0006-EX-MN-2017

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Medical Testing License

Applicant (Company) Name:

Acne Research

Applicant's FCC Registration Number (FRN):

0007280910

Attention To:

Kami Rosh

City:

Vienna

Country (If not the United States):

US

E-mail Address:

kamirosh@gmail.com

State:

Virginia

Street Address:

820 Follin Lane

Zip Code:

22180

442 application form - Authorized Party to Sign

Signature Date:

2017-06-29 13:27:27.806

Signature of Applicant (Authorized person filing application):

Tester Testing Jr

Title of Person Signing Application:

Testing Specialist

442 application form - Eligibility Questions

Applicant affirms that they are a health care facility as defined in section 95.1103(b) of the Commission ’s rules

YES

Will this license involve clinical testing trials

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

Tester

Last Name:

Testing

Phone Number:

2024184576

Title:

Testing specialist

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2017-06-29 14:10:35.62

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

Testing the dismissal notification

442 application form - Location Information

North Latitude:

38 ° 54 ' 20 "

West Longitude:

77 ° 14 ' 55 "

442 application form - Medical Testing License Questions

Do you intend to operate on commercial mobile radio service (CMRS)?

NO

Do you intend to operate on public safety frequencies?

NO

Do you intend to use any of the federal exclusive and shared frequencies?

NO

Notes

Documents