the GM3VLB page

offering informal information on Amateur Radio operation from Scottish Islands
(specifically the SCOTIA, IOTA, WAB, WLH and CIsA programmes - and other schemes involving Scottish Islands)

Published by GM3VLB

SCOTIA "ACTIVATOR" APPLICATION FORM
 
This is an INITIAL application  :-
 
This is an UPGRADE application :-
 

Activated Island(s)
(please complete in chronological order, and continue on a separate piece of paper if activations of more than 50 islands are being claimed)

No Ref Island Name Activation Date(s)
1      
2      
3      
4      
5      
6      
7      
8      
9      
10      
11      
12      
13      
14      
15      
16      
17      
18      
19      
20      
21      
22      
23      
24      
25      
No Ref Island Name Activation Date(s)
26      
27      
28      
29      
30      
31      
32      
33      
34      
35      
36      
37      
38      
39      
40      
41      
42      
43      
44      
45      
46      
47      
48      
49      
50      
 
Previously Claimed Points
 
 

Calculation of BASIC and BONUS Points
(Please refer to the information on the Activators Point Page when completing this form)

UK (excl. EIRE) ACTIVATORS - BASIC & BONUS Points
Each different Island Activated
(1 pt each)
First time SCOTIA expedition to ANY island
 (10 points)
Each first-time
Activation of CS or CN Group
[max 8 points]
(4 points each)
Each other CS or CN Group Island activated

(2 pts each)
Each first-time
Activation of OI, DI, HI or SI Group [max 32]
(8 points each)
Each other OI, DI, HI or SI Group Island
activated
(4 pts each)
Bonus per each clearly separate 'expedition'
(GM - 5 pts
Non-GM 10 pts)
TOTAL POINTS CLAIMED
               
ACTIVATORS Resident on Scottish Islands - BASIC & BONUS Points
Each different Island Activated
(1 pt each)
First Activation of 'own' SCOTIA Island [after 01/01/96]
(20 points)
First Activation of any other 'own group' island
(4 points)
Each activation of any other 'own group' island
(2 points each)
First Activation of any other island group

(8 pts, max 40)
Each island
activated in other island groups
(4 points each)
Bonus per 'expedition' outwith 'own' island group
(5 points each)
TOTAL POINTS CLAIMED
               
European (incl EIRE) and DX ACTIVATORS - BASIC & BONUS Points
  Each different Island Activated


(1pt each)
 First SCOTIA expedition to ANY Scotia Island


(30 points)
Each first-time
Activation of CS or CN Group


(8 or 12 points each)
Each other CS or CN Group Island activated


(4 or 6
points each)
Each first-time
Activation of OI, DI, HI or SI Group

(16 or 24 points)
Each other OI, DI, HI or SI Group Island
activated

(8 or 12
points each)
Each Return to Scotland to activate any Scotia Island
(10 or 20
points per visit)
TOTAL POINTS CLAIMED
EU                
DX                
CERTIFICATION

Please leave the space below blank

I hereby certify the information I have provided is, to the best of my knowledge, correct, and that I
[a] have activated the above SCOTIA islands on the dates stated,
and made the required minimum QSOs, (and I agree to submit any Logs , or copies, if required);
[b] have operated within the terms and conditions of my licence and any applicable reciprocal agreements;
[c] have obtained, where appropriate, prior permission to land and to operate;
[d] have observed any requirements imposed by the island owner(s) and have paid due regard for the environment;
[e] am willing, when requested by the Awards Manager, to supply the name(s), address(es) and telephone number(s) of the person(s) granting any such permission in [c], or limitations in [d]
 
Signed :
 
Date :
 
Name (for certificate) :


(PLEASE PRINT CLEARLY)
 
Callsign :

Address :

 

 

 

 

Post Code :

e-Mail Address :
Date Rcvd.
Payment Rcvd.
Cert. No.
ENDORSEMENTS
Points Credited
Cert. Sent
This web-site is the official site for the SCOTIA programme. It is to be in no way construed as the 'official' web-site for any other island award programme. The views and information presented here are those of GM3VLB. These views may not necessarily be those held by any other individuals or organisations. Please see the Legal Notice.
We are happy to receive any criticism, comments, or notice of errata - Webmaster : VP8NJS