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Ethiopia Application Form

Application for Radio License



Name of applicant Status
Nationality Address

License required by


PO Box Telephone

Reason for requesting license


Requested duration of license

Particulars of Radio Communication Equipment

Manufacturer Model Power Serial No. Quantity


Location of Radio Station Type of Station
Region Province District Locality Base, Mobile, Other


Communication circuit Air Distance (km) Frequency Emission Type of Antenna Operating Time


Place Date Signature & Stamp


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