Application Form [pdf]

This document pretains to SCL-ASG-20030624-00012 for Assignment on a Submarine Cable Landing filing.

IBFS_SCLASG2003062400012_322245

Approved by OMB 3060−0944 CABLE LANDING LICENSE APPLICATION FOR OFFICIAL USE ONLY APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: In the Matter of WorldCom, Inc. (Debtor−in−Possession) d/b/a MCI, Application for Authority to Assign Cable Landing Licenses, Streamlined Processing Requested, Docket No. WC 02−215 1. Applicant Name: WorldCom, Inc. (debtor−in− Phone Number: 202−736−6053 possession) DBA Fax Number: 202−736−6083 Name: Street: 1133 19th Street, N.W. E−Mail: kerry.murray@mci.com City: Washington State: DC Country: USA Zipcode: 20036 − Attention: Kerry E Murray 1

2. Contact Name: Richard S. Whitt Phone Number: 202−887−3845 Company: MCI Fax Number: 202−736−3304 Street: 1133 19th Street, N.W. E−Mail: richard.s.whitt@mci.com City: Washington State: DC Country: USA Zipcode: 20036 − Contact Director Relationship: Same Title: 3. Place of Incorporation of Applicant Georgia 4. Other Company(ies) and Place(s) of Incorporation MCI, Inc., Delaware 5. Destination Country(ies) See Attachment A 6. Caption (description of authority requested, e.g., Application for a License to Land and Operate a Fiber Optic Submarine Cable System between the United States, Country A and Country B.) (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.) In the Matter of WorldCom, Inc. (Debtor−in−Possession) d/b/a MCI, Application for Authority to Assign Cable Landing Licenses, Streamlined Processing Requested, Docket No. WC 02−215 2

7. Is a fee submitted with this application? If Yes, complete and attach FCC Form 159. If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114). Governmental Entity Noncommercial educational licensee Other(please explain): 8. Will the cable system be operated on a common carrier basis? Yes No If yes, provide the File NumberSEE ATTACHMENT A of the associated Section 214 application for the construction and operation of new facilities. 9. In Attachment 1, provide the information and certifications required by 47 C.F.R. Section 1.767(a). CERTIFICATIONS 10. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject Yes No to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes. 11. Typed Name of Person Signing 12. Title of Person Signing Karen M. Johnson Associate Counsel 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). 13. 1: cover 2: appl 3: 3

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average between 1 − 40 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 (3060−0944), 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 jboley@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 3060−0944. 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: 2019-04-18 18:56:24
Document Modified: 2019-04-18 18:56:24
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