Application Form

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

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

SES Americom, Inc. 609-987-4062
609-987-4260
Four Research Way [email protected]
Princeton NJ
USA 08540 -6684
James R. Barker

James Barker 609-987-4062
SES Americom, Inc. 609-987-4260
Four Research Way E-Mail: [email protected]
Princeton NJ
USA 08540 -6684
Terrestrial Operations Specialist Same
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
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. 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 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
14. Name of Person Signing
Nancy J. Eskenazi
15. Title of Person Signing
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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