APPLICATION FOR FREQUENCY ASSIGNMENT AND LICENCE IN THE FIXED
AND MOBILE RADIO COMMUNICATION SERVICE.
1.

Administrative details:
a)

b)
c)

2.

Name of the organisation (or individual)
..........................................…………….......................……....…………….
Nationality.............................. ID / PP No. ......…............................………
Postal address.............................................................................……………
Business Telephone.................................... Fax.........................................
Physical location: Road/street............................. Building
.......................LR. No. ................................
Purpose for which this service is required ....…...... ....................................
........................................................................................................................
…………………………………………………………………………...….
Name of person / organisation responsible for payment of
bills.............……………………………………………….............................
.........................................................................................................................
....................…………………………………………………………………..
.

Transmit Station:
a)

Transmitter site details(for fixed station):
i)
Name........................................................…………..................
ii)
LR. No. . ..............……………………......................................
iii)
Road/Area ..........................................…….................................
iv)
Geographical co-ordinates:
Latitude : deg………….… min………..…. sec……….….(N/S)
Longitude : deg………….min ……….…….sec…………..(E).
v)
Altitude above sea level (in metres)................................
vi)
Radius of service area in kms. ....................... ...............

b)

Equipment details:
i)
Station Configuration: Fixed / Mobile (delete as appropriate)
ii)
Make ......................................................................................
Model ..................……….......................................................
Serial number ..........................................................................
iii)
Name and postal address of the local supplier (if any)
....................................………………………………...............
Postal address.............................................................................
Business Telephone..........................
Fax...................................
iv)
Channel capacity........................................................................
v)
Carrier output power
(Watts)............................………………....................................
vi)
Duplex spacing..........................................................................
vii)
Adjacent channel spacing...........................................................
viii)
Power to antenna ......................................................................
ix)
System deviation (or equivalent for digital systems)......................
x)
FM noise and hum level (in case of analogue systems) ................ .

85

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