STATE OF ERITREA

MINISTRY OF TRANSPORT AND COMMUNICATIONS

COMMUNICATIONS DEPARTMENT
Address: P.O.Box 4918 Asmara Tel: 291 1 115847 / 126965 Fax: 291 1 126966
APPLICATION FOR RADIO TRANSMITTER PERMIT

1. Name of applicant (Private) ...........................................

                     (Government) ........................................

                     (Diplomatic) ........................................

                     (NonGovOrg) .........................................

2. Date of application ...................................................

3. Nationality ...........................................................

4. Address of applicant: Country.............Town.........ZONE, S/Z.......

   P.O.Box........Tel:Home................Office..........Fax: ...........

5. Purpose of application for a permit ...................................

6. Desired installation date .............................................

7. Location of the station ...............................................

   Location of connecting station(s) .....................................

8. Number of terminal stations ...........................................

9. Type of telecomm Services provided by stations (underline)

                                                Voice / Fax / Data / Video

10. Transmitter Emission designation (to be filled by licensing officer) 

    ......................................................................

11. Frequency bands the station operates (underline)

                                             LF / MF / HF / VHF / UHF /SHF

12. Transmit mode (underline)            SIMPLEX / SEMIDUPLEX / FULLDUPLEX

13. Number of channels (frequencies) required ............................

14. Transmitter description  a) Make & Type...............................

                             b) Serial Nos. (for all stations)............

                             c) Maximum RF power in watts.................

                             d) Type of antenna...........................

                             e) Gain of antenna (dB) .....................

                             f) Antenna direction (underline)

                        N / NE / NW / S / SE / SW / E / W / all directions

                             g) Transmit / Receive Frequencies ...........

    ......................................................................

15. Installer's Name and Qualifications ..................................

    ......................................................................

N.B. Operators with a permit must comply with all relevant provisions of the communications Proclamation No. 102 / 1998 and subsequent Legal Notices. Please attach to this form all manufacturer's technical specifications of the system.

Date .......................... Name ..................................................... signature & Seal .........................