Application Form [pdf]

This document pretains to FCN-NEW-INTR2009-05519 for New Application on a Foreign Carrier Notification filing.

IBFS_FCNNEWINTR200905519_749891

                                                                                                                      Approved by OMB
                                                                                                                             3060−0686
                                            FEDERALCOMMUNICATIONS COMMISSION
                                        FCCFOREIGN CARRIER AFFILIATIONS NOTIFICATION

                                                          FOR OFFICIAL USE ONLY

  CARRIER INFORMATION
CONFIDENTIALITY: Carriers filing foreign carrier affiliation notifications pusuant to Section 63.11(a) of the Rules, 47 C.F.R §63.
11(a), and requesting confidential treatment for the first twenty days pursuant to Sections 63.11(i) and 0.459 of the Rules, 47 C.F.R.
§§63.11(i) and 0.459, should not file this form electronically, but instead, should file this form and the required attachments manually.
Please send the manual submission to:
Secretary
Room TW−B204F
445 12th Street, SW
Washington, DC 20554
REMINDER: Carriers filing foreign carrier affiliation notifications are reminded to review the requirements in Section 63.11 of the
Rules, 47 C.F.R. §63.11. See FACT SHEET
Enter a description of this notification to identify it on the main menu:
ING Bank of Canada




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1. Carrier

             Name:        BRAIN GAYLORD              Phone Number:            999−999−9999
             DBA          ING Bank of Canada         Fax Number:              999−999−9999
             Name:
             Street:      PO BOX 1112                E−Mail:                  braininterpol@hotmail.com


             City:        WOODSTOCK                  State:                   IL
             Country:     USA                        Zipcode:                 60098   −1112
             Attention:   Ms BRAIN GAYLORD


2. Contact

             Name:        BRAIN GAYLORD              Phone Number:            999−999−9999
             Company: INTERNATIONAL CRIMINAL         Fax Number:              999−999−9999
                      POLICE ORGANIZATION −
                      ICPO INTERPOL
             Street:      PO BOX 1112                E−Mail:                  braininterpol@hotmail.com


             City:        WOODSTOCK                  State:                   IL
             Country:     USA                        Zipcode:                 60098−1112
             Attention:   MS BRAIN GAYLORD           Relationship:            Same


3. Place of Incorporation of Carrier    SCANDINAVIA; CANADA; USA; ALL OTHER FOREIGN COUNTRIES




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    4. Other Company(ies) and Place(s) of Incorporation
       ARCHDIOCESE OF CHGO;JULIE, INC.;GSA;US DEPT OF EDUCATION;USPS;USMC;NAVY;ARMY
       NCUA;FDIC;IDPFR;CMS;TASC;AT&T INTELLECTUAL PROPERTY;NSA;FBI;CIA;AIR FORCE
       DEPT OF THE TREASURY;IRS;SSA;USPTO;OPM;HHS;AGRICULTURE;NFC;TSP;FERS; NATL GUARD
       MAFIA; INTERPOL; EPO; JPO; KIPO; WIPO; GAFI; FATF; THE WORLD BANK; ICE; DHS; CDC


5. Country or Countries for which carrier is notifying the Commission of an affiliation.             SCANDINAVIA; CANADA; USA; ALL OTHER
FOREIGN COUNTRIES


6. Is there an accompanying Transfer of Control or Assignment Application pursuant to Section 63.18(e)(3) of the                 Yes         No
Rules, 47 C.F.R. §63.18(e)(3), to this foreign carrier affiliation notification?



      7. If the answer to question 6 is yes, please provide the date of filing of the Transfer of Control or Assignment Application.




8. Is this foreign carrier affiliation notification being filed as a prior notification pursuant to Section 63.11(a) or as a    Prior        Post
post notification pursuant to Section 63.11(b)−(c)?



9. If this foreign carrier affiliation notification is being filed as a prior notification pursuant to Section 63.11(a)(1)     Yes      No          N/A
or (2) of the Rules, 47 C.F.R.§§63.11(a)(1) or (2), is this filing being made at least forty−five days prior to the
consummation of the acquisition? If the answer to this question is no, include in an Attachment (use Attachment 1
below) a statement explaining the reason for non−compliance with the Section 63.11(a) filing requirement.




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10. If this foreign carrier affiliation notification is being filed as a post notification pursuant to Section 63.11(b)−(c)   Yes   No   N/A
of the Rules, 47 C.F.R. §63.11(b)−(c), is this filing being made within thirty days after consummation of the
acquisition? If the answer to this question is no, include in an Attachment (use Attachment 1 below) a statement
explaining the reason for non−compliance with the Section 63.11(c) filing requirement.



11. If the foreign carrier affiliation notification is being filed as a post notification pursuant to Section 63.11(c) of     Yes   No   N/A
the Rules, 47 C.F.R. §63.11(c), are you relying upon an exception in Section 63.11(b)?




12. If the answer to question 11 is yes, please certify to one or more of the following questions as applicable for
each carrier and destination market for which notification is being made (see Section 63.11(b)):
    Has the Commission previously determined in an adjudication that the foreign carrier(s) lacks market power in             Yes   No   N/A
any destination market being notified in this filing? If the answer is yes, please provide the citation(s) to the
decision(s) in an Attachment (use Attachment 1 below).
    Does the foreign carrier(s) own facilities in any destination market(s) being notified in this filing (see Section        Yes   No   N/A
63.11(b)(1)(ii) for a definition of "facilities")? If the answer is yes, please specify the carrier(s) and destination
market(s) being notified in this filing in an attachment (use Attachment 1 below).
    Is the foreign carrier authorized to operate in a WTO Member?
If the foreign carrier is authorized to operate in a WTO Member, is the authorized carrier making this filing                 Yes   No   N/A
demonstrating that it is entitled to retain non−dominant classification on the newly affiliated route pursuant to
Section 63.10 of the Rules, 47 C.F.R. §63.10? If so, please provide the necessary demonstration in an Attachment
(use Attachment 1 below).
If the foreign carrier is authorized to operate in a WTO Member, is the authorized carrier agreeing to comply with            Yes   No   N/A
the dominant carrier safeguards contained in Section 63.10 of the Rules, 47 C.F.R. §63.10, effective upon the
acquisition of the affiliation?




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13. If the foreign carrier affiliation notification is being filed as a prior notification pursuant to Section 63.11(a) of   Yes      No      N/A
the Rules, 47 C.F.R. §63.11(a), is the foreign carrier authorized to operate in a non−WTO Member country?




14. If the answer to question 13 is yes, is the authorized carrier making the required showing that the foreign carrier      Yes      No      N/A
lacks market power in the non−WTO Member country (see Section 63.18(k)(2), 47 C.F.R. §63.18(k)(2)) or,
alternatively, the Effective Competitive Opportunities showing specified in Section 63.18(k)(3) of the Rules, 47 C.
F.R. §63.18(k)(3)? If yes, please provide the supporting information in an Attachment (use Attachment 1 below).



15. If the answer to question 13 is yes and the answer to question 14 is no, you may provide information in an Attachment (use Attachment 1
below) to demonstrate it continues to serve the public interest for you to operate on the route for which you propose to acquire an affiliation with
the non−WTO foreign carrier. (See Section 63.11(g)(2)).



16. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, does the    Yes      No
authorized carrier request continued regulation as a non−dominant international carrier pursuant to Section 63.10
of the Rules, 47 C.F.R. §63.10? If yes, include an Attachment (use Attachment 1 below) stating how the carrier
qualifies for non−dominant classification pursuant to this section./font>




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17. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, provide in an Attachment (use
Attachment 1 below) the name of the newly affiliated foreign carrier(s) and the country or countries in which it is authorized to provide
telecommunications services to the public.



18. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, state in an Attachment (use
Attachment 1 below) what services the authorized carrier(s) making this filing is authorized to provide to each country named in response to
question 17 and the FCC file numbers under which each such authorization was granted.



19. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, state in an Attachment (use
Attachment 1 below) which, if any, of the countries the authorized carrier making this filing serves solely through the resale of international
switched services of unaffiliated U.S. facilities−based carriers.



20. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, provide in an Attachment (use
Attachment 1 below) the name, address, citizenship and principal business of any person or entity that directly or indirectly owns at least ten
percent of the equity of the authorized carrier making this filing, and the percentage of equity owned by each of those entities to the nearest one
percent.



21. Regardless of whether the foreign carrier affiliation notification is filed as a prior or post notification, provide the name of any interlocking
directorates, as defined in Section 63.09(g) of the Rules, 47 C.F.R. §63.09(g), with each foreign carrier named in the notification.




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22. By checking Yes, the carrier certifies that it has not agreed to accept special concessions directly or indirectly   Yes   No
from any foreign carrier with respect to any U.S. international route where the foreign carrier possesses market
power on the foreign end of the route.



23. By checking Yes, the carrier certifies that it shall maintain the continuing accuracy of information provided        Yes   No
pursuant to Section 63.11 of the Rules, 47 C.F.R. §63.11, for a period of forty−five days after the filing of this
form. In addition, the applicant certifies that it shall immediately inform the Commission if at any time, not
limited to forty−five days, the representations in the "special concessions" certification referenced in question 22
are no longer accurate.


CERTIFICATION
24. Typed Name of Person Signing                                            25. Title of Person Signing
  MS BRAIN GAYLORD                                                            CARRIER/TRANSMITTER
             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).


    26. 1:    PHOTO                                 2:                                                 3:




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FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 1 − 6,056 hours 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 (3060−0686), 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 YOUR RESPONSE 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 3060−0686.

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.




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Document Created: 2019-04-19 02:41:50
Document Modified: 2019-04-19 02:41:50

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