Application Form [pdf]

This document pretains to SES-STA-20030415-00468 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2003041500468_312175

                                                                                                          Approved by OMB
                                                                                                                 3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
STA To Install and Test Antenna under VSAT Modification SES−MOD−20030411−00452
    1. Applicant

              Name:        SES Americom, Inc.        Phone Number:                  609−987−4062
              DBA Name:                              Fax Number:                    609−987−4260
              Street:      Four Research Way         E−Mail:                        jim.barker@ses−americom.com



              City:        Princeton                 State:                         NJ
              Country:     USA                       Zipcode:                       08540       −6684
              Attention:   James R. Barker




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    2. Contact

                 Name:        James Barker                        Phone Number:                         609−987−4062
                 Company:     SES Americom, Inc.                  Fax Number:                           609−987−4260
                 Street:      Four Research Way                   E−Mail:                               jim.barker@ses−americom.com



                 City:        Princeton                           State:                                NJ
                 Country:     USA                                 Zipcode:                              08540       −6684
                 Contact      Terrestrial Operations Specialist   Relationship:                         Same
                 Title:


    3. Reference File Number SESMOD2003041100452
    4a. 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):

    4b. Fee Classification   CGV − Fixed Satellite VSAT System
    5. Type Request

        Use Prior to Grant                               Change Station Location                          Other


    6. Requested Use Prior Date
          04/18/2003
    7. CityPrinceton                                                         8. Latitude
                                                                             (dd mm ss.s h)   40   21    20.0   N


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    9. State   NJ                                                              10. Longitude
                                                                               (dd mm ss.s h)     74   35   33.0   W
    11. Please supply any need attachments.
    Attachment 1:                                     Attachment 2:                                      Attachment 3:


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        SES Americom wishes to install a 1.2 meter Patriot antenna at its headquarters facility to
        test VSAT services and capabilities and demonstrate the capability to customers. This
        antenna is the same size and operates at the same parameters as an existing antenna on the
        license and will be operated in accordance with those licensed patterns and levels.



    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      Nancy J. Eskenazi                                                          Vice President and Associate General 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).




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Document Created: 2019-05-29 18:30:58
Document Modified: 2019-05-29 18:30:58

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