Please print entire document.

Introduction

This application form must be completed to apply for a Coastal Station Radio (CSR) licence to cover the installation of a maritime radio base station on the United Kingdom coast.

Please read the Radiocommunications Agency’s information sheet on CSR (RA 290) before completing this form. Copies of RA 290 are available free of charge from the Agency’s library and information service at the address given at the end of this form.

Please answer the questions in the form as fully as possible. The more information we have, the more quickly we will be able to process the application. If you intentionally give false or misleading information, your licence may be revoked without notice and you could be subject to prosecution.

Once complete, this application form should be sent to your local Radiocommunications Agency office. Any queries on your application should be directed to the local office. A list of local offices can be found at the end of this application form.

Licences

A licence may be issued only to an individual, a partnership, a company or another corporate body such as a local authority. The application form must be signed by a person who has been duly authorised to do so. Licences are not transferable.

If you are taking over a base station from an existing licensee, you must obtain a new licence issued in your own name. It may be possible to assign the existing channel(s) to allow continuity of service; however you should supply confirmation of the takeover from the existing licensee with the application.

If a company has simply changed name, it may retain its existing licence; however, the licence must be reissued in the name of the new company. The Agency must be supplied with a copy of the Certificate of Incorporation of Change of Business name, which is available from Companies House, before it can reissue the licence.

Each CSR service (Marina, International or UK) requires a separate licence, but several base stations for one service may be included on the same licence.

Timescales

The Agency operates to quality-of-service targets for the issue of CSR licences and endeavours to issue all new licences within 15 working days of receiving the completed application form. However the time it takes to issue a licence can be prolonged by incomplete or incorrect application forms, requests for additional services or the need to co-ordinate the use of frequencies or obtain site clearance.

You may request a particular channel, and the Agency will attempt to allocate that channel subject to its availability and local conditions.

It is important to submit applications as early as possible. No radio equipment should be purchased before a licence has been issued, as the Agency may not be able to grant the technical parameters exactly as requested and cannot be held responsible for any financial loss.

1    Type of CSR Licence

1.1	Please indicate the type of CSR licence you require. If you are applying for more than one type of licence, a separate form must be completed for each type. See Section 2 of RA 290. CSR (Marina) CSR (International) CSR (UK)
1.2	If you need to use CSR only temporarily (for no more than 28 days), such as for a specific event or boat race, please give the dates of the event. From To

2   Details of the Licensee

2.1	Please indicate your status. Tick one box only. A Private Individual A Partnership A Registered Company A Registered Charity Another Body Corporate
2.2	Give the full name of the licensee.
2.3	Give the name under which the organisation trades, if different from the name given in 2.2.
2.4	In the case of a registered charity, please give the registration number. Registration No.
2.5	In the case of a registered charity, describe the objective of the charity.
2.6	Please give us the name and address of a technical contact who should be contacted concerning your licence and radio services. Name Address Telephone Fax
2.7	Please give us the name and address of a contact who will deal with payments, your account with us or any correspondence concerning the licence, if different from the contact given in 2.6. Name Address Telephone Fax
2.8	If the licence is to be issued for a registered company, please give the address of the registered office of the company. Name Address Telephone Fax

3   Details of the Service

3.1	Is this an existing service, which is being taken over? Yes No
3.2	If you are taking over an existing service, please give the licence number covering the service. Please note that the Agency cannot re-licence the service until the previous licence has been cancelled. Licence No.
3.3	Please give a description of the intended use of the radio service, to allow the Agency to make a suitable channel assignment.
3.4	What are the peak hours and days of use?

4   Channels and Frequencies

4.1	Operational channels Please give the channel number(s) on which you wish to operate, if known. These are your principal working channels.
4.2	Receive-only channels Please give the channel number(s) that you wish to use only to receive, if known. Your licence will not permit you to transmit on these channels.
4.3	Special use channels Please give the channel number(s) of any special use channels on which you wish to transmit, and your reason for wishing to do so. See Section 7 of RA 290.

5   Base Station

Base station No.	Fixed (F) or non-fixed (NF)	Precise location	NGR or latitude and longitude	Callsign	Service area - CSR (UK) only
1
2
3
4
5

Table A

Notes to the table
The precise location of the base station must include a postal address, with postcode, where applicable. For a non-fixed station, please specify the area within which it will
operate. NGRs should contain two letters followed by six digits, e.g. TQ 123 987. WGS84 coordinates should include degrees and minutes East/West followed by degrees and minutes North.

The callsign should be clearly unique to your station. Examples might include the name of the marina, the name of the port or the name of the operating company.

The service area should be the proposed radius of the area to be covered. This is required for CSR (UK) to determine the maximum power to be permitted. We may limit power to optimise the use of the radio spectrum.

5.2 Aerial details

Note that you must complete all fields except where indicated otherwise. In addition, you must provide the associated antenna technical data sheet for directional antennas.

Notes to the table
The aerial number in the table should correspond to the base station number in the table on the previous page.
*These fields are not mandatory for omnidirectional antennas.

Equipment fitted with an integral aerial must not exceed 25 W ERP.

If the aerial is not integral, its gain must be given, relative to a half-wave dipole.

Height A is the height of the top of the aerial above ground level. Height B is the height of the base of the aerial above mean sea level.

Details of maximum radiation are required only for directional aerials. Restrictions may be imposed on aerial characteristics, to ensure that coverage is given only in the intended area of use.

5.3	Give the name(s) of any other user(s) of the aerial mast, if it is shared.

6   Remote Control

6.1

If any of the base stations is to be remotely controlled, please give the precise location of the control point, including the address and telephone number if applicable, together with the NGR or latitude and longitude. You must also describe the method of control. Repeat this information on a separate sheet of paper for each remote control point. Address Postcode Telephone NGR or latitude and longitude Method of control

7   Mobile Station(s) at Sea

This section applies only to applications for CSR (UK) licences.

7.1	Give the total number of mobile stations at sea, including all fixed and hand portable sets.

8   Declaration

I declare that all the information that I have provided in this application form is correct, to the best of my knowledge and belief.

The information on this form is being collected on the authority of the Secretary of State for Trade and Industry and is to be processed for the purpose of issuing a Coastal Station Radio licence. Authority for disclosure remains with the Radiocommunications Agency, and any requests for disclosure of information must be made in writing to: The Data Protection Officer Radiocommunications Agency Wyndham House 189 Marsh Wall London E14 9SX This information will be made available to the International Telecommunication Union (ITU), the Maritime and Coastguard Agency (MCA) and organisations responsible for port operations.

9   Further Information