1 Name and address of Organisation
2 Name of Contact
3 Base Station Address Please enclose a map showing service coverage area and base stations
National Grid Reference
Six Figures This figure is to be taken from a current Ordanance Survey Map
Height of base station site above mean sea level
Callsign
4 If the fixed base station is to be remotely controlled, give the address of the main control point
Method of Control please tick correct box
5 Antenna manufacturer
Type number
Height of antenna above ground level
Antenna please 3 correct box
Please give direction of maximum gain and enclose a copy of the antenna polar diagram
Antenna gain
Feeder type
Feeder length
Feeder loss
* 6 If CTCSS (or some other form of sub-audio signalling) is to be used please indicate for what purpose (Only signalling systems complying with MPT1306, MPT1317,MPT1327 and MPT1381 will be licensed)
Mute or squelch operation for base or mobiles
Any other purpose (please specify separately)
Please indicate the preferred CTCSS frequency (no guarantee can be given that this frequency will be assigned)
Hz
Please indicate the preferred DCS code
7 Channel Assignment. Please give:-
the preferred channel number of any control channel shared by time division with other sites
* the preferred channel number of any required common incident/emergency channel
the total number of other channels you need including any dedicated control channels
if you have preferred channel numbers for these other channels please state them - we cannot guarantee that they will be assigned
* total number of mobiles and handportables
8 Other information (eg channel unusable due to interference etc)
* Bus and Coach Council and British Rail Applications only
Please sign and date this form
Please return the completed form to:
RA2/ Public Telecommunication Networks Unit Radiocommunications Agency Wyndham House 189 Marsh Wall London E14 9SX
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The information on this application form is being collected on the authority of the Secretary of State for Trade and Industry. The point of contact is the Enquiry Point at the:
Radiocommunications Agency Wyndham House 189 Marsh Wall London E14 9SX
Tel: 020 7211 0211
The information given on this form is to be processed for the purpose of approving the application to operate a Band III radio base station.