NCVEC QUICK-FORM 605 APPLICATION AMATEUR OPERATOR/PRIMARY STATION LICENSE
SECTION 1 - TO BE COMPLETED BY APPLICANT	PLEASE PRINT LEGIBLY! PRINT LAST NAME	SUFFIX (Jr., Sr.)     FIRST NAME                                                            M.I.          AMATEUR RADIO CALL SIGN (IF LICENSED)

MAILING ADDRESS (Number and Street or P.O. Box)	FCC REGISTRATION NUMBER (FRN) (MANDATORY)

CITY	STATE CODE ZIP CODE	DAYTIME TELEPHONE NUMBER (Including Area Code)

EMAIL ADDRESS (MANDATORY)

Basic Qualification Question -- *Answer Required in Order to Process Your Application*
Has the Applicant or any party to this application, or any party directly or indirectly controlling the Applicant, ever been convicted

of a felony by any state or federal court?	YES	NO

If “YES”, see “FCC BASIC QUALIFICATION QUESTION INSTRUCTIONS AND PROCEDURES” on the back of this form.

I HEREBY APPLY FOR [Make an X in the appropriate box(es)]:

EXAMINATION for a new license grant

EXAMINATION for upgrade of my license class

CHANGE my name on my license to my new name

Former Name: 	
(Last name) (Suffix)	(First name)	(MI)

CHANGE my mailing address to above address

CHANGE my station call sign systematically

Applicant’s Initials To Confirm	

RENEWAL of my license grant

Exp. Date:	

I certify that:
·	I waive any claim to the use of any particular frequency regardless of prior use by license or otherwise;
·	All statements and attachments are true, complete, and correct to the best of my knowledge and belief and are made in good faith; ·	I am not a representative of a foreign government;
·	I am not subject to a denial of Federal benefits pursuant to Section 5301of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862;
·	The construction of my station will NOT be an action which is likely to have a significant environmental effect [See 47 CFR Sections 1.1301-1.1319 and Section 97.13(a)];
·	I have read and WILL COMPLY with Section 97.13(c) of the Commission’s Rules regarding RADIO FREQUENCY (RF) RADIATION SAFETY and the amateur service section of OST/OET Bulletin Number 65.

Signature of Applicant:

X	 Date Signed:	

SECTION 2 - TO BE COMPLETED BY ALL ADMINISTERING VEs

Applicant is qualified for operator license class:

NO NEW LICENSE OR UPGRADE WAS EARNED

DATE OF EXAMINATION SESSION

EXAMINATION SESSION LOCATION

TECHNICIAN

GENERAL

AMATEUR EXTRA

Element 2

Elements 2 and 3

Elements 2, 3, and 4

VEC ORGANIZATION

VEC RECEIPT DATE

I CERTIFY THAT I HAVE COMPLIED WITH THE ADMINISTERING VE REQUIREMENTS IN PART 97 OF THE COMMISSION’S RULES AND WITH THE INSTRUCTIONS PROVIDED BY THE COORDINATING VEC AND THE FCC.

1st VE’s NAME (Print First, MI, Last, Suffix)

2nd VE’s NAME (Print First, MI, Last, Suffix)

3rd VE’s NAME (Print First, MI, Last, Suffix)

VE’s STATION CALL SIGN VE’s SIGNATURE (Must match name)

VE’s STATION CALL SIGN VE’s SIGNATURE (Must match name)

VE’s STATION CALL SIGN VE’s SIGNATURE (Must match name)

DATE SIGNED

DATE SIGNED

DATE SIGNED

DO NOT SEND THIS FORM TO FCC – THIS IS NOT AN FCC FORM.
IF THIS FORM IS SENT TO FCC, FCC WILL RETURN IT TO YOU WITHOUT ACTION.

NCVEC FORM 605 - July 2022
FOR VE/VEC USE ONLY - Page 1
INSTRUCTIONS FOR COMPLETING NCVEC FORM 605 APPLICATION

AMATEUR RADIO LICENSES AND REQUIREMENTS
In the US, there are three Amateur Radio license levels, or license classes which are Technician, General and Amateur Extra. The Federal Communications Commission (FCC) grants these licenses. The exams cover regulations, operating practices, and electronics theory. They are based on cumulative knowledge and build off one another. FCC requires the lower level exams to be passed for the higher level licenses to be issued.

LEVEL 1: Technician Class
EXAM: 35 question Technician Written Exam (Element 2)
LEVEL 2: General Class (upgrade from Technician) EXAM: 35 question General Written Exam (Element 3)
LEVEL 3: Amateur Extra Class (upgrade from General) EXAM: 50 question Extra Written Exam (Element 4)

The written examinations are constructed from question pools that have been made public. There is no exemption from the written exam requirements for persons with difficulty in reading, writing, or because of a handicap or disability. There are exam accommodations that can be afforded examinees. To view the question pools and other useful information or to contact an FCC appointed VEC organization, visit www.ncvec.org.

FCC CONTACT INFORMATION
Should you have any questions, please contact the FCC at 877-480-3201 (weekdays), or visit the FCC website at https://www.fcc.gov/available-support-services.

FCC REGISTRATION NUMBER (FRN) Visit FCC CORES FRN registration at https://apps.fcc.gov/cores/userLogin.do.

NCVEC FORM 605
The NCVEC Form 605 is for VE / VEC use only. Do not send or provide this form to the FCC. This form is used at a VE exam session to apply for a new or upgrade Amateur Radio Operator/Primary Station license. It may also be used to renew or update your license (change your mailing address, email address, name, etc.). This form may not be used to apply for a new specific “Vanity” station call sign.

FCC APPLICATION FEE
The FCC implemented application Fees for New, Renew, and Vanity Amateur Radio Applications. These fees must be paid within 10 days of the application submission.

The URL to pay FCC fees is: https://apps.fcc.gov/cores/paymentFrnLogin.do

FCC CORES Registration help: https://apps.fcc.gov/cores/publicHome.do?help=true&csfr Token

CORES Payment Instructions: https://www.fcc.gov/wireless/support/knowledge-base/universal-licensing-system-uls-resources/payment-process-uls

NCVEC FORM 605 – FOR VE / VEC USE ONLY July 2022 - Page 2

FCC BASIC QUALIFICATION QUESTION
This item enables the FCC to determine whether an Applicant is eligible under §§ 310(d) and 308(b) of the Telecommunications Act of 1996, to hold or have ownership interest in a station license. Applicants are required to answer this question only if 1) they are filing NCVEC or FCC Form 605 for one of the following purposes indicated: New, Amendment, Modification (Upgrade or Call sign change), Renewal Only, or Renewal/Modification; and 2) the answers have changed from those previously provided. Applicants using Form 605 for any other purpose (e.g.: address or email change) are not required to answer this question.

FCC BASIC QUALIFICATION QUESTION INSTRUCTIONS AND PROCEDURES WHEN ANSWERING “YES”
If the answer to the basic qualification question (felony question) is ‘YES’, submit as an exhibit a statement explaining the circumstances and a statement giving the reasons why the Applicant believes that grant of the application would be in the public interest notwithstanding the actual or alleged misconduct. If the Applicant responds ‘YES’ to this question and has previously provided a statement and explanation regarding the circumstances as an attachment to a prior application filed in ULS, and the facts and circumstances are unchanged, the Applicant may refer to the previous application by identifying the application file number and indicating the disposition of the prior application.
Find your FCC Application file number: http://wireless2.fcc.gov/UlsApp/ApplicationSearch/search Advanced.jsp

Applicants can send the explanation and the application file number via e-mail to attach605@fcc.gov
The applicant is required to provide an explanation within 14 days of the application data being submitted to FCC. Failure to do so may result in the application dismissal without action. The applicant must provide sufficient information for the FCC to determine whether there exists any material and substantial question of fact regarding whether the applicant has the character qualifications to be a Commission licensee.

There is no set checklist of items, but useful information includes:
a. List of all felony charges of which you were convicted (this item is Mandatory)
b. A detailed description of the conduct that resulted in the conviction or guilty plea, including time and place
c. The date of the conviction or guilty plea
d. The punishment that was imposed, and whether the sentence has been completed, or the applicant is still under any restriction or condition resulting from the conviction or guilty plea
e. any efforts taken to remedy the wrongs committed and ensure that the applicant will not engage in such conduct in the future.

If the applicant does not request confidential treatment, the explanation will be publicly viewable in ULS. If the applicant requests that the explanation be confidential, it will not be visible to the public. However, in order to seek confidential treatment, the applicant must include a separate request that the material not be made available for public inspection. The request must contain a statement of the reasons for the request and identify the portion(s) of the response for which confidential treatment is requested. It is not sufficient to simply mark a document as “Confidential.” All attachments, confidential or non-confidential should be accompanied by an application file number, to ensure that the explanation is attached to the proper filing.