APPLICATION FORM TO OPERATE WIRELESS LINK/NETWORK UNDER INDIAN TELEGRAFPH ACT 1885 (To be submitted in triplicate)

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Camilla May
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1 APPLICATION FORM TO OPERATE WIRELESS LINK/NETWORK UNDER INDIAN TELEGRAFPH ACT 1885 (To be submitted in triplicate) 1. Name of applicant : 2. Address of correspondence : (With telephone/telex nos.) : 3 Status : Central/State Govt., Public/Joint Sector Undertaking Private Co. /Other (Please Specify) (Limited Company) 4 Is any wireless license/agreement Letter held by the applicant : 5 Nature of activity of the organization And purpose for which the proposed Communication will be used : Internal Communication 6 a) Number of station proposed : Fixed Vehicle-mobile Hand-held Mobile. i) Operations : ii) Stand-by : (Location of fixed station and six figures geo-coordinate For each station to be provided) b) Area of operation of mobiles : 7 a) Minimum & maximum distance : Minimum Maximum (In kms) between any two station b) Schematic diagram/sketch showing Area of operation & scheme of Network attached : Yes/No 8 Frequency (ies)/frequency band : 136 to 174MHz Covered by the equipment proposed 9 Operation Parameters i) Number of frequencies desired : 01 (If more than one given full Justification) ii) Daily hours of use : From 000 to 24hrs. iii) R.F. Power output of proposed : Equipment iv) Type & bandwidth of emission : 11K0F3E 10 Mode of operation (indicate transmit/ : Receive frequency separation in case Of duplex/semi-duplex operation) : ii) Speech Communication 11 Stations to be operation by Indian Nationals : Yes/No (Please given details) Signature of Applicant Designation Stamp

2 No. GOVERNMENT OF INDIA MINISTRY OF COMMUNICATION (Wireless Planning & coordination Wing) Sanchar Bhawan, 20 Ashoka Road New Delhi Dated To Sub: Agreement in principal to grant wireless telegraph license Sir, Reference your application on pre-page, I am directed to inform you that this Ministry hereby conveys its agreement in principle to grant a license for establishing the desire Wireless Stations, subject to the following: A. PARAMETERS a) Frequency (ies) : b) Emission : c) Working hours : from 000 hrs to 24 hrs. d) R.F. Power output for : i) fixed ii) Vehicle-mobile iii) 5w Hand-held mobile e) License fee : Rs. Per annum f) : Rs. Per annum g) Site clearance should be obtained in respect of fixed station at S. Nos. As per enclosed instructions h) The station will be operated by the Indian Nationals only, trained & Authorised by the licensee, and holding certificate of i) The agreement is valid for two years from the date of issue B. CONDITIONS TO BE FULFULLED BEFORE ISSUE OF OPERATING LICENSE a) Action should be initiated immediately for sitting clearance and procurement of equipment. Manufacture s name& type number of equipment may be communicated after procurement. A copy of invoice/delivery challan and equipment details as obtained my be enclosed. b) After above is completed and equipment are installed and ready for operation, fees may be paid through a demand draft, drawn from any branch of State Bank of India in favor of Pay & Accounts Office, (HQ), Department of Telecommunications and payable at State Bank of India, Main Branch, New Delhi (Code No. 0691). Operation should not be commenced before grant of license. C. EXCEPTIONS Asstt. Wireless Adviser To Govt. of India

3 (TO BE SUBMITED IN QUADRUPLICATE) ANNEXURE A 1. Name of the applicant : 2. Address : 3. Detail of Station : No. of Location of fixed station i) Fixed : Station Area of operation of mobile ii) (Attach separate sheet, if required : 1 NA 2 NA 3 NA 4 NA iii) Vehicle-mounted mobile : NA iv) Hand-held mobile : 4. Equipment proposed : 5. R.F. Power output : 6. Frequency (ies) desired : 7. Type of Emission : 11K0F3E 8. Proposed hours of operation : From 000 hrs to 24 hrs. 9. Particulars of foreign, if any, who will Operate the Wireless equipment :

4 ANNEXURE B D. PERSONAL PARTICULARS OF OWNER/MANAGING DIRECTOR/EXECUTIVE DIRECTOR 1. Name in full : 2. Father s name : 3. Designation : 4. Nationality : 5. Date of birth : 6. Place of birth : 7. Permanent address : 8. Present address : 9. Passport No., if any :

5 LIST OF FIXED STATIONS SI. No. Location & Address of the fixed station Height of antenna above ground level (in meters) Height of antenna above top of building (incase antenna is proposed to be installed on the roof top of building in meters) Distance from nearest airport (in KM) Signature of Applicant Designation Stamp

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