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Fcc Form 605 - Quick-Form Application For Authorization In The Ship, Aircraft, Amateur, Restricted And Commercial Operator, And General Mobile Radio Services Page 25

FCC 605

Temporary Operator Permit for the Ship,

Approved by OMB

Aircraft, Restricted Radiotelephone,

Schedule F

3060 - 0850

Restricted Radiotelephone-Limited Use

See 605 Main Form Instructions

and GMRS Radio Services

or public burden estimate

DO NOT MAIL THIS SCHEDULE TO THE FCC - KEEP IT FOR YOUR RECORDS

If you need a Temporary Operator Permit for the Ship, Aircraft, Restricted Radiotelephone, Restricted Radiotelephone-Limited Use or

the GMRS Radio Services while your application is being processed by the FCC (refer to the instructions for restrictions):

1) Complete the FCC 605 Main Form and the appropriate Additional Data Schedule and submit them to the FCC

2) Complete this FCC 605 Schedule F and keep it for your records.

Certification Statements for a Temporary Operator Permit

All applicants must certify:

I have applied for a Station License by submitting a completed and signed FCC 605 Main Form and appropriate Additional Data Schedule to the

FCC, and that the information contained in that application is true and correct.

I have not been denied a license or had my license suspended or revoked by the FCC.

I will obey all applicable laws, treaties, and regulations.

Ship, Aircraft Station, and GMRS Additional Information

Enter your temporary call sign (see instructions):

Signature

Typed or Printed Name:

Signature:

Date of Signature:

Date the FCC 605 Main Form and Additional Data

Schedule were submitted to the FCC:

This temporary operator permit is valid for 90 days from the date the FCC 605 Main Form and the

appropriate Additional Data Schedule were submitted to the FCC.

Your authority to operate your radio station under this temporary operator permit is subject to all applicable laws, treaties and

regulations and is subject to right of control of the Government of the United States.

You must post this temporary operator permit at your radio station location.

FCC 605 - Schedule F

July 2002 - Page 1

Fcc Form 605 - Quick-Form Application For Authorization In The Ship, Aircraft, Amateur, Restricted And Commercial Operator, And General Mobile Radio Services Page 25

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