Application Form

This document pretains to SES-STA-20160524-00452 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:

RigNet SatCom, Inc. 281-674-0150
281-674-0101
1880 S. Dairy Ashford [email protected]
Suite 300
Houston TX
USA 77077 -
Mr Raul Magallanes

Alexei Vederko 281-674-0902
RigNet SatCom, Inc
1880 S. Dairy Ashford E-Mail: [email protected]
Suite 300
Houston TX
USA 77077 -
(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related application. Please enter only one.)
3. Reference File Number
or Submission ID IB2016001162
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
05/31/2016
7. CityHIA-573 8. Latitude
(dd mm ss.s h)
27 55 33.3 N
9. State 10. Longitude
(dd mm ss.s h)
93 56 40.2 W
11. Please supply any need attachments.
Attachment 1: Coordination Report Attachment 2: Attachment 3:
12. Description. Special Temporary Authority to operate a 2.4 meter C-band transmit/receive earth station in the Gulf of Mexico prior to license grant.
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
Mr Raul Magallanes
15. Title of Person Signing
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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