Form Ucc4002-Sm-Adm-01 - Application Form For Radiocommunication Services Page 3
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1
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3APPLICATION FORM FOR RADIOCOMMUNICATION SERVICES
MOBILE STATION
UCC4002-SM-MOB-O3
Mobile Site
Handheld Site
Aircraft Site
Ship Site
TECHNICAL INFORMATION
Station Details
Base Site Type
Transmitter
Receiver
Repeater
Transceiver
Site Category:
Receiving Site Type:
Nominal Radius (m):
Registration Numbers (vehicles, aircraft & boat only):
Vehicle / Aircraft Type:
Vessel Name (Boat only):
Aircraft/ Boat Call sign:
Make:
Model:
Distress Frequency (Ship only):
Number of frequencies needed:
Equipment Information
Number of Equipment:
Equipment Type: Transmitter
Receiver
Repeater
Transceiver
Make:
Model:
Type of service
Channel Bandwidth (MHz):
Transmit:
Receive:
Transmitter Characteristics
Frequency Range (MHz):
Lower:
Upper:
Modulation Type:
Total Preset Channels:
Maximum Radiated Power (Watts):
Effective Radiated Power (Watts):
Antenna Power (W):
Receiver Characteristics:
Frequency (MHz):
Lower:
Upper:
Channel Bandwidth (MHz):
Receive Sensitivity (dBm):
Receive Selectivity: (dB):
Antenna Characteristics
Make:
Model:
Frequency Range (MHz):
Minimum:
Maximum:
Antenna type:
Physical Height of Antenna above ground (M):
Antenna Gain (dB):
Main lobe azimuth (deg.)
Polarization:
H
V
C
Cable type and Length connecting to Antenna
Uganda Communications Commission, UCC House, Plot 42/44 Spring Road, Bugolobi, P. O. Box 7376, Kampala. Tel:
41/31-339000 Fax: 41-348832/345278 Email: ucc@ucc.co.ug
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Parent category: Business