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Application For Satellite Space And Earth Station Authorizations 312 - Official Federal Forms
| Application For Satellite Space And Earth Station Authorizations Form. This is a national form and can be used in Federal Communications Commission (FCC) . |
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Approved by OMBFCC Use Only FCC 312 3060-0678 File Number: Main Form Est. Avg.Burden Hours Per Response: 11 Hrs. FEDERAL COMMUNICATIONS COMMISSION Call Sign: APPLICATION FOR SATELLITE SPACE AND EARTH STATION AUTHORIZATIONS Fee Number: APPLICANT INFORMATION 1. Legal Name of Applicant 2. Voice Telephone Number 3. Other Name Used for Doing Business (if any) 4. Fax Telephone Number 5. Mailing Street Address or P.O. Box 6. City 7. State / Country (if not U.S.A.) 8. Zip Code ATTENTION: 9. Name of Contact Representative (If other than applicant) 10. Voice Telephone Number 11. Firm or Company Name 12. Fax Telephone Number 13. Mailing Street Address or P.O. Box 14. City 15. State / Country (if not U.S.A) 16. Zip Code ATTENTION: CLASSIFICATION OF FILING 17. Place an "X" in the box next to the classification that applies to t his filing for both questions a. and b. Mark only one box for 17a and only one box for 17b. b1. Application for License of New Station b6. Transfer of Control of License or Registration b2. Application for Registration of New a1. Earth Station Domestic Receive-Only Station b7. Notification of Minor Modification b3. Amendment to a Pending Application b8. Application for License of New Receive-Only Station Using Non-U.S. L icensed Satellite a2. Space Station b4. Modification of License or Registration b9. Letter of Intent to Use Non-U.S. Licensed Satellite to Provide Servi ce in the United States b5. Assignment of License or Registration b10. Other (Please Specify): 18. If this filing is in reference to an existing station, enter: 19. If this filing is an amendment to a pending application enter: Call sign of station: (a) Date pending application was filed: (b) File number of pending application: FCC 312, Main Form - Page 1 February, 1998 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 TYPE OF SERVICE 20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Place an "X" in the box(es) next to all that apply. a. Fixed Satellite c. Radiodetermination Satellite e. Direct to Home Fixed Satellite b. Mobile Satellite d. Earth Exploration Satellite f. Digital Audio Radio Service g. Other (please specify) 21. STATUS: Place an "X" in the box next to the applicable sta tus. Mark only one box. 22. If earth station applicant, place an "X" in the box(es) next to al l that apply. a. Common Carrier b. Non-Common Carrier a. Using U.S. licensed satellitesb. Using Non-U.S. licensed satellites23. If applicant is providing INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Mark only one box. Are these facilities: a. Connected to the Public Switched Network b. Not connected to the Public Switched Network 24. FREQUENCY BAND(S): Place an "X" in the box(es) next to all appl icable frequency band(s). a. C-Band (4/6 GHz) b. Ku-Band (12/14 GHz) c. Other (Please specify) TYPE OF STATION 25. CLASS OF STATION: Place an "X" in the box next to the class of stat ion that applies. Mark only one box. f. Other a. Fixed Earth Station b. Temporary-Fixed Earth Station c. 12/14 GHz VSAT Network d. Mobile Earth Station e. Space Station (Specify) If space station applicant, go to Question 27. 26. TYPE OF EARTH STATION FACILITY Mark only one box. a. Transmit/Receive b. Transmit-Only c. Receive-Only PURPOSE OF MODIFICATION OR AMENDMENT 27. The purpose of this proposed modification or amendment is to: Plac e an "X" in the box(es) next to all that apply. a -- authorization to add new emission designator and related service b -- authorization to change emission designator and related service c -- authorization to increase EIRP and EIRP density d -- authorization to replace antenna e -- authorization to add antenna f -- authorization to relocate fixed station g -- authorization to change assigned frequency(ies) h -- authorization to add Points of Communication (satellites & countri es) i -- authorization to change Points of Communication (satellites & coun tries) j -- authorization for facilities for which environmental assessment and radiation hazard reporting is required k -- Other (Please Specify) ENVIRONMENTAL POLICY 28. Would a Commission grant of any proposal in this application or amen dment have a significant environmental impact as defined by 47 CFR 1.1307? YES NO If YES, submit the statement as required by Sections 1.1308 and 1.1311 o f the Commissions rules, 47 C.F.R. 1.1308 and 1.1311, as an exhibit to this application. A Radiation Hazard Study must accompany all applications as an exhibit f or new transmitting facilities, major modifications, or major amendments. Refer to OET Bulletin 65. FCC 312, Main Form - Page 2 February, 1998 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 ALIEN OWNERSHIP 29. Is the applicant a foreign government or the representative of any f oreign government? YES NO 30. Is the applicant an alien or the representative of an alien? YES NO 31. Is the applicant a corporation organized under the laws of any forei gn government? YES NO 32. Is the applicant a corporation of which more than one-fifth of the c apital stock is owned of record or YES NO voted by aliens or their representatives or by a foreign government or r epresentative thereof or by any corporation organized under the laws of a foreign country? 33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than one-fourth of the capital stock is owned of record or voted by aliens, t heir representatives, or by a foreign YES NO government or representative thereof or by any corporation organized und er the laws of a foreign country? 34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach a s an exhibit, the identification of the aliens or foreign entities, their nationality, their relationship to the applicant , and the percentage of stock they own or vote. BASIC QUALIFICATIONS 35. Does the applicant request any waivers or exemptions from any of the Commissions Rules? YES NO If Yes, attach as an exhibit, copies of the requests for waivers or exce ptions with supporting documents. 36. Has the applicant or any party to this application had any FCC stati on authorization or license revoked or had any application for an initial, modification or renewal of FCC station a uthorization, license, or construction YES NO permit denied by the Commission? If Yes, attach as an exhibit, an expla nation of the circumstances. 37
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