REPUBLIC OF LIBERIA
MINISTRY OF POSTS & TELEOCMMUNICAION
APPLICATION FOR RECIPROCAL OPERATING PERMIT
Name of applicant Mailing address Type of operation required If Mobile, describe use (Land, Sea, Air) Technical Information 1. Transmitter: Type Manufacturer Serial Number Antenna Type used Antenna Power Watts Emission Frequency Range 2. Receiver: Type Manufacturer Serial Number 3. Location of Station (where equipment is to be installed) - give full details. If permanently located, give County or Territory. 4. What is the Airline distance from the nearest Airport? 5. Proposed location of Transmitter if portable, Mobile or Portable Mobile 6. Purchase date of equipment 7. Proposed date installation to be completed 8. What protection do you have to prevent unauthorized persons having access to your equipment (station)? 9. Is station to be open to Public Correspondence? 10. Will you require payment for handling Public Correspondence? 11. Give name of owner of station (equipment) 12. Give name of station operation 13. If station is operated by an Agent, give name of Agent 14. Is new station now ready for operation? Date Signature of Applicant For Official Use Only 1. Permission grant: Date 2. Period of validity 3. Frequency/cies assigned NOTE: All licenses are rented for a period of one calendar year. Any change in location of station or equipment of modification for new equipment added must have the approval of the Ministry of Posts & Telecommunications, R.L. All license fees must be paid in the Government Revenue and a Flag receipt be obtained.