Application Form

This document pretains to SES-RWL-20050802-01021 for Renewal on a Satellite Earth Station filing.

Approved by OMB
3060-1066
FORM 312-R APPLICATION
FOR RENEWAL OF RADIO LICENSE IN SPECIFIED SERVICES

FOR OFFICIAL USE ONLY

APPLICANT INFORMATION


1. Applicant
FCC 202-418-0763
202-418-0700
445 12TH STREET SW [email protected]
WASHINGTON State: DC
USA 20554 -
2. Contact
Al 2024180799
FCC 2029999999
8989 12TH ST [email protected]
WASHINGTON DC
USA 20554 -
AL Same

RENEWAL INFORMATION

3. Rulepart under which this filing is made
4. Is a fee submitted with this application?
If Yes, complete and attach FCC Form 159.


Governmental Entity Noncommercial educational licensee
Other(please explain):

5. Application is for renewal of license in exact conformity with the existing license as specified below:
(a)File Number
(b)Date Issued
(c)Call Sign
(d)Location
(e)Nature of Service
(f)Class of Station
(g)Expiration Date
Petition to reinstate:
6. Note any changes such as discontinuance of use of a frequency, or of a type of emission or of a transmitter which have been made since the last application covering this station was filed:
Items 7(a) and (b) apply to Part 21 licenses only.
7(a) Has there been removal of equipment or alteration of facilities as to render the Station not operational?
Yes
No
N/A
If YES when:
(b) If this is a Multipoint Distribution Service (MDS) station, is there a ownership interest in control by, affiliation with, or leasing arrangement with a cable television company? Yes
No
N/A
8. Applicant represents that there has been no change in applicant's organization and that there has been no transfer of control or changes in the applicant's relation to the station, or financial responsibility; that applicants most recent application or report embodying this information, as identified below, is to be considered as a part of this application, and the truth of the statements therein contained is hereby reaffirmed. Note here any further exceptions, not already covered in question 6 or 7.
File Number Date
9. Would a Commision grant of this application come within 47 CFR 1.1307, such that it may have a significant environmental impact? Yes
No
N/A
If YES, attach as an Exhibit an Environmental Assessment required by 47 CFR 1.1311:
If NO, Explain briefly why not:
10. Certification: The applicant certifies that, in the case of an individual applicant, he or she is not subject to a denial of federal benefits pursuant to section 5301 of Anti-Drug Abuse Act of 1988, 21 U.S.C. 853a, or, in the case of a nonindividual applicant (e.g., corporation, partnership or other unincorporated association), no party to the application is subject to denial of federal benefits pusuant to that section. For the definition of a "party" for these purposes, see 47 CFR 1.2002(b). Yes
No
a. 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 a station license in accordance with this application. Applicant acknowledges that all attached exhibits are a material part hereof.
b. The undersigned, individually and for the applicant, hereby certifies that the statements made in this application are true, complete and correct to the best of the signer's knowledge and belief, and are made in good faith.

11. Designate Appropriate Classification:

Individual
Unincorporated Association
Partnership
Corporation
Governmental Entity
Other (please specify)

12. Please supply any need attachments.

1: 2: 3:

CERTIFICATION

13. Typed Name of Person Signing
FCC
14. Title of Person Signing
FCC
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / ORIMPRISONMENT
(U.S. Code, Title 18, Section1001), AND/OR REVOCATION OF ANY STATIONAUTHORIZATION
(U.S. Code, Title 47, Section312(a)(1)), AND/OR FORFEITURE (U.S. Code,Title 47, Section 503).


The public reporting for this collection of information is estimated to average 2.25 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 (3060-1066), 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.

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