Page:United States Statutes at Large Volume 49 Part 2.djvu/575

 TELECOMMUNICATION CONVENTION. DECEMBER 9, 1932. 2591 APPENDIX 3 Appendix 3. Report of a Violation of the Telecommunication Convention Report of violations. or of the Radio Regulations (See article 13) Ante, p. ~91. Particular, concerning th, ,tation violating the I Regulation, f 1. N[;:' (~J 15:32, 19 November 2014 (UTC) ..( ..~rTarmstroBot (talk) 15:32, 19 November 2014 (UTC).~e.td~ .1 ......, ...................... . 2. Call signal (in printed letters). . . . . . . . .. . ............................ . 3. Nationality, if known ..............................................• 4. Wave used (kc or m) ....................................•. . .•. . . . .• 5. System (Note (b)J ... .... .... . . ... .•.. . ............•••....•••.••••• Particulars concerning station reporting the irregularity 6. Name (in printed letters) .............. . ........................••.• 7. Call signal (in printed letters) .......... . .....................•.•. .•• 8. Nationality.................•.....................•.•....•....•.... 9. Approximate position [Note (c) I ..................................... . Details 0/ the irregularity 10. Name [Note (d) I of the station in com- munication with the station commit- ting the violation .. . . . . . . . . . . . . . . . . . ......••..................••• 11. Call signal of the station in communica- tion with the station committing the violation .....•..•............................................•.. 12.Time(Note(e))anddate.................................. . ....... 13. Nature of the irregularity [Note (I)) .... ................... • ......•.• 14. Excerpts/rom 'hip log and other documents sUP1JOrting the report (to be continued on reverse side, if necessary). Time. 15. Certificate. I certify that the foregoing report represents, to the best of my knowledge, a complete and accurate account of what took place. Date:...... :.. . . . . . . . . . .. 11). ... (*).••.•....•......•.••••••••• • This report must be signed by the operator who called attention to the violation, and countersigned by the master of the ship or aircraft, or by the chief of the land station.