Guide to the VHF/UHF/SHF Propagation Verification Claim Form
| Band: | In wavelength |
| Propagation mode: | Line Of Sight (LOS), Tropo Duct (TD), Sporadic E (TD/E), Tropo Scatter (TS), Meteor Scatter (MS), F2-Layer (F2) Earth Moon Earth (EME), Trans Equatorial Propagation (TEP), Precipitation Scatter (PS), Field Aligned Irregularities (FAI), Aurora and Aurora E (A/AE), E-Layer Back Scatter (EBS), F-Layer Refraction, Diffraction, Side Scatter (FR/FD/FS), Knife Edge Diffraction (KED), Solid Object Refraction (SOR), D/E-Layer Ionospheric Forward Scatter. |
| QSO QTH: | Mountain name, Place name, Trig name (specify) |
| LAT. LONG: | Latitude and Longitude in degrees, minutes and seconds. |
| Grid Locator: | Maidenhead locator. |
| Elevation: | Above sea level in metres. |
| Location info: | Mountain top, Hill side, Trig point, Car park, Bush hut. |
NOTE: If the following is not known then estimate values
| Antenna/Gain: | Type of antenna and estimated gain in dBd. |
| TX freq: | Specify in megahertz. |
| TX type: | Commercial (model number) or Home brew, Converter to commercial IF |
| TX description: | Description like 3456 MHz "SSB Electronics" converter from 144 MHz IF. |
| TX power: | Specify in watts, or dBm. |
| Feed-line loss: | Specify loss in dB or give cable type and length. |
| Modulation type: | Specify SSB, CW, MCW, NB-FM, WB-FM, FM/ATV, VSB and Digital (specify) |
| RX freq: | Specify in megahertz. |
| RX type: | Commercial (model number) or Home brew, Converter to commercial IF. |
| RX description: | Description like 3456 MHz "SSB Electronics" converter to 144 MHz IF. |
| Feed-line loss: | Specify loss in dB (or give cable type and length) |
| Noise figure: | Specified in dB above the perfect noise less receiver, which would add no extra noise to the signal received. |
| RX bandwidth: | 3 kHz SSB, 500 Hz CW filter, 12-15 kHz for NB-FM (specify) |
| RX sig/noise ratio: | If a signal is equal to the noise this ratio is unity. If the signal received is 20 dB above the noise, and the RX noise figure is 2 dB the ratio is 18 dB. |
| Weather: | Could include temperature, cloud cover, windy or dusty. |
| Additional info: | This could include witness operators, signal strength reports, video and audio recordings, type of power supply system, time taken or days on site. |
Propagation Verification Claim Form
| Date(UTC): | |
| Band: | Propagation Mode: |
| Time(UTC or NZST/DT): | Distance(km): |
| Call Sign Station 1: | Call Sign Station 2: |
| Name: | Name: |
| QSO QTH: | QSO QTH: |
| Lat. deg. min. sec. | Lat. deg. min. sec. |
| Long. deg. min. sec. | Long. deg. min. sec. |
| Grid Locator(6 digit): | Grid Locator(6 digit): |
| Elevation ASL(meters): | Elevation ASL(meters): |
| QTH info: | QTH info: |
| Antenna/Gain: | Antenna/Gain: |
| TX freq(MHz): | TX freq(MHz): |
| TX power(Watts): | TX power(Watts): |
| Feed-line loss(dB): | Feed-line loss(dB): |
| Modulation type: | Modulation type: |
| RX freq(MHz): | RX freq(MHz): |
| RX type: | RX type: |
| RX description: | RX description: |
| Feed-line loss(dB): | Feed-line loss(dB): |
| Noise figure(dB): | Noise figure(dB): |
| RX bandwidth: | RX bandwidth: |
| RX sig/noise ratio(dB): | RX sig/noise ratio(dB): |
| Weather: | Weather: |
| Additional information: | Additional information: |
| Name: | |
| Call: | |
| Home QTH: | |
| BBS: | |
| e-mail: | |
| Telephone No: | |
| Signature: | |
| Record received and verified by: | |
| Date: |
The information submitted above is to the best of my knowledge correct.
Claims must be submitted to:
The VHF/UHF/SHF Record Coordinator
NZART
PO Box 40 525
Upper Huttvhfrecords@nzart.org.nz
Last Updated: 24 August 2021