 date of contest: <dateContest>
 contest station: <myCall>
 contest category: <category>
 participation in Junior MCR: 
 contest WW-locator: <myLocator>
 contest QTH: <myQth>
 ----------------------------------

 number of valid QSO: <validQs>
 number of QSO in FM mode: <fmQs>
 number of QSO in SSB mode: <ssbQs>
 number of QSO in DIGITAL mode: <dataQs>
 number of QSO in CW mode: <cwQs>

 final score: <totalPts>

 odx: <odx>

 name of operator: 
 email: 
 used TRX: 
 used antenna: 
 used transmitter output: 

 I declare I observed the contest conditions and all above-mentioned dates are true.

 date of sending: <dateSent>
