Intruder Watch Reporting Form

Please use the following form to report intruders on the Amateurradio Frequencies.

Your call : *

Your province : *

Make a choice.

Your Email Address : *

About the Intruder

Enter here more information about the circumstances and the details of the kind of QRM you heard.

Date : *

Start Time (GMT) : *

End Time (GMT) : *

Station Identity :

Identification or call sign of the intruder.

Frequency (in MHz) : *

Service : *

Mode : *

Mode of transmission.

Direction : *

Do you have an idea from where the QRM was comming?

Extra Information :

Give us some more information (traffic, used languages, etc.).

CONTROLE

Cette question vous est posé pour vérifier si vous êtes un visiteur humain, ceci pour éviter l'injection de spam.

Quel code se trouve dans l'image si-dessus ? : *

Enter the characters shown in the image.

UBAUnion royale belge des amateurs-émetteurs a.s.b.l.