Application Form

This document pretains to DNC-NEW-20030626-00001 for New Application on a Data Network Code filing.

DATA NETWORK IDENTIFICATION CODE FILING FOR OFFICIAL USE ONLY

APPLICANT INFORMATION

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

TDNet DNIC Application

1. Applicant Name: Telefonica Data USA Phone Number: 787-622-2568 DBA Name: Fax Number: 787-622-2525 Street: 48 CityView Plaza Suite 800 E-Mail: [email protected] City: Guaynabo State: PR Country: USA Zipcode: 00968 - Attention: Mr Mario Ronda
2. Contact Name: Mario Ronda Phone Number: (787) 622-2568 Company: Telefonica Data USA, PR Branch Fax Number: (787) 622-2525 Street: 48 CityView Plaza E-Mail: [email protected] Suite 800 City: Guaynabo State: PR Country: USA Zipcode: 00968 - Contact Title: Senior Network Engineer Relationship: Engineer
3. Type Request New Reassign Note: Please submit any needed attachments for the given request type: Attachment 1: Attachment 2: Attachment 3:	4. Reassign Reason: From Company: To Company: From Code: To Code:
5. Network Name TDNet Puerto Rico
6. International Service Connection and addressing to the Telefonica Group (Spain) International network covering Latin America and Europe
7. Action Requested The data network for which we seek the assignment is an international network. Puerto Rico is a branch of Telefonica Data Corp (Spain) and we administer services for Central America, South America, the caribean and the US (Miami, FL).
8. Code assignments held in excess of 18 months without implementation must be returned to this Administrator for reassignment. Unless this office is specifically notified of the actual implementation of assignments, it will be assumed that those implementations did not occur and such assignments will be available for reassignment. I have read and understand these conditions. Yes No
9. I am aware that all DNIC assignments are provisional and that nobody has a property right in a DNIC. I am aware that the Commision may take an assigned DNIC and reassign it to another person. Yes No
10. I certify that all necessary local, state, and federal authorizations needed have been obtained. 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).