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PMR application for authority to operate a VHF Mobile Radio System - Water Industry only

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Please note: This form should be printed out and sent via 'surface mail' to the address given below. Please do not attempt to re-send this form via E-mail as we cannot at present handle electronic submissions.

Please print entire document.

Water Industry Telecommunication Advisory Committee Spectrum Administrator


Section A

Applicants Details

Organisation name and address

Name
Address

Name and telephone number of contact

Name
Telephone


I certify that the details given in this application are correct and that no change in the proposed system will be made without the prior knowledge of the Telecommunications Advisory Committee Spectrum Manager.

Signature ................................................(Licence holder)
Name
Date

Section B

Base Station Information
Site address

NGR

Letters

Numbers
Control by
Please tick		 local radio link line
System Code
Talkthrough required
Please tick		 Yes No
CTCSS
tone allocated		 Hz
DCS
code allocated
Ground height  m asl
Antenna height     m agl
Antenna type    
Antenna gain     dBd
Direction of max radiation °E of N
ERP W
Remote control address

Section C

Equipment

Mobiles quantity ERP W

Section D

Frequency Assignment

   

Frequencies
  Channel number Base Tx MobileTx
Control

Traffic Wide area

Base

   

 

 

Section E

Authorisation

Authorised on behalf of TAC

............................................................. Date ......................................
Approved on behalf of Secretary of State for Trade Industry

............................................................. Date ......................................

Section F

Spectrum Manager References


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 VHF mobile radio system.

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RA163 (Rev.3)
June 2000
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