0003-EX-PN-2016

Filing overview

442 application form

Does the applicant require non-disclosure of proprietary information as part of the justification of this license?

NO

Is an Orbital debris mitigation plan required by 5.64 of this part

NO

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

NO

Will this license involve a product development of market trial?

NO

442 application form - Application for Program Experimental License

Applicant (Company) Name:

ExpProgT1

Applicant's FCC Registration Number (FRN):

0004979480

Attention To:

Ben ExpProgT1

City:

Washington

E-mail Address:

benny_g4@hotmail.com

State:

Dist of Columbia

Street Address:

12 St

Zip Code:

22055

442 application form - Authorized Party to Sign

Signature Date:

2016-08-19 08:30:47.06

Signature of Applicant (Authorized person filing application):

Ben ProExtT1

Title of Person Signing Application:

POC

442 application form - Eligibility Questions

Equipment 1 Manufacturer of radio frequency equipment

Manufacturer that integrates radio frequency equipment into their end products

Equipment 1 YES

YES

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

First Name:

Ben

Last Name:

ExpProgT1

Phone Number:

703-123-4567

Title:

Engineer

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2016-08-19 09:31:38.313

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

E-mail Address:

benn_g4@hotmail.com

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

City:

Sterling

County:

LOUDOUN

North Latitude:

39 ° 1 ' 21 "

State:

Virginia

Street Address:

46794 Vermont Maple ter

West Longitude:

77 ° 22 ' 55 "

442 application form - Program Experimental 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

Grant actions

Notes

Documents