Application Form For The Establishment Of Broadcast Station printable pdf download

Application Form For The Establishment Of Broadcast Station

APPLICATION FORM FOR THE ESTABLISHMENT OF BROADCAST STATION

Ministry of I & B Reference:

Date:

For Official

PTA Reference:

Date:

Use Only

FAB Reference:

Date:

Licence No:

Date:

Name of Applicant

Organization:

•

Postal Address:

Tel. (with city code):

Fax No.

Web Site:

Contact Person: Mr/Ms/Mrs.

(First Name)

(Last Name)

Designation:

Department:

Tel: (with city Code):

Mobile No. (if any):

Fax: (with city Code):

E-mail:

Purpose:

Analog TV

Digital TV

Analog Audio

Audio Only:

Duration of Service:

3 months

5 years

10 years

Permanent

Nature of Service:

Public

Government

Limited Public

Private

Mode of Operation:

Broadcast

Broadcast Synchronized

Site Data:

a. Name of Station:

b. Address of Station:

c. Date of Start Broadcasting:

d. Special sign of Tx:

e: Coordinates:

Longitude:

Degrees:

Minutes:

Seconds:

Latitude:

Degrees:

Minutes:

Seconds:

f. Height of site above mean sea level

(meters):

g. Nature of Service:

City

Government

Limited Public

Within 16 KM of aerodrome

Government

Limited Public

h. Call Sign:

j. Area of Service (Sq.Km):

k. Length of Circuit:

Equipment Data

a. Equipment Name:

b. Equipment Model:

c. Equipment ID:

b. Manufacturer:

e. PTA Type Approval No.

f. Frequency Band proposed:

g. Frequency range of

equipment:

h. Bandwidth:

j. Designation of Emission:

k. Frequency Stability (Hz):

l. Type of signal code:

Analog

Digital

m. Max power output of equipment (Watts):

n. Average Power (Watts):

o. Type of antenna:

p. Precision offset:

Precise

Not Precise

q. frequency offset:

20m

20P

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Application Form For The Establishment Of Broadcast Station

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