royal Eltham Scout Hall, rear of 61-71 Southend Crescent, Eltham, London SE9 2SD. Details of the exact location can be found at

Tea and coffees with biscuits will be provided but please bring a packed lunch for both full days.

By registering you agree to the following:

  • The fee is payable in advance to attend for the course and is non-refundable if you do not attend for any reason. In the highly unlikely event that we have to cancel a course any fees paid will be refunded in full.
  • A parent or guardian must accompany persons under 16 unless special arrangements have been agreed in advance.
  • All candidates must obey the few safety rules that will be announced on the day.

Registration ceases two weeks before the course commencement date since we have to complete some legal formalities with the RSGBexamination body.

The charge for the course covers the exam fee, the hall rental charges, club expensesdirectly associated with the course and your personal copy of the RSGB book “Foundation Licence Now” which will be supplied to you on the first day and will be yours to keep. If you already have a copy, the course fee is adjusted accordingly.

Please return a signed copy of this form to the Training Co-ordinator (please e-mail [courses]at[cvrs]dot[org] to obtain the address details) together with your cheque to the value of £43 (or £48 if you require us to supply you with the book) and payable to Cray Valley Radio Society, or if you wish you can electronically transfer the fee to sort code 60-09-10 and account no.46186352quoting your name and “foundation’.Only once your cheque or funds have been received and your registration form completed and returned, then your place on the course is secured. Please ensure that you make payment at the same time as submitting the form and note that e-mail is our normal method of communicating with you. Cray Valley Radio Society does not run these courses as a profit making venture. Thank you for registering with us. If this is your first course with Cray Valley RS then you will be granted a year’s free membership on completion of the course. The Society meets every 1st and 3rd Thursday of the month at the above address for an 8pm start and you are most welcome to visit.

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