The web resource for UK amateur radio repeaters from the RSGB Emerging Technology Co-ordination Committee

Repeater Application Form e1-online
Please note that the recommended method for submitting applications is by using the e1 form which is in the widely used Microsoft Exceltm 97 format.
This on-line form is primarily intended for applicants with disability or who may not be able to manipulate or have access to the Exceltm software used in the e1.
All questions should be completed, but the form will not send unless fields denoted * and the verification image are completed.
On submission the form goes to the Proposals Manager who will pass the application in Exceltm format to the appropriate ETCC Regional or Specialist Manager for vetting, and who will contact you in due course.

Section 1 - The Keeper
Keeper
Title:		    First Name:   * Surname:   * Callsign:   *
Address: 
Town/County: 
Postcode    Phone Code:  Phone Number: 
E-mail address:  *
Web address: 

Section 2 - Repeater Service
Repeater Callsign:    Type:   *
Reason:  *
Channel:  *
TX (TV and non std):  MHz
RX (TV and non std):  MHz   RX2:  MHz
CTCSS: 

Section 3 - Repeater Site and Equipment
Describe Site:  km    of (town) 
NGR  *  or Irish Grid 
WGS84: Latitude   Longitude  please use decimal format
GPS accurate:  yes  no
Site Name: 
Site Address:  *
Town/County:  *
Site Postcode 
Base of mast
above sea level		  Metres
Note this will be equivalent to pavement/field level NOT roof level.
TX Antenna:  *  Gain:  dBd  *
RX Antenna:   Gain:  dBd
Mast Owner: 
Is site shared?: Yes     No
If Yes, list: 
IARU Locator: 
Height of TX ant:  Metres  * Note this is height above ground level, not sea level.
Height of RX ant:  Metres   Note this is height above ground level, not sea level.
Transmitter type: 
Receiver type: 
Power Levels: 
TX Power out  Watts   all system Losses dB
max.ERP  Watts  * (antenna gain was given above)
Azimuth:   deg ETN else OMNI if not directional.
Polarisation: Vertical     Horizontal
Elevation:  degrees   Usually 0 but sometimes tilt applied.
Masts:   Number of masts used for the repeater.

Section 4 - Closedown Details
Access: Describe briefly access to the site.
*
OnSite: Describe where repeater is located on site.
*
Disabled: How is repeater disabled?
*
Repower: Explain how only amateurs can repower the repeater.
*
Closedown
Operator 1:
(Keeper)		 
Closedown Operator 1 must be the Keeper/Applicant
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
Closedown
Operator 2:		 
  First Name:    Surname:   Callsign: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
Closedown
Operator 3:		 
  First Name:    Surname:   Callsign: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
Closedown
Operator 4:		 
  First Name:    Surname:   Callsign: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
  STD Code:   Number:    Time: 
Band:  Band to be used for remote closedown.
Alternative: 
 Any alternative remote closedown method.

Section 5 - Coverage

A coverage prediction map is prepared by the ETCC.
You should attach any maps you may have already received or prepared yourself.
Briefly describe what area you are trying to cover:

coverage description: 

Section 6 - Submission

The following may be required to support your application.
A facility to send up to 2 documents with this application (max.size 3MB) is at the foot of this form and can be used to send items required from the list below.

  1. Copy of Keeper's Licence Document (required to prove your eligibility)

    2. copy attached  not attached

  2. Coverage Map (you may use ETCC map if one was prepared beforehand)

    3. map attached  still to send

  3. Evidence of local area support may be requested for completely new applications.
    Your ETCC regional manager will discuss this requirement with you during the vetting stage.

  4. You must have permission to use the intended site and it is the Keeper's responsibility to ensure
    that there is adequate 3rd Party insurance liability cover.

    5. accept  do not accept  *

  5. Information given in this form is subject to the provisions of the Data Protection Act 1998 and will be used
    in accordance with the appropriate entry attributed to the Radio Society of Great Britain and Ofcom.
    Please indicate your acceptance:

    6. accept  do not accept  *


Section 7 - Your say
Short Message: 
Note that any major issues should have been discussed with the ETCC prior to this stage.
File 1 to upload:   (optional)
File 2 to upload:   (optional)
(max.file size 2MB total)

  

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