Application Form

This document pretains to SES-STA-20050411-00411 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:

Cambridge Communication Systems, Inc. 570-459-4490
570-454-2192
Rt. 924 Humboldt [email protected]
Bognet, Inc. Bldg, Suite 6
Hazleton PA
USA 18202 -
Mr Franklin D Peiser

Franklin D. Peiser 570-459-4490
Cambridge Communication Systems, Inc. 570-454-2192
Rt. 924 Humbolt E-Mail: [email protected]
Bognet, Inc. Bldg., Suite 6
Hazleton PA
USA 18202 -
Sr. Communication Systems Engineer Engineer
3. Reference File Number
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 CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
05/09/2005
7. CityHazleton 8. Latitude
(dd mm ss.s h)
40 56 14.2 N
9. State PA 10. Longitude
(dd mm ss.s h)
76 2 32.7 W
11. Please supply any need attachments.
Attachment 1: Exhibit A Attachment 2: Exhibit B Attachment 3: Exhibit C
12. Description. Cambridge Communication Systems, Inc. requests a Special Temporary Authority to perform acceptance testing of flyaway earth station terminals, at their Hazleton facility. This testing is scheduled to be performed from May 9, 2005 through June 17, 2005.
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
Franklin Peiser
15. Title of Person Signing
Sr. Communication Systems Engineer
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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