Application Form

This document pretains to ARC-MOD-20050505-00006 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:
1. Applicant
Concert Global Network Services Limited 908-532-1911
908-532-1281
One AT&T Way [email protected]
Bedminster NJ
USA 07921 -
Mr Steven A Sillett
2. Contact
Steven Sillett 908-532-1911
AT&T 908-532-1281
One AT&T Way [email protected]
Bedminster NJ
USA 07921 -
3. Application Type:
Modification of Existing Accounting Rate Petition for Declaratory Ruling
4. U.S. Carrier: Concert Global Network Servies Limited 5. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
6. Foreign Point Being Served: Cambodia
4. U.S. Carrier: Concert Global Network Servies Limited 5. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
6. Foreign Point Being Served: Cambodia
4. U.S. Carrier: Concert Global Network Servies Limited 5. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
6. Foreign Point Being Served: Cambodia

7. 1: Cambodia 2: 3:

SERVICE INFORMATION
S1. U.S. Carrier: Concert Global Network Servies Limited S2. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
S3. Foreign Point Being Served: Cambodia
S4. Service: IMTS
S5. Current Rate: 0.70SDR S6. New Rate: 0.60SDR S7. Surcharge: NONE
S8. Effective Date: 07/01/2002 S9. Expire Date: 12/31/2002
S10. [50/50]: Yes No S11. Proportionate Return: Yes No
SERVICE INFORMATION
S1. U.S. Carrier: Concert Global Network Servies Limited S2. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
S3. Foreign Point Being Served: Cambodia
S4. Service: IMTS
S5. Current Rate: 1.00SDR S6. New Rate: 0.90SDR S7. Surcharge: none
S8. Effective Date: 01/01/2001 S9. Expire Date: 12/31/2001
S10. [50/50]: Yes No S11. Proportionate Return: Yes No
SERVICE INFORMATION
S1. U.S. Carrier: Concert Global Network Servies Limited S2. Foreign Carrier: Ministry of Posts & Telecommunications, Kingdom of Cambodia (MPT-C)
S3. Foreign Point Being Served: Cambodia
S4. Service: IMTS
S5. Current Rate: 0.90SDR S6. New Rate: 0.70SDR S7. Surcharge: NONE
S8. Effective Date: 01/01/2002 S9. Expire Date: 06/30/2002
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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