0001-EX-TN-2017

Filing overview

442 application form

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

NO

442 application form - Application for Compliance Testing License

Applicant (Company) Name:

CTest

Applicant's FCC Registration Number (FRN):

0005072848

Attention To:

Ben Ghaffari

City:

herndon

E-mail Address:

benny_g4@hotmail.com

P.O. Box:

PO 123

State:

Arctic Ocean

Street Address:

445 12th Street SW,

Zip Code:

20554

442 application form - Authorized Party to Sign

Signature Date:

2017-03-15 11:04:29.443

Signature of Applicant (Authorized person filing application):

B.ghaffari

Title of Person Signing Application:

Engineer

442 application form - Eligibility Questions

Applicant affirms that they are a testing laboratory recognized by the FCC as being competent to perform measurements of equipment for equipment authorization under the FCC rules.

YES

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

First Name:

Ben

Last Name:

Ghaffari

Phone Number:

202-418-7928

Title:

Engineer

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2017-03-15 11:08:23.643

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

Narrative Comment:

Insert a short description of the purpose of this application, or for modifications describe what is being modified:

442 application form - Location Information

North Latitude:

38 ° 59 ' 28 "

State:

Virginia

Street Address:

12536 ridgegate dr

West Longitude:

77 ° 22 ' 54 "

Grant actions

Notes

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