Application Form [pdf]

This document pretains to SES-REG-20181016-04469 for Earth Station Registration on a Satellite Earth Station filing.

IBFS_SESREG2018101604469_1562715

                                                                                                                          Approved by OMB
                                                                                                                                 3060−0678




                     APPLICATION FOR EARTH STATION AUTHORIZATIONS                                 FCC Use Only

                                         FCC 312 MAIN FORM
                                       FOR OFFICIAL USE ONLY

APPLICANT INFORMATION
1−8. Legal Name of Applicant


9−16. Name of Contact Representative



CLASSIFICATION OF FILING

17d.



18. If this filing is in reference to an existing station, enter:   19. If this filing is an amendment to a pending application enter:
(a) Call sign of station:                                           (a) Date pending application was     (b) File number of pending
Not Applicable                                                      filed:                               application:

                                                                    Not Applicable                       Not Applicable




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TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Select all that apply:




CERTIFICATION
The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the
United States because of the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this
application. The applicant certifies that grant of this application would not cause the applicant to be in violation of the spectrum aggregation limit
in 47 CFR Part 20. All statements made in exhibits are a material part hereof and are incorporated herein as if set out in full in this application.
The undersigned, individually and for the applicant, hereby certifies that all statements made in this application and in all attached exhibits are
true, complete and correct to the best of his or her knowledge and belief, and are made in good faith.
44. Applicant is a (an): (Choose the button next to applicable response.)


47. Please supply any need attachments.
    Attachment 1:                                  Attachment 2:                                     Attachment 3:




            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).




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FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 0.25 − 24 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
PRA@fcc.gov. 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.

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: 2019-11-11 04:19:56
Document Modified: 2019-11-11 04:19:56

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