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Form No NTC 1-01 APPLICATION FOR RADIO OPERATOR EXAMINATION

Jonathan Gabor Cabales applied to take the radiotelegraphy 1RTG examination, which includes elements 1, 2, 5, 6, and code testing at 25/20 wpm. He provided his personal details and educational background. Cabales declared that the information provided is true and correct, and consented to the collection and processing of his personal information in accordance with the Data Privacy Act of 2012. An admission slip was included notifying him of the exam details.

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Jon Cabales
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380 views

Form No NTC 1-01 APPLICATION FOR RADIO OPERATOR EXAMINATION

Jonathan Gabor Cabales applied to take the radiotelegraphy 1RTG examination, which includes elements 1, 2, 5, 6, and code testing at 25/20 wpm. He provided his personal details and educational background. Cabales declared that the information provided is true and correct, and consented to the collection and processing of his personal information in accordance with the Data Privacy Act of 2012. An admission slip was included notifying him of the exam details.

Uploaded by

Jon Cabales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines Form No.

NTC 1-01
NATIONAL TELECOMMUNICATIONS COMMISSION Revision No. 02
BIR Road, East Triangle, Diliman, Quezon City Revision Date 03/31/2022

APPLICATION FOR RADIO OPERATOR EXAMINATION


INSTRUCTIONS:
(1) Accomplish this application form properly, in ALL CAPS, handwritten or computer-printed.
(2) Attach the complete requirements including supporting documents. For the List
of requirements, please refer to the NTC Citizen's Charter 2021 Second Edition at
NTC website: https://ntc.gov.ph
(3) Check (✔) appropriate box. Indicate "N/A" for items not applicable.

New Repeater Upgrade Removal Date of Examination (mm/dd/yy) 6/18/2022


RADIOTELEGRAPHY AMATEUR
1RTG - Elements 1, 2, 5, 6 & Code (25/20 wpm) Class A - Elements 8, 9, 10 & Code (5 wpm)
1RTG - For removal , Code (25/20 wpm) Class A - For removal, Code (5 wmp)
1RTG - For upgrade (2RTG Holder) & Code (25/20 wpm) Class B - Elements 5, 6 & 7
2RTG - Elements 1, 2, 5, 6 & Code (16 wpm) Class B - For Registered ECE, 1PHN, 1RTG & 2RTG , Element 2
2RTG - For removal, Code (16 wpm) Class C - Elements 2, 3 & 4
2RTG - For upgrade (3RTG Holder) , Element 6 Class C - For Class D Holder, Elements 3 & 4
Class D - Element 2
RADIOTELEPHONY RESTRICTED RADIOTELEPHONE
1PHN - Elements 1, 2, 3 & 4 OPERATOR CERTIFICATE - AIRCRAFT
1PHN - For upgrade (2PHN Holder) , Element 4 RROC - Aircraft - Element 1
1PHN - For upgrade (3PHN Holder), Element 3 & 4

APPLICANT'S DETAILS
Last Name CABALES Date of Birth (mm/dd/yy) 12/31/84
First Name JONATHAN Sex Male Female
Middle Name GABOR Nationality FILIPINO
Unit/Rm/House/Bldg No. NO. 265 Street PUROK 3
Barangay FRANCES City/Municipality CALUMPIT
Province BULACAN Zip Code 3003
Contact Number +639179893594 Email Address [email protected]
School Attended BULACAN STATE UNIVERSITY
Course Taken B.S. CRIMINOLOGY Year Graduated 2011
DECLARATION
I hereby declare that all the above entries are true and correct. Under the Revised Penal Code, I shall be held liable for any willful false statement(s) or
misrepresentation(s) made in this application form that may serve as a valid ground for the denial of this application and/or cancellation/revocation of the
permit issued/granted. Further, I am freely giving full consent for the collection and processing of personal information in accordance with Republic Act
No. 10713, Data Privacy Act of 2012.

JONATHAN GABOR CABALES


Signature over Printed Name of Applicant
5/23/2022
Date Accomplished
THIS FORM IS NOT FOR SALE AND CAN BE REPRODUCED

EXAMINATION ADMISSION SLIP


TO: THE CHAIRPERSON, Radio Operators Examination Committee
Please admit Mr. / Ms.
with mailing address at

in the examination for

Place of Exam:
Date of Exam: (mm/dd/yy)
Time of Exam:

Authorized Officer
INSTRUCTIONS FOR THE EXAMINEE:
1. Examinees shall present this Admission Slip and any valid government issued ID with picture or
School ID, for students. (No Admission Slip and ID, No Exam.)
2. Examinees who are late for more than 30 minutes shall not be allowed to take the examination.
3. Request for re-schedule of examination must be filed at least 1 week before the date of examination.
4. In case of suspension / cancellation of work in government offices due to force majeure, the
scheduled regular examination shall be conducted on the next regular working day.
5. Please bring your own ballpen/ sign pen in blue or black ink. No pencils allowed.
THIS FORM IS NOT FOR SALE AND CAN BE REPRODUCED

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