Application Form

This document pretains to ARC-MOD-20031114-00043 for Modification on a Accounting Rate Change filing.

Approved by OMB 3060-0454

FEDERAL COMMUNICATIONS COMMISSION APPLICATION FOR AN ACCOUNTING RATE CHANGE FOR OFFICIAL USE ONLY

APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

ERITREA APPLICATION FOR ACCOUNTING RATE CHANGE

1. Applicant Name: AT&T Phone Number: 908-532-1911 DBA Name: Fax Number: 908-532-1281 Street: One AT&T Way E-Mail: [email protected] City: Bedminster State: NJ Country: USA Zipcode: 07921 - Attention: Mr Steven A Sillett

2. Contact Name: Steven Sillett Phone Number: 908-532-1911 Company: AT&T Fax Number: 908-532-1281 Street: One AT&T Way E-Mail: [email protected] City: Bedminster State: NJ Country: USA Zipcode: 07921 - Contact Title: Litigation Assistant Relationship:

3. Application Type: Modification of Existing Accounting Rate Petition for Declaratory Ruling

4. U.S. Carrier: AT&T 5. Foreign Carrier: Telecommunication Services of Eritrea (TSE) 6. Foreign Point Being Served: Eritrea

7. 1: Eritrea 2: 3:

SERVICE INFORMATION S1. U.S. Carrier: AT&T S2. Foreign Carrier: Telecommunication Services of Eritrea (TSE) S3. Foreign Point Being Served: Eritrea

S4. Service: IMTS

S5. Current Rate: $0.70 S6. New Rate: $0.46 S7. Surcharge: NONE

S8. Effective Date: 01/01/2003 S9. Expire Date: 12/31/2003

S10. [50/50]: Yes No S11. Proportionate Return: Yes No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).

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