Application Form

This document pretains to DNC-NEW-20170327-00003 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:

Santa monica

1. Applicant Name: NIELLO BMW Phone Number: 2128418000 DBA Name: Fax Number: 916-856-4416 Street: 2020 Fulton Ave E-Mail: [email protected] City: Sacramento State: CA Country: USA Zipcode: 95825 -9582 Attention: Aaron vimont
2. Contact Name: Juan Para Phone Number: 2128418000 Company: UMG Fax Number: Street: 2220 Colorado ave E-Mail: [email protected] City: Santa Monica State: CA Country: USA Zipcode: 90404 - Attention: Relationship: Legal Counsel
3. Type Request New Reassign Note: Please submit any needed attachments for the given request type: Attachment 1: 705088 Attachment 2: Attachment 3:	4. Reassign Reason: From Company: To Company: From Code: To Code:
5. Network Name AVAYA HOLDINGS
6. International Service ITU
7. Action Requested Fleet order
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).