Application Form [pdf]

This document pretains to DNC-NEW-20140731-00001 for New Application on a Data Network Code filing.

IBFS_DNCNEW2014073100001_1055602

Approved by OMB 3060−1029 DATA NETWORK IDENTIFICATION CODE FILING FOR OFFICIAL USE ONLY APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: SEFAA1 1. Applicant Name: Shashamane Ethiopia Federal Phone Number: 202−280−7317 Agents Association DBA Name: Fax Number: 877−513−2785 Street: 405 Lexington Avenue E−Mail: sefaa.gov@ewfusa.org Chrysler Building 25th & 26th Floor City: NEW YORK State: NY Country: USA Zipcode: 10174 − Attention: Clayton M. Bernard Ex 1

2. Contact Name: Shashamane Ethiopia Federal Phone Number: 202−280−7317 Agents Association Company: SHASHAMANE ETHIOPIA Fax Number: 877−513−2785 FEDERAL AGENTS ASSOCIATION THE Street: 405 Lexington Avenue E−Mail: sefaa.gov@ewfusa.org Chrysler Building 25th & 26th Floor City: NEW YORK State: NY Country: USA Zipcode: 10174 − Attention: Relationship: Same 3. Type Request 4. Reassign New Reassign Reason: From Company: Note: Please submit any needed attachments for the given request To Company: type: Attachment 1: From Code: To Code: Attachment 2: Attachment 3: 5. Network Name FRASBERG 2

6. International Service SHASHAMANE Ethiopia 7. Action Requested (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.) International Network. Haile Selassie I. 8. Code assignments held in excess of 18 months without implementation must be returned to this Administrator for Yes No 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. 9. I am aware that all DNIC assignments are provisional and that nobodyhas a property right in a DNIC. I am aware Yes No that the Commision may take an assigned DNIC and reassign it to another person. 10. I certify that all necessary local, state, and federal authorizations needed have been obtained. Yes No 3

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). FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average less than 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−1029), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fcc.gov. PLEASE DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060−1029. THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507. 4


Document Created: 2019-04-09 01:55:20
Document Modified: 2019-04-09 01:55:20
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