1. Name of the Applicant
   (IN BLOCK CAPITALS)

2. Permanent Address in India
 
 

3. Licence No. & Validity

4. Call Sign

5. Port at which it is desired to
     import the apparatus

6. Probable date of importation

7. Reference of Ministry of
        Communications  Import Licence
       (Last years and/or Current)

8. Whether first Licence wanted
      New or annexure

9. Purpose for which required
 

Place
Date                                                                                               Signature of the Applicant
 

Note: This application should be accompanied by a fee of Rs.50/- in the form of Bank Draft
obtained from any branch of the State Bank of India and drawn in favour of the " Pay & Accounts Officer (H.Q.) , Department of Telecommunications " payable at New Delhi.

(P.T.O.)
 
_____________________________________________________________________________
 
 

Item No	Manufacture's Name	Whether Transmitter Transceiver or Components thereof	Model No. or Type No.	Qty	Tuned Spot Frequency (ies) incase of Main Equipment under import & Frequency Tolerance	C.I.F. Value in foreign currency	Equivalent Indian Rupees
1	2	3	4	5	6	7	8

 

Following to be enclosed with the application (1) Technical Literature of Apparatus  (2) Photocopy of  Proforma Invoice (3) Bank Draft of Rs.50/-

Place
Date                                                                                                                         Signature of the Applicant
 
 

__________________________________________________________________________
 

From
 Name
 (Call Sign:                                    Licence No:                       )
 Address
 
 

To

The Assistant Wireless Adviser to the Govt. of India,
Dak Bhavan, Ground Floor,Record Section,
WPC. Wing,
Department of Telecommunications,
Ministry of Communications,
DAK Bhavan,
Parliament Street, New Delhi - 110 001.

Sir,
     Sub: Import licence and Duty excemption Certificate for import of
             Amateur Radio Equipments.

Kindly find my enclosed application in the prescribed form for the
Import licence and Duty excemption Certificate for amateur radio
equipments. The required enclosures to the application are attached.

I also enclosed the demand draft (No....................dated......................)
for Rs.50/- drawn on State Bank of India, New Delhi towards the
prescribed fee for the same.

I request you kindly issue the above at your earliest convenience.

                                  Thanking you.

 
                                                                   Yours faithfully,

 
                                                     Signature:
     Place:                                           Name:
      Date:                                       Call Sign: