Application Form for a Coastal Station Radio Area Defined Licence

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1 Ofom pplition form OfW507 Applition Form for Costl Sttion Rio Are Define Liene Pge 1 of 13

2 1. Before ompleting this form, plese re these notes. If you re unsure how to omplete ny prt of this form, plese refer to the Guine Notes t the en of the form. 2. An Are Define liene uthorises the use of frequeny or frequenies in efine geogrphil re. Liensees n mke se sttion eployments nywhere within their efine geogrphil re (while omplying with ounry onitions) without registering these eployments with Ofom 3. All fiels re mntory unless stte otherwise. 4. Plese use BLOCK CAPITALS n lk ink throughout this form. 5. Inomplete or illegile pplitions my result in elys n/or the pplition form eing returne. 6. When mking new pplition you re vise not to ommit to the purhse of the equipment until we hve notifie you of your ssignment(s). 7. The Wireless Telegrphy (Liene Chrges) Regultions set out the fees for lienes to use rio equipment issue uner the Wireless Telegrphy At 2006 ( the WT At ). Informtion on how to lulte your liene fee n e foun on the Ofom wesite. Dt protetion 8. Ofom my use or shre your informtion to help us: ) issue, men, vlite n/or surrener WT At liene; ) mintin n pulish register of lienes uner the WT At. 9. Ofom will not give nyone your informtion exept: ) where we hve your permission; or ) where we re require or permitte to o so y lw; or ) to other ompnies or orgnistions who provie servie to us or you. 10. We my trnsfer your informtion to other ountries. If we o this we will ensure tht nyone to whom we pss it provies n equte level of protetion. Pge 2 of 13

3 A Customer etils A.1 If you re n existing liensee plese provie your ustomer referene numer n go to question 4. If not, go to question 2. A.2 Who is the liene to e issue to? A liene n only e issue to legl entity. Ofom reognises the following types of entity, plese tik the relevnt ox: iniviul or sole trer prtnership limite ompny/pl uninorporte ssoition government rown oy Iniviul or sole trer Prtnership puli oy lol government registere hrity university/eutionl non UK ompny non UK govt/ministrtion Full nme Full nme religious oy NHS Engln n Wles NHS Sotln NHS Northern Ireln sporting lu royl hrter NB: For prtnership, plese give the full nme of one prtner (who must lso sign the elrtion on pge 10) n supply list of the full nmes of ll other prtners in the elrtion. Limite or puli limite ompny/inorporte ssoition Nme Pge 2 of Compny 9 registrtion no. Registere hrity Nme Chrity registrtion no. Other legl entity Nme Registrtion no. (where pplile) A.3 If your orgnistion is registere hrity, oes it hve s its ojet the sfety of humn life in n emergeny? Yes No A.4 Liensee nme n ress (use registere ress unless you speifilly wnt n lterntive) Nme Aress Postoe Tel Fx E-mil Plese inite your ommunition preferene: E-mil Letter A.5 Compny or prtnership tring nme Pge 3 of 13

4 A.6 Liensee ontt nme n ress (where ifferent from ove) Nme Aress Postoe Tel Fx E-mil Plese inite your ommunition preferene: E-mil Letter A.7 Contt nme n ress for pyments or ount queries (where ifferent) Nme Aress Postoe Tel Fx E-mil Plese inite your ommunition preferene: E-mil Letter A.8 Tehnil ontt nme n ress (where ifferent) Nme Aress Postoe Tel Fx E-mil Plese inite your ommunition preferene: E-mil Letter Pge 4 of 13

5 A.9 If you re pplying vi thir prty (e.g. rio supplier, onsultnt et) plese omplete the following: I/we uthorise the following ompny to pply for this liene on my/our ehlf: Nme Aress Postoe Tel Fx E-mil I/we woul like opy of the liene to e sent to our rio eler/supplier Plese inite your ommunition preferene: E-mil Letter A.10 Contt nme n ress for liene tres (where ifferent) Nme Aress Postoe Tel Fx E-mil Plese inite your ommunition preferene: E-mil Letter A.11 If you wish to pply for liene perio of less thn one yer, plese inite the urtion require Months A.12 If you re n existing ustomer n wish to hrmonise the renewl te of your new liene with the renewl te of n existing liene, plese enter the preferre renewl te Dy Month Yer Pge 5 of 13

6 B Geogrphil re B.1 Plese inite whether you wnt to pply for the whole of the UK or for one or more iniviul 50 km x 50 km squres: Whole of the UK Iniviul squre(s) Plese note tht Are Define lienes re ville for lotions in the Unite Kingom only. They re not ville for the Chnnel Islns or the Isle of Mn. Gri squres (Plese refer to the mps on pges 10 n 11 to hoose your preferre gri squres) HP All A B C D HS All A B C D HT All A B C D HU All A B C D HV All A B C D HW All A B C D HX All A B C D HY All A B C D HZ All A B C D JL All A B C D JM All A B C D JQ All A B C D JR All A B C D JV All A B C D JW All A B C D NA All A B C D NB All A B C D NC All A B C D ND All A C NE All A B C D NF All B D NG All A B C D NH All A B C D NJ All A B C D NK All A C NL All B B C D NM All A B C D NN All A B C D NO All A B C D NP All A B C D NR All A B C D NS All A B C D NT All A B C D NU All A B C D NV All A B C D NW All A B C D NX All A B C D NY All A B C D NZ All A C D OA All A B C D OB All A B C D OF All A B C D OG All A B C D OL All A B C D OM All A B C D OQ All A B C D OR All A B C D SA All A B SB All A B SC All A SD All A B C D SE All A B C D SF All A B C D SG All A B C D SH All A B C D SJ All A B C D Pge 6 of 13 B.1 ontinue on pge 7

7 B.1 ontinue Gri squres (Plese refer to the mps on pges 8 n 9 to hoose your preferre gri squres) SK All A B C D SL All A B C D SM All A B C D SN All A B C D SO All A B C D SP All A B C D SQ All A B C D SR All A B C D SS All A B C D ST All A B C D SU All A B C D SV All D SW All B C D SX All A B C D SY All A B SZ All A B TA All A C TB All A B C D TF All A B C D TG All C D TL All A B C D TM All A B C TQ All A B C D TR All A C TV All A B C D XA All A B C D XB All A B C D XC All A B C D XD All A B C D XE All A B C D YA All A B C D YB All A B C D Pge 7 of 13

8 Are Define lienes uthorise 50 x 50 km squres. The squres on the two mps elow re 100 km x 100 km squres n must therefore e ivie s follows. The level of popultion ffets the nnul fees for CSR (UK) Are Define lienes. For exmple, TQ is high popultion, NJ is meium popultion n NW is low popultion. Mp A Popultion y geogrphi re for Costl Sttion Rio (UK) lienes HP High Meium Low NF NL NG NB NR NV SA NN NW SB NC NH NM NS NX SC SM SR SV SW HU HY NA SH SN SS SX HZ ND NJ HK NO NT NY SD SJ SO ST SY HU NZ SE SK SP SU SZ TA TF TL TQ TV XD Pge 8 of 13 TG TM TR

9 Mp B Congestion y geogrphi re for Costl Sttion Rio (Interntionl) lienes. The level of ongestion ffets the nnul fee for CSR (Interntionl) Are efine lienes for simplex hnnels. For exmple, HU is high ongestion, SH is meium ongestion n SS is low ongestion though NC is not ongeste. The fee for uplex hnnels uner n Are Define liene reflets the numer of 50 x 50 km squres uthorise, regrless of ongestion. HP NF NL NG NB NR NV SA NW SB NC NS NX SM SR SV SW SC HY NN NH NM HU High Meium Low NA SH SN SS SX HZ ND NJ HK NO NT NY SD SJ SO ST SY XD NU NZ SE SK SP SU SZ TA TF TL TQ TV Pge 9 of 13 TG TM TR

10 C Spetrum etils C.1 Plese inite whether you re pplying for CSR (UK) or CSR (Interntionl) Are efine liene: CSR (UK) CSR (Interntionl) Plese note tht seprte liene is require for eh. C.2 How mny hnnels o you require? Simplex hnnel(s) Duplex hnnel(s) C.3 Bnwith Plese speify the hnnel nwith tht you require. Plese note tht 6.25 khz n 12.5 khz hnnels re urrently ville only uner the CSR (UK) liene khz hnnel(s) 12.5 khz hnnel(s) 25 khz hnnel(s) C.4 Preferre hnnel(s) If you re pplying for CSR (Interntionl) liene, you my give the hnnel numer n/or the frequeny of your preferre hnnel(s). If you re pplying for CSR (UK) liene, plese give your preferre frequeny, if ny. If you o not give hnnel or frequeny, Ofom will ssign one. Chnnel No (Interntionl hnnels only) Bse trnsmit frequeny (MHz) Chnnel Bnwith (khz) optionl Preferre CTCSS optionl CSR UK only Preferre DCS optionl C.5 Temporry use If you require liene for less thn yer, plese give the tes etween whih the liene is neee. Dte from Dte to CSR (Interntionl) simplex hnnels Chnnel No Frequeny (MHz) Pge 10 of 13

11 D Pyment etils For informtion on how to lulte your fees, plese view the following wepge: If you o not know wht your liene fee will e, plese tik here n we will sen you request for pyment If you know wht your liene fee will e, plese use one of the following methos of pyment: Diret eit ** Plese fill in the iret eit mnte elow ** Plese note: the iret eit option is only open to ustomers who re lrey Ofom liensees n hve n existing iret eit rrngement with Ofom. If this is new pplition, even if you hve n existing iret eit rrngement, you n not use it to py for this liene. You n, however, use this iret eit mnte for the future renewl of your liene. Diret eit mnte 1) Nme n full postl ress of your Bnk or Builing Soiety To the mnger Aress Postoe Bnk/Builing Soiety FOR OFFICE OF COMMUNICATIONS OFFICIAL USE ONLY ADDITIONAL INFORMATION TO BE PROVIDED BY THE APPLICANT This is not prt of the instrution to your Bnk or Builing Soiety. Ofom Customer Aount Referene (Plese quote from renewl notie): Mnte strt te (Plese vise): 2) Nmes(s) of ount holer(s) 3) Bnk/Builing Soiety numer Bnks my not ept iret eit instrutions for some types of ount 4) Brnh sort oe 6) Instrution to your Bnk or Builing Soiety Plese py Ofom Diret Deits from the ount etile in this instrution sujet to the sfegurs ssure y the Diret Deit Gurntee. I unerstn tht this instrution my remin with Ofom n, if so, etils will e psse eletronilly to my Bnk or Builing Soiety Signture(s) 5) Origintor referene no Dte This Gurntee is offere y ll Bnks n Builing Soieties tht tke prt in the Diret Deit Sheme. The effiieny n seurity of the Sheme is monitore n protete y your own Bnk or Builing Soiety. If the mount to e pi or the pyment te hnges then Ofom will notify you 10 working ys in vne This Gurntee shoul e ethe n retine y the pyer The Diret Deit Gurntee of your ount eing eite or s otherwise gree. If n error is me y Ofom or your Bnk or Builing Soiety you re gurntee full n immeite refun from your rnh of the mount pi. You n nel iret eit t ny time y writing to your Bnk or Builing Soiety. Plese lso sen opy of your letter to us. Pge 11 of 13

12 E Delrtion I unerstn n ept tht: Ofom my use or shre my informtion to help: ) issue, men, vlite n/or surrener Wireless Telegrphy At liene; ) mintin n pulish register of lienes uner the Wireless Telegrphy At; Ofom will not give nyone my informtion exept: ) where Ofom hve my permission; or ) where Ofom re require or permitte to o so y lw; or ) to other ompnies or orgnistions who provie servie to Ofom or me; Ofom my trnsfer my informtion to other ountries. If Ofom oes this you will ensure tht nyone to whom Ofom pss it provies n equte level of protetion; It is n offene to knowingly mke flse sttement in support of this pplition n my le to the liene eing refuse or revoke s well s to possile proseution uner the Wireless Telegrphy At. Signture of pplint For self n prtners (tik if pplile) Dte of pplition Full nme Position in orgnistion Prtnerships must e pplie for y one prtner signing for self n prtners. A iretor or uthorise person must sign for puli limite ompnies, limite ompnies n other legl entities. Nme Nme Nme Nme Signture Signture Signture Signture If the numer of prtners exees the spe provie ove, itionl prtners etils shoul e provie on seprte sheet of pper in the formt given ove n tthe to this form. F Where to sen this form Plese sen your omplete pplition form to the Ofom Liensing Centre: Spetrum Liensing PO Box 1285 Wrrington WA1 9GL E-mil: spetrum.liensing@ofom.org.uk Wesite: Telephone: Pge 12 of 13

13 Guine notes PLEASE ALSO READ THE KEY GUIDANCE NOTES ON PAGE 2 OF THIS APPLICATION FORM. IF THESE NOTES DO NOT ANSWER YOUR QUERY, PLEASE CONTACT THE OFCOM LICENSING CENTRE USING THE DETAILS ABOVE Plese note tht mritime ns re very ongeste n it will not lwys e possile for us to stisfy emn for new lienes, espeilly in highly populr frequeny ns or geogrphil res. Generl informtion Uner the terms of the Wireless Telegrphy At 2006, it is n offene to instll or use rio pprtus, unless: you o so uner n in orne with liene issue y Ofom (the Offie of Communitions); or the pprtus is speifilly exempt from liensing. Responsiility for otining n pying for liene rests with the user of the pprtus, not with the supplier. You my nee the help of your equipment supplier to omplete the tehnil prt of the form. Sumitting liene pplition form oes not permit you to use or even instll ny equipment you must wit until we hve issue the liene n you hve reeive it. Rio interferene Sine operting new system my use interferene to existing users, your supplier my onsier it neessry to rry out omptiility tests efore you pply for your liene. One instlle n operting, your system must not use unue interferene to other uses of rio. If it oes, you my nee to stop operting until the use of the interferene hs een remeie. Ofom nnot offer ny protetion ginst interferene rite y other uthorise servies, or y inustril, sientifi n meil equipment. However, if you o experiene interferene, plese ontt Spetrum Liensing Centre on The reminer of these guine notes provie setion y setion guine on the informtion requeste within this pplition form. Setion A Customer etils Q1 Type(s) of hnnel(s) Interntionl hnnels These re the norml interntionl mritime rio hnnels n will llow you to ommunite with ships fitte with mrine rio. Simplex hnnels re sre (they re liste in Setion C) ut other sttions n her oth sies of the onverstion. Duplex hnnels re less sre ut other sttions n her only one sie of the onverstion (see lso Preferre frequenies, elow). UK hnnels These re not routinely progrmme into stnr mrine rios. You n ommunite only with ships tht hve the hnnel progrmme into their rios. We shll ssign suitle hnnel, se on your stte nees. Q4 Liensee nme n ress If you re pplying on ehlf of Limite Compny, Puli Limite Compny or Registere Chrity, the registere ress of the orgnistion must e use. Q11 Short-term liene Lienes re usully issue for n inefinite perio. This question provies you with the opportunity to pply for liene to over shorter perio. Q12 Hrmonistion If you omplete this question, we will sen you request for pyment for the frtion of the nnul liene fee whih is pyle up until the speifie renewl te. You will nee to py this mount efore we issue you with new liene. We will then sen you request for pyment for the full nnul liene fee shortly efore the preferre renewl te. Setion B Geogrphil re etils Plese hoose the most pproprite geogrphil re for your rio opertion. You n hoose either the whole of the UK or one or more gri squres. Eh gri squre is 50km y 50km in size. You n hoose s mny gri squres s you wish. The mps show the ville gri squres. Plese note tht eh liense gri squre is sujet to fiel strength limits t the ounry. In prtie, you my not e le to eploy se sttion ner the ounry without rehing the fiel strength limit. In orer to operte ner the ounries of squres, you my therefore nee to purhse joining squres. Plese refer to the Tehnil Frequeny Assignment Criteri on the Ofom wesite for more etils. Setion C Spetrum etils Q1 Type(s) of hnnel(s) Interntionl hnnels These re the norml interntionl mritime rio hnnels n will llow you to ommunite with ships fitte with mrine rio. Simplex hnnels re sre (they re liste in Setion C) ut other sttions n her oth sies of the onverstion. Duplex hnnels re less sre ut other sttions n her only one sie of the onverstion (see lso Preferre frequenies, elow). UK hnnels These re not routinely progrmme into stnr mrine rios. You n ommunite only with ships tht hve the hnnel progrmme into their rios. We shll ssign suitle hnnel, se on your stte nees. Q3 Chnnel nwith Chnnel nwith refers to the with of the rio frequeny mesure in kilohertz (khz). Most mritime rio equipment uses 25 khz frequenies. However, some equipment not for interntionl use, opertes with 12½ khz. If you inten to use 2 x 12½ khz uplex frequeny hnnel, you shoul tik 12.5 khz. Q4 Preferre frequenies You my request prtiulr hnnel ut we o not gurntee its vilility. We my lso not e le to uthorise your hosen signlling oe. If you mke no hoie, or if your preferre hnnel or signlling oe is unville, we shll ssign one. We my lso require you to shre your signlling oe with other users. Some speil hnnels my lso e ville, s follows. Clling hnnels Uner CSR (Interntionl) liene you my request hnnel 16 ( MHz voie istress, sfety n lling) n/or hnnel 70 ( MHz DSC istress, sfety n lling). If you request Ch 70, you must lso let us know whether you nee n MMSI. Serh n resue hnnels The SAR hnnels re UK Chnnel 0 ( MHz) n Chnnel 00 ( MHz), long with interntionl hnnels 10 ( MHz), 67 ( MHz), n 73 ( MHz). We o not inlue these in iniviul lienes. You shoul request permission to use them from the Mritime n Costgur Ageny hequrters in Southmpton. Inter-ship hnnels The inter-ship hnnels re interntionl hnnels 6 ( MHz), 8 ( MHz), 13 ( MHz) n 77 ( MHz). As they re esignte for inter-ship working, we o not uthorise their use from the ost. Q5 Temporry use We n grnt lienes for less thn yer, for exmple to over re or regtt. The fee for temporry liene is 1/12 the nnul fee for eh lenr month or prt thereof, sujet to minimum fee of 20 per liene, regrless of urtion. An event tht runs from the en of one month to the eginning of the next, for exmple from Friy 30th August to Mony 2n Septemer, will inur two months fees. Ref: OfW.507/Fol.170_07/13 Pge 13 of 13

Variation Form for a Business Radio Area Defined Licence

Ofcom variation form OfW431 Variation Form for a Business Radio Area Defined Licence Page 1 of 11 www.ofcom.org.uk 1. Before filling out this form, please read these notes. If you are unsure how to complete