3.

REQUIRED ITEMS
(i)
(ii)
(iii)
(iv)
(v)

4.

Sample of equipment/instrument model complete with
associated
accessories and attachments.
Technical Manuals (Operation, Programming, specifications).
Non-refundable approval/acceptance fee of Kshs.............vide
Receipt No.………………...........of…………….................
Maintenance contract letter from registered Contractor (where
applicable).
Copy of purchase/import ownership documents

DECLARATION
I hereby apply for authority to use the equipment specified above in
Kenya. I certify that all information I have given in the form is correct
to the best of my knowledge.
Applicant’s
Name..........................................Sign.........................Date......................
.........
Contact Tel No..........................................

5.

FOR OFFICIAL USE ONLY

(i)
Case No.............................................
(ii)
Evaluating officers
name...........................Sign.............................
(iii) Approval Recommend/Not Recommended (Delete where not
applicable).
(i)
TAC
No..................................Approved/Not
Approved/Deferred (Delete where applicable).
Form No.5

Regulation 18
COMMUNICATIONS COMMISSION OF KENYA

APPLICATION FOR FREQUENCY ASSIGNMENT AND LICENCE IN RADIO
COMMUNICATION SERVICE

82

Select target paragraph3