ANNEX G - APPLYING FOR AN ISLAND TO COUNT REQUEST FOR THE ISSUE OF A NEW IOTA REFERENCE NUMBER FOR AN ISLAND ALREADY LISTED If the island is already listed as valid in a numbered group, e.g.EU-005, proceed no further as your application will not be considered (see Programme Rules, Paragraph E.1.1).REQUEST FOR CONFIRMATION THAT A CURRENTLY UNLISTED ISLAND WILL COUNT FOR AN IOTA GROUP Before starting, please read Sections E.1 to E.3 and E.6 to E.8 of the Rules 1.What is the name of the island from which the operation has taken or will take place?...................2.What is the reference number of the group to which you think this island should belong? .........3.What are the island.s geographical co-ordinates (neceary) ........................................................4.Does it consist of a single unbroken piece of land longer than 1 kilometre measured at high tide (see E.6.6) If .yes., go to Question 7 below.5.If the answer to 4 is .no., is it shown on a map of a scale of at least 1:1,000,000?
YES / NO If .yes., you must attach a map of at least 1:1,000,000 (e.g.1:1,250,000) in support of this statement.If the island is shown and named, it will be neceary only to attach a copy (make sure you include the scale).If the island is shown but not named, please send the original, together with a second map of larger scale (e.g.1:50,000) showing the island.s name.Go to Question 7 below.6.If the answer to 5 is .no., is the island (a) located within an .officially recognised island group., defined in E.5.2? If .yes., which? ................................................................................or (b) separated from the nearest part of the mainland by an island which qualifies?
If .yes., which? ................................................................................or (c) closer to an island which qualifies than to the mainland? If .yes., which? ................................................................................If the answer to (a), (b) or (c) is .yes., you must enclose a large-scale map (e.g.1:50,000) as evidence.Go to Question 7 below.If the answer in each case is .no., you should proceed no further as your application will not be considered.7.Is the island located le than 1 kilometre from the mainland at its narrowest point according to an official map?
If .no., go to Question 10 below.8.If the answer to 7 is .yes., is it separated from the mainland at all points by a minimum 200 metres of sea at low
tide? If .yes., you must enclose a large-scale marine map (e.g.1:50,000) as evidence.Go to Question 10 below.9.If the answer to 8 is .no., might the island qualify exceptionally under E.6.9, E.6.10, E.8.2, E.8.3 or E.8.4?
If .yes., you must enclose a large-scale marine map (e.g.1:50,000) as evidence.Go to Question 10 below.If .no., you should proceed no further as your application will not be considered.10.Is the island (a) located in a river, lake or totally enclosed inland sea?
YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO or (b) located in a largely enclosed bay, gulf or inland sea as defined in E.7.2?
or (c) located in and totally surrounded by a permanent ice shelf? or (d) totally submerged by water for part of the day?
YES / NO YES / NO YES / NO
YES / NO
YES / NO
YES / NO
YES / NO or (e) entirely man-made or only an island by reason of a man-made canal?
If your answer to any of these is .yes., you should proceed no further as your application will not be considered.11.Are you aware of any previous operation from this island that may have counted for IOTA?
If .yes., give details, including call-sign used.(Continue on a separate sheet) DECLARATION: I DECLARE THAT I have checked the information given above against the maps enclosed or in my poeion and confirm that it is correct.I understand that, if any part of it is found to be untrue either now or at a later date, any IOTA credits iued on the basis of it may be withdrawn.Signature ...............................................................Call-sign ...................................................................Date ...........................................
