Application Form

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

Approved by OMB
3060-0944
CABLE LANDING LICENSE APPLICATION
FOR OFFICIAL USE ONLY

APPLICANT INFORMATION



1. Applicant
WorldCom, Inc. (debtor-in-possession) 202-736-6053
202-736-6083
1133 19th Street, N.W. [email protected]
Washington DC
USA 20036 -
Kerry E Murray
2. Contact
Richard S. Whitt 202-887-3845
MCI 202-736-3304
1133 19th Street, N.W. [email protected]
Washington DC
USA 20036 -
Director Same
Georgia

MCI, Inc., Delaware
See Attachment A

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
7. Is a fee submitted with this application?
If Yes, complete and attach FCC Form 159.


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 Number
SEE 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 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. Yes No

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:



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 [email protected]. 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.


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