Labels:text | font | black and white | screenshot | number | receipt | parallel OCR: ... ...... FEDERAL COMMUNICATIONS COMMISSION Approved by OMB GETTYSBURG, PENNSYLVANIA 3060-0003 APPLICATION FORM 610 FOR Expires 08/31/96 See instructions for AMATEUR OPERATOR/PRIMARY STATION LICENSE information regarding public burden estimate. SECTION 1 - TO BE COMPLETED BY APPLICANT (See instructions) |1. Print or type last name Suffix First name Middle initial |2. Date of birth - - month day year 3. Mailing address (Number and street) City State code ZIP code 4. I HEREBY APPLY FOR (make an X in the appropriate box(es)): 4A. EXAMINATION for a new license 4D CHANGE my mailing address on my license to my new address in Item 3 4B. EXAMINATION for upgrade of my operator license 4E. CHANGE my station call sign systematically class (See instructions) CHANGE my name on my license to my new App ...
