Application Form SCL-LIC-20060414-00005

Application Form

This document pretains to SCL-LIC-20060414-00005 for License on a Submarine Cable Landing filing.

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:

Pro Forma Assignment of Submarine Cable Licenses from BellSouth International, LLC to BellSouth Long Distance, Inc.

1. Applicant

Name:	BellSouth Long Distance, Inc.	Phone Number:	770-352-3077
DBA Name:		Fax Number:	678-443-3470
Street:	400 Perimeter Center Terrace	E-Mail:	[email protected]
	Suite 350
City:	Atlanta	State:	GA
Country:	USA	Zipcode:	30346 - 1907
Attention:	Mary J. Dennis

2. Contact

Name:	Scott Delacourt	Phone Number:	202-719-7459
Company:	Wiley Rein & Fielding LLP	Fax Number:	202-719-7049
Street:	1776 K Street, NW	E-Mail:	[email protected]

City:	Washington	State:	DC
Country:	USA	Zipcode:	20006 -
Attention:	Scott Delacourt	Relationship:	Legal Counsel

3. Place of Incorporation of Applicant Delaware

4. Other Company(ies) and Place(s) of Incorporation

5. Destination Country(ies) Denmark, Germany, the Netherlands, France, the United Kingdom, Cayman Islands, Colombia, Costa Rica, Honduras, Mexico and Panama

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.)
Application for nunc pro tunc approval of assignment of submarine cable licenses held by BellSouth International, LLC to BellSouth Long Distance, Inc.

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 NumberITC2141999032500153of 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

11. Typed Name of Person Signing
James Harralson

12. Title of Person Signing
VP & Assoc. G.C., BellSouth Corp.

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: Attachment

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 [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.

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.