Application for licence to establish, maintain and work radio paging systems

1. 
   Name and address of applicant in full (in block letters) :
   

2. 
   Status (Central/State Govt./Public Sector/Private) :
   

3. 
   Details of Base Station(s)
   

Location with complete address Coordinates Distance from the nearest Airport

4. 
   Site of Operation :
   

5. 
   Number of Stations
   

1. 
   Base-station :
   
2. 
   Paging Receivers with talk book :
   
3. 
   Paging Receivers without talk book :
   

NOTE :- If the above requirement is of additional stations, please indicate the licence/Authorisation number

6. 
   Details of Equipment
   

Manufacturer Name Type No. Class and Bandwidth Frequency Power output

1. 
   Base-station :
   

2. 
   Paging Receivers :
   

7. 
   Particulars of Antenna for the base station
   

1. 
   Type :
   
2. 
   Height of Antenna above roof top of the building
   

8. 
   We solemnly declare and say that the foregoing facts are true and correct and nothing is false therein and no material has been concealed therefrom. We also agree that in case any information given by me herein before is found false at a later date, the licence, if granted, will be cancelled.
   

9. 
   I/We undertake that
   

1. 
   the system will be used for on-site paging purposes only
   
2. 
   the on-site paging system will not be put to commercial use
   
3. 
   the paging facility will be restricted to licensee and it’s employees and will not be made available to third parties
   
4. 
   We will not engage in the business of provision of value added services based on the radio paging service.