PAPUA NEW GUINEA RADIOCOMMUNICATIONS AND TELECOMMUNICATIONS TECHNICAL AUTHORITY PO BOX 8444 BOROKO NCD

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1 PAPUA NEW GUINEA RADIOCOMMUNICATIONS AND TELECOMMUNICATIONS TECHNICAL AUTHORITY PO BOX 8444 BOROKO NCD TR107 Ver. 1 APPLICATION FOR FIXED SATELLITE EARTH STATION LICENSE (In accordance with Part 2, Section 6 and 7 of Radio Spectru Act 1996) It is an offence to possess, establish or use any radio equipent before an appropriate license is granted by PANGTEL. Any false stateent ade in this for and/or provision of incoplete inforation ay lead to the rejection or delay of your application. Please read and understand carefully the TR107 Application Guidelines before copleting this application for. A. DETAILS OF APPLICANT 1. Place an X in one of the boxes below: X New License Changes to existing License (briefly describe) Existing License No.: 2. Do you have a General Carrier License? Yes X No 4. I a copleting this application: 3. Do you have authorization fro a general carrier and/or ICCC? (Attach necessary docuentation) Yes No For Myself X On behalf of y organization I a an Agent 5. Nae of Agent: LTD 6. Nae of Applicant (if different to Ite 7 above) 7. Nae of Contact Representative 8. Nae under which license is to be issued LINDSAY JORGENSEN 9. Place an X in the relevant box Governent Agency X Copany Church Agency Educational Institution Non-profit Organization Other (specify below) 10. Mailing Address P.O. BOX 209, WAIGANI NCD 11. Telephone 12. Mobile 13. Facsiile 14. Eail adinistrator@hitron.co.pg OFFICE USE ONLY Account Type: Account Nae: Receipt No: Aount Received: Mode of Payent: Date Received: Cheque No.: Place Received: Bank: Branch: Drawer: TR107 Application for Fixed Satellite Earth Station License. Ver.1 Dec

2 B. TYPE OF FIXED EARTH STATION LICENSE 15. Place an X in one of the boxes below: Earth Station Fixed Earth Station Transportable Other: e.g. VSAT (specify below) VSAT C. GROUND SEGMENT 16. Earth Station ID NewSat 17. Place an X in one of the boxes below Hub X 18. Nae of Site 19. Datu WGS84 Reote 20. Latitude 21. Longitude AGD Nae of Building (applicable to VSATs) 23. Height of Building (applicable to VSATs) 24. Section 25. Lot 26. Street Nae 27. Suburb 28. City/Town D. ANTENNA CHARACTERISTICS 29. Earth Station ID 30. Antenna ID 31. Type of Antenna 32. Manufacturer 33. Model Parabolic Andrews 180TX 34. Diaeter 35. EIRP 36. Maxiu Isotropic Gain 37. Beawidth dB 38. Height above ground level 39. Height above sea level o 40. Antenna Radiation Patterns TR107 Application for Fixed Satellite Earth Station License. Ver.1 Dec

3 E. OPERATIONAL DETAILS 41. Antenna ID 42. Frequency Band 43. Manufacturer 44. Model C-Band Ku-Band Other Andrews TYPE 180TX 45. Transit Frequency 46.Transit Frequency TO W vertical vertical 47. Transit Frequency 48. Transit Frequency 49. Transit Frequency 50. Modulation Technique 51. Noise Teperature TDMA 0.7dB 52. FEC/Reed Soloon 53. Interface link to Client ETHERNET TCP/IP o K Additional sheets ay be used if necessary. TR107 Application for Fixed Satellite Ea rth Station License. Ver.1 Dec

4 F. NETWORK DIAGRAM Attach technical diagras showing the relationship between the hub and reote sites. G. SPACE SEGMENT 54. Antenna ID 55. Nae of Satellite NSS Orbital Slot 95E 59. Center Frequency of Transponder Uplink Frequency 64. Starting Frequency Uplink/Downlink 66. Leased Bandwidth 57. ITU Special Section No. 58. Transponder Designation AU 60. Uplink Bea Designation AUVC / Downlink Frequency 61. Downlink Bea Designation AUVC4 65. Ending Frequency Uplink/Downlink / H. DECLARATION OF APPLICANT X I declare that I a an accredited representative of the applicant who has authorized e to subit this application: or I declare that I a subitting this application on y own behalf. Signature: Date: TR107 Application for Fixed Satellite Earth Station License. Ver.1 Dec

5 OFFICE USE ONLY License Type Product Price ID Assignent No. Custoer Account No. Call Sign(s) License Type (Product Price ID) For new assignents, refer to PFAO Application No. Date of Issue Date of Expiry Site No. License Type Conditions Action Officer TR107 Application for Fixed Satellite Earth Station License. Ver.1 Dec