Application Form

This document pretains to SES-MOD-20030923-01312 for Modification on a Satellite Earth Station filing.

POINTS OF COMMUNICATION
Satellite Name: PERMITTED LIST If you selected OTHER, please enter the following:
E21. Common Name: E22. ITU Name:
E23. Orbit Location: E24. Country:
POINTS OF COMMUNICATION (Destination Points)
E25. Site Identifier:
E26. Common Name: E27. Country:
ANTENNA
dBi at
/
FREQUENCY
E50. Modulation and Services
FREQUENCY COORDINATION
/
REMOTE CONTROL POINT LOCATION
E61. Call Sign

NOTE: Please enter the callsign of the controlling station, not the callsign for which this application is being filed.
E66. Phone Number
E62. Street Address

E63. City
E68. County
E67/68. State/Country
/
E64. Zip Code


The public reporting for this collection of information is estimated to average 2 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 (3060-0678), 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 COMPLETED FORMS 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 3060-0678.


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