1. Panagiotis Roiniotis SV1KWC@YAHOO.GR
7 Anixeos str. Chaidari
GR 12461 Athens
GREECE
To:
Application:
Award fee enclosed:
The information and/or the QSLs required for this award, have been cheeked
And are certified to be correct by the following Radio Amateurs:
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Signature Call Signature Call
I declare, that all the necessary credits for this Award, have been obtain in accordance
With the rules for the Award, as well as rules and regulations for Radio Amateurs in my
Country. Please accept this information and send the Award to my personal address as
Listed above.
Applicant’s Signature______________ SV1KWC Date_____________
CALL 1 CALL2 DATE TIME BAND MODE RST REMARKS