SWISS DX FOUNDATION  -  SPONSORING QUESTIONNAIRE

Please fill in the following questions. Based on your information the SDXF committee will take the decision if sponsoring is estimated as significant and define the corresponding amount. You will be informed immediately about these decision. Therefore you can put the indicated amount of money in your budget. At the end of your DXpedition and the acceptance by ARRL the indicated sum will be transfered at once to your bank account. We wish you good luck, good conditions and a save return to your family. We, the Swiss DX Foundation declare, that any of the given information are kept confidential and are not given in any form to any third party.

1. ORGANISATION
 

1A

DXpedition Manager

Call

 Mailingaddress

 

 

 

 

 

1B

DXpedition Members

Call

Previous experience (DXpeds, Contests)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. CONDITIONS

2A

DXCC country name

 

2B

QTH coordinates

 

 

2C

DXCC

existing entity

 

 

 

 

new entity

 

 

2D

IOTA

existing number

 

 

 

 

new number

 

 

2E

Most wanted position

EU-listings

place

 

 2F

 

IOTA-listing

place

 

 

2G

License

granted

 

 

 

 

requested

 

 

 

2H

other permissions

entering territory

landing

 

 

3. TIMING estimated

 

3A

Start   of operation

 

 

End    of operation

 

3B

Days  of operation

 

4. OPERATION

4A

Licensed call

classic

new prefixes

 

4B

Bands                   

1.8 ¦ 3.5 ¦ 7 ¦ 10 ¦ 14 ¦ 18 ¦ 24 ¦ 160 ¦ 80 ¦ 40 ¦ 30 ¦ 20 ¦ 17 ¦ 15 ¦ 12 ¦ 10 ¦ 6 ¦ 2 ¦ 70 ¦

4C

Modes

CW ¦ SSB ¦ RTTY ¦ PSK31 ¦ PACTOR ¦ SSTV ¦ SAT ¦

5.  TECNICAL EQUIPMENT

5A

Transceivers

numbers

types

 

 

 

 

 

 

 

 

 

 

 

 

5B

Amplifiers

numbers

types

 

 

 

 

 

 

 

 

 

 

 

 

5C

Antennas

numbers

types

 

 

 

 

 

 

 

 

 

 

 

 

 
6. PLANNED BUDGET

6A

Tecnical equipment

                      $

 

 

 

                      $

 

 

 

                      $

 

 

 

                      $

 

6B

Travel, Accommodat.

                      $

 

 

 

                      $

 

 

 

                      $

 

 

 

                      $

 

6C

Pers. Achievement

                      $

 

 

 

                      $

 

 

 

                      $

 

 

 

                      $

 

7  REMARKS

DECLARATION

We, the organiser of the mentionned DXpedition declare, that we filled-in the questionnaire correct and true to the best of our knowledge. We agree that the decision of the Swiss DX Foundation shall be final in all cases of dispute.

Date                             Signature                                  DXpedition manager                   Call

Send to: hb9bgn@bluewin.ch

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