Radio Amateurs of Canada
OFFICIAL OBSERVER ACTIVITY REPORT
Month of ________________, _________ OO Call Sign _________________
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Callsign Heard |
Time |
Date |
Freq. |
Mode |
Cat Code(s)* |
Remarks |
Date Sent |
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________________ < Total Number Approximate Number of Hours Spent Monitoring for Month ___________
* Category Codes
1 - Frequency Instability; 2 - Chirp; 3 - Spurious; 4 - Harmonic; 5 - Hum; 6 - Key Clicks; 7 - Broad Signal; 8 - Distorted Audio; 9 - Over Deviation; 10 - Out of Band; 11 - Improper Identification; 12 - Language; 13 - Causing Interference; 14 - Carrier; 15 - Good Op Report.
I need the following supplies to continue my OO work. Please send the quantity of forms indicated to:
Qty
Name __________________________________ Call Sign _____________ Advisory Notice FSD-213-R ______________
French Version FSD-213-RF _________________
Address _______________________________________________________ Good Op Notice FSD-15-R ______________
French Version FSD-15-RF _________________
______________________________________________________________ OO Activity Report FSD-23-R _____________
FSD-23-R (6/99)