Ofcom application form OfW523

Application Form for a GNSS Repeater Licence

www.ofcom.org.uk

1.  Before filling out this form, please read these notes.
If you are unsure how to complete any part of this form, please refer to the Guidance Notes at the end of the form.
2.  All fields are mandatory unless stated otherwise.
3.  Please use BLOCK CAPITALS and black ink
throughout this form.
4.  Incomplete or illegible applications may result in delays and/or the application form being returned.
5.  When making a new application you are advised not to commit to the purchase of the equipment until we have notified you of your assignment(s).
6.  The Wireless Telegraphy (Licence Charges) Regulations set out the fees for licences to use radio equipment issued under the Wireless Telegraphy Act.

Information on how to calculate your licence fee can be found on the Ofcom website.

7.  How we use your data
We require this information in order to carry out our licensing duties under the Wireless Telegraphy Act 2006.
Please see Ofcom’s General Privacy Statement for further information about how Ofcom handles your personal information and your corresponding right:
www.ofcom.org.uk/about-ofcom/foi-dp/general-privacy-statement 
.

A	Customer  details

A.1   If you are an existing licensee please provide your customer reference number and go to question 4. If not, go to question 2.

A.2  Who is the licence to be issued to?
A licence can only be issued to a legal entity. Ofcom recognises the following types of entity, please tick the relevant box:

individual or sole trader partnership
limited company/plc unincorporated association government
crown body

public body

local government registered charity university/educational non UK company
non UK govt/administration

NHS England and Wales

NHS Scotland

NHS Northern Ireland 
royal charter

Individual or sole trader	 Full name

Partnership	Full name

NB: For a partnership, please give the full name of one partner (who must also sign the declaration on page 7) and supply a list of the full names of all other partners in the declaration.

Limited or public limited company/Incorporated association

Name	Company registration no.

Registered charity

Name	Charity registration no.

Other legal entity

Name	Registration no. (where applicable)

A.3   If your organisation is a registered charity, does it have as its object the safety of human life in an emergency?

Yes	No

A.4  Licensee name and address (use registered address unless you specifically want an alternative)

Name

Address

Postcode

Tel

Fax

E-mail

Please indicate your communication  preference: 	E-mail 	Letter

A.5  Company or partnership trading name

A.6   Licensee contact name and address
(where different  from above)

Name

Address

Postcode

Tel

Fax

E-mail

Please indicate your communication  preference: 	E-mail 	Letter

A.7   Contact name and address for payments or account queries (where different)

Name

Address

Postcode

Tel

Fax

E-mail

Please indicate your communication  preference: 	E-mail 	Letter

A.8  If you are applying via a third party (e.g. radio supplier, consultant etc) please complete the following:

I/we authorise the following company to apply for this licence on my/our behalf:

Name

Address

Postcode

Tel

Fax

E-mail

I/we would like a copy of the licence to be sent to our radio dealer/supplier

Please indicate your communication  preference: 	E-mail 	Letter

station details

Section B*  GNSS Repeater Transmit Antenna Location 1 - 
		(Separate section B for each transmit antenna location)

B1. GNSS Repeater’s Receive antenna location   (Longitude/Latitude Co-ordinates) 		
Latitude Longitude preferably by 
Latitude  - Degrees◦, Minutes”, Seconds’ and 
Longitude - Degrees◦, Minutes”, Seconds’	51◦ N 35‘ 03“
000◦ W 03‘ 34“	
Or by
Latitude – Degrees◦, Decimal Minutes” and
Longitude– Degrees◦, Decimal Minutes”	51◦ N 35.05‘
000◦ W 03.57‘	
And the associated
GNSS repeater’s Base Transmit antenna location		
Either by GB National Grid Reference:
2 Letters; 4-figure Easting; 4-figure  Northing	T	Q		3	4	5	6		7	8	9	0	
Or by										
Latitude  - Degrees◦, Minutes”, Seconds’ and 
Longitude - Degrees◦, Minutes”, Seconds’	5	1	N	3	5	‘	0	3	“	
	0	0	W	0	3	‘	3	4	“	
B2  Please give the site name and address		
Name	

Address	

	
Town		
	
Country	
	
Postcode	
	
B3. Please supply the name and telephone contact details for persons responsible for the operation of the GNSS repeater radio equipment.		
Name	__________________________	
B4. Frequency Bands to be used		
1164-1215 MHz	Yes/No	
1215-1300 MHz	Yes/No	
1559-1610 MHz	Yes/No	

If more than one GNSS repeater transmit antenna is required, please supply the section B location details on a separate sheet of paper.

C	Payment details

If you require an a payment advice, tick the box  	and we will send you a request for payment

If you have enclosed the fee of £75.00 (per licence), please complete the details below:

Credit or debit card
Please fill in the details in the boxes below
Cheque
Please make cheque payable to ‘Ofcom’

Cardholder name (Please print)

Billing address

Cardholder signature

Postcode

Card type
Visa	Master
Card

Switch/ UK

Maestro 	Visa Debit/ Delta

Country

Tel

E-mail

Please note: we cannot accept Amex or Electron cards

Card number

Start date 	/

End date 	/

Card verification
(Last 3 digits on back of card)

Issue number
(Where appropriate)

Amount 	£

E	Declaration

I understand and accept that:

•  Ofcom may use or share my information to help:
a)  issue, amend, validate and/or surrender a Wireless
Telegraphy Act licence;
b)  maintain and publish a register of licences under the
Wireless Telegraphy Act;

•  Ofcom will not give anyone my information except:
a)  where Ofcom have my permission; or
b)  where Ofcom are required or permitted to do so by law; or
c)   to other companies or organisations who provide a service to Ofcom or me;

•  Ofcom may transfer my information to other countries. If Ofcom does this we will ensure that anyone to whom Ofcom pass it provides an adequate level of protection;

Signature of applicant

For self and partners (tick if applicable)

Date of application

Full name

Position in organisation

Partnerships must be applied for by one partner signing ‘for self and partners’. A director or authorised person must sign for public limited companies, limited companies and other legal entities.

•  It is an offence to knowingly make a false statement in support of this application and may lead to the licence being refused or revoked as well as to possible prosecution under the Wireless Telegraphy Act.

Name
Name Name Name

Signature
Signature Signature Signature

If the number of partners exceeds the space provided above, additional partners’ details should be provided on a separate sheet of paper in
the format given above and attached to this form.

F	Where to send this form

Please send your completed application form to: 

Ofcom
FAO Spectrum Licensing 
PO Box 1285
Warrington
WA1 9GL

Email: spectrum.licensing@ofcom.org.uk 
Tel: 020 79891 3131
Guidance notes

PLEASE ALSO READ THE KEY GUIDANCE NOTES ON THE FRONT PAGE OF THIS APPLICATION FORM. IF THESE NOTES DO NOT ANSWER YOUR QUERY, PLEASE CONTACT THE OFCOM LICENSING CENTRE USING THE DETAILS AT THE BOTTOM OF PAGE 7

General information

Under the terms of the Wireless Telegraphy Act 2006, it is an offence to install or use radio apparatus, unless:

•  you do so under and in accordance with a licence issued by Ofcom
(the Office of Communications); or
•  the apparatus is specifically exempt from licensing. Responsibility for obtaining  and paying for a licence rests with the
user of the system, not with the supplier of the equipment. You may need the help of your equipment supplier to complete the technical part of the form. Submitting a licence application form does not permit you to use or even install any equipment – you must wait until we have issued the licence and you have received it.

Ofcom may refuse to grant a licence to a person where evidence provided to Ofcom by the police indicates that the applicant is involved (or has been involved) in organised crime or other criminal activity.

Ofcom may revoke this licence where evidence provided to Ofcom by the police indicates that the applicant is involved (or has been involved) in organised crime or other criminal activity.

Radio interference

Since the operation of a new system may cause interference to existing users, you or your supplier may consider it necessary to carry out compatibility tests before you apply for your licence. Once installed and operating, your system must not cause undue interference to any other wireless telegraphy equipment. If it does, you may need to stop operating until the cause of the interference has been rectified. Ofcom cannot offer any protection against interference radiated by other authorised services, or by industrial, scientific and medical equipment; however, if you do experience interference, please contact the Ofcom Licensing Centre on 0300 123 1000.

The remainder of these guidance notes provides section by section guidance on the information requested within this application form:

Section A – Customer details

Q1 – Existing customers

If you already hold an Ofcom radio licence, you should write your customer reference number in the box provided. Your customer reference number will be quoted in licence documentation or correspondence that we have previously sent to you.

Q4 – Licensee name and address

If you are applying on behalf of a Limited Company, a Public Limited Company or a Registered Charity, the registered address of the organisation must be used.

Section B – Station details

Q1 – Site location

We ask separately for the GNSS repeater’s receive antenna and transmit antenna locations:
•	The GNSS repeater’s receive antenna location can be provided using any format longitude and latitude coordinates, but preferably in Degrees Minute and Seconds or Degrees and Decimal Minutes.
•	The GNSS repeater’s transmit antenna location shall be provided in National Grid Reference - NGR (two letters, four numbers for Northings and Eastings) or by Degrees Minute and Seconds. These can be checked on a map. You may be able to obtain your location coordinates or NGR from suitably accurate websites. Websites providing an NGR from your station location postcode may not meet the accuracy requirements.

Q2 – Site address

The site address is the full postal address for the base station location.

Q3 – Site contact name and address

The site contact is the person we would contact in the event that we need access to the base station antenna, e.g. in relation to interference investigation