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OCR: INSTRUCTIONS FOR COMPLETING APPLICATION FORM 610 ITEM 1 - Print (or type) your last name and any suffix (Jr ., Sr ., II, ITEM 4 - Place an "X" in the proper box to apply for: etc.), first name, and middle initial. The name you enter in Item 1 must agree with your signature in Item 8. It must also agree with BOX 4A An EXAMINATION for a new amateur operator/primary the name on your existing license unless you request a change in station license. See Instructions to Examinee on reverse. You are Box 4C. eligible for an examination for a new license if you do not have period, one or if your license has expired beyond the two year grace ITEM 2 - Print numbers for the month, day, and year of your birth. Example: If you were born on September 20, 1944, enter BOX 4B An EXAMINATION to upgrade your l ...