Page 1 Cert: FS 549403

Aeronautical radio ground station licence application form – OfW586aGuidance for completing this formWho should use this form?You may use this form to apply, amend or surrender an Aeronautical Radio Ground Station licence in the United Kingdom Isle of Man, Jersey and Guernsey or a platform in the UK Continental Shelf.

ConditionsTo establish an Aeronautical Ground Radio Station, you must normally have:• An equipment approval under the Air Navigation

Order (ANO), issued by the CAA’s Safety and Airspace Regulation Group (SARG);

• A frequency assignment, issued by the CAA’s SARG; and

• An aeronautical radio licence under the Wireless Telegraphy Act 2006 (‘the WT Act’), issued by Ofcom.

All three are required before you may establish or use any aeronautical radio equipment. When making a new application, you may wish to check with SARG that the equipment is suitable. The frequency assignment and ANO approval will be issued by SARG and arrive together but the radio licence, issued by Ofcom, will arrive separately. This documentation is not transferable between legal entities.

Communication preference Where possible, all correspondence will be sent to licensees electronically.

If you do not wish to receive documents electronically, you must opt out by ticking the box against each contact.

Completing this form When completing this application please refer to the notes and complete in dark ink in BLOCK CAPITALS.

All fields are mandatory unless stated otherwise.

Important Ofcom makes regulations, which set out the fees for licences to use equipment issued under the WT Act. Further information about how we calculate your licence fees is available on the Ofcom website:

https://www.ofcom.org.uk/manage-your-licence/radiocommunication-licences/aeronautical-licensing/licence-fees-calculator

How we use your data We require this information to carry out our licensing duties under the Wireless Telegraphy Act 2006.

Please see Ofcom’s General Privacy Statement for further information about how Ofcom handles your personal information and your corresponding right: www.ofcom.org.uk/about-ofcom/foi-dp/general-privacy-statement

When we receive an application for an aeronautical radio ground station licence, we share this form OfW586a with the CAA, as they need the information contained therein in order to perform their functions and enable you to establish your aeronautical ground radio station and to assess whether the installation can be approved under the ANO. The CAA SARG may contact you to obtain further details in support of your application.

In the case of a new application or a change in your payment contact details, you will also need to complete form OfW586b (Ground station payment contact details) and submit it to Ofcom along with this form OfW586a.

However, we will not share personal data that you provide in form OfW586b (this is why we collect this information separately).

https://www.ofcom.org.uk/manage-your-licence/radiocommunication-licences/aeronautical-licensing/licence-fees-calculatorhttps://www.ofcom.org.uk/manage-your-licence/radiocommunication-licences/aeronautical-licensing/licence-fees-calculatorhttps://www.ofcom.org.uk/manage-your-licence/radiocommunication-licences/aeronautical-licensing/licence-fees-calculatorhttp://www.ofcom.org.uk/about-ofcom/foi-dp/general-privacy-statementhttp://www.ofcom.org.uk/about-ofcom/foi-dp/general-privacy-statementhttps://www.ofcom.org.uk/__data/assets/pdf_file/0018/125370/OfW586b-Aeronautical-radio-ground-station-providing-new-application-payment-contact-details.pdf

Page 2 Cert: FS 549403

False representation statement Articles 256 and 265 of the ANO provides that it is offence to make, with intent to deceive, any false representation for the purpose or procuring the grant, issue, renewal or variation of any certificate, licence, approval, permission or other document. Persons doing so render may face a fine, imprisonment or both.

For licensing help contact: OfcomFAO Spectrum Licensing PO Box 1285WarringtonWA1 9GL

Email: spectrum.licensing@ofcom.org.ukWebsite: www.ofcom.org.uk/manage-your-licencePhone: 020 7981 3131

For frequency assignment and ANO approval assistance help contact: Safety and Airspace Regulation GroupFuture Safety, Communications, Navigation and SurveillanceE-mail: frequency.approval@caa.co.uk Website: www.caa.co.uk

Radio interferenceSince the operation of a new system may cause interference to existing users, your supplier may consider it necessary to carry out compatibility tests before you apply for your licence. Once installed and operating, your system must not cause undue interference to any other wireless telegraphy equipment. If it does, you may need to stop operating until the cause of the interference has been rectified. Ofcom cannot offer any protection against interference radiated by other authorised services, or by industrial, scientific and medical equipment; however, if you do experience interference, please contact us.

Changes to licenseeWT Act Licences may not be transferred. The Licensee must give prior or immediate notice to Ofcom in writing of any change in the details of the name and/or address of the licensee.

Changes to aeronautical equipment The licensee must give prior notice of any change to equipment by completing this application.

Special events providing ATC or FIS services If you wish to establish a special event requiring a temporary Air Traffic Control (ATC) service or a Flight Information Service (FIS), the nominated service provider must apply, using this form, at least 60 days before the event.

ATC special events - ANO Article 180 approval fees Fees are required by the CAA to cover ANO Article 180 Approvals for Special Events requiring any ATC services. Charges are calculated in accordance with the CAA Scheme of Charges (Aerodrome Licensing and EASA certification and Aerodrome Air Traffic Services Regulation): www.caa.co.uk/publications.

It is worth noting that the CAA and Ofcom have different payment requirements. The CAA will not process the applications until the initial charges have been received. Ofcom will send you an invoice prior to sending out the radio licence.

If the CAA needs to investigate, and this exceeds the application charge payable, the applicant can expect to pay additional charges to recover those excess costs incurred by the CAA in accordance with the scheme of charges.

If a member, or an employee, of the CAA is required to travel overseas in respect of this application you are advised to read the CAA scheme of charges to which this application relates to the section entitled ‘Additional charges where the functions are performed outside of the United Kingdom’. All expenses incurred in pursuance of this application by travelling overseas will be payable by the applicant on demand.

If this application is withdrawn, a cancellation charge may be levied to reflect the work carried out by the CAA up to the point of cancellation. The CAA refund policy can be found at www.caa.co.uk/refunds.

Radio licence fees The licence fee should only be paid to Ofcom after you have been invoiced. The licensee must pay the relevant fee as provided for by section 12 of the WT Act and the Regulations that have been made under that section. If you fail to pay the licence fee, Ofcom may revoke the licence.

A licence fee is applicable to each frequency applied for.

The fee for an Aeronautical Radio Ground Station licence is payable annually. Temporary licences are available for licences, whose annual fee is not less than £75. This fee is 1/12th of the annual fee for each month or part month, subject to a minimum fee of £20. Licence fees exceeding £20 will be rounded up to the nearest pound.

mailto:spectrum.licensing%40ofcom.org.uk?subject=www.ofcom.org.uk/manage-your-licencemailto:frequency.approval%40caa.co.uk?subject=http://www.caa.co.uk/http://http://www.caa.co.uk/refunds

Page 3 Cert: FS 549403

Access and inspection Civil Aviation Publication (CAP) 670 (www.caa.co.uk/CAP670) describes the safety requirements for equipment providing Air Traffic Services (ATS) and Air Ground Communication Services (AGCS).

Frequency assignment Some frequencies are ‘pre-assigned’ and available for aeronautical radio stations for specific purposes. Most are subject to international coordination according to the process defined by the International Civil Aviation Authority (ICAO) Frequency Management Group and adopted for use within Europe. This may result in a delay of several weeks before a WT Act Licence and ANO Approval can be issued.

Frequency assignments other than those for offshore use (e.g. platforms) are generally protected within the Designated Operational Coverage (DOC) from co- and adjacent-channel interference. In more congested areas, it may be necessary to share a frequency or even accept some levels of interference depending on the nature of the aerodrome operations.

Offshore frequency assignments (e.g. on platforms) are protected within their DOC from co- and adjacent-channel interference when they are used for Traffic or Traffic /Logistic communications. RTF Operations, Area A to P Assignments, for Traffic/Logistics frequencies are used on a shared basis and interference must be tolerated.

Assignments for Operational Control and Recreational Aviation are generally assigned on a non-protected basis and share between users. Frequencies for data links are assigned according to an ICAO plan and are not shared with any other stations providing analogue voice.

Radio equipment useFor frequency management purposes, the CAA reserves the right to restrict the range of communication to limits lower than those requested, to change frequencies where necessary or revoke frequency allocations. Allocations of aeronautical radio frequencies are for aeronautical use only. Frequencies can only be allocated for use within the UK Flight Information Region.

The Licensee must ensure that the Radio Equipment is constructed and used only in accordance with the provisions specified in the documentation issued by Ofcom and the CAA. Any proposed changes must be agreed with Ofcom and the CAA in advance and implemented only after the appropriate documentation has been varied and/or reissued accordingly.

The remainder of these guidance notes provide help on specific questions Question B.1 – Existing customersIf you already hold a WT Act radio licence, you should write your customer reference number in the box provided. Your customer reference number will be quoted in licence documentation or correspondence that we have previously sent to you.

Question B.2 – New customersA WT Act Licence can only be issued to a legal entity. You should tick one of the options provided. For a partnership, please give the full name of one partner and supply a list of all other partners. The main partner is also required to sign the declaration in Section E.

Question B.3 – Licensee name and addressIf you are applying on behalf of a Limited Company, a Public Limited Company or a Registered Charity, the registered address of the organisation must be used.

Question B.4 – Licence contact name and address This is the preferred contact to receive licensing documentation and correspondence.

Questions C.1 and C.2 – Aeronautical ground station licence products and radio licence feesYou need only tick one of the service options against the options provided in both C.1 and C.2.

Question C.1 provides fourteen UK aeronautical ground station options specified ‘a to m’. Question C.2 provides nine Crown Dependency aeronautical ground station options specified ‘a to i’.

Question C.1 licence products ‘a to f’ attract a bespoke fee that reflects the value of the spectrum used. These fees are derived from the Designated Operational Coverage (DOC) (or the polygonal area for Area services such as VDL), which have a formula applied to them. This area is captured in section F. The formulas are set by Ofcom but based on the ICAO separation rules. For these services you will be advised of the fee payable when invoiced.

The remaining C.1 licence products ‘g’ to ‘n’ and C.2 licence products ‘a’ to ‘i’ are not formula based. For these the method to derive the fee is stated against each option.

Question D.4 –Call signs Callsigns must be agreed by CAA SARG. You should provide a suitable call sign, but the CAA reserves the right to amend this.

http://www.caa.co.uk/CAP670http://www.caa.co.uk/CAP670

Page 4 Cert: FS 549403

Questions F.1, L.1 & M.2 (as appropriate) – locations The preferred format for DOC and transmitter locations is for numerical values in latitude and longitude expressed in degrees, minutes and seconds. To convert decimal degrees, use the formula:

degrees = decimal degrees

minutes = [60 × (decimal degrees − degrees)]

seconds = 3,600 × (decimal degrees − degrees) − (60 × minutes)

As an example:

Decimal 51.1537°NDegrees = 51 51 NMinutes = 60 x (51.1537 − 51.0) 09Seconds = 3600 x (51.1537 − 51.0) − (60 x 9) 13.32

Decimal 0.1821°WDegrees = 0 00 WMinutes = 60 x (0.1821 − 0.0) 10Seconds = 3600 x (0.1821 − 0.0) − (60 x 10) 55.56

Page 5 Cert: FS 549403

A. Application purposeA.1a Tick the purpose of this application :

New application. Please provide a completed OfW586b application

Permanent Aeronautical Ground Station

Amendment to an existing licence. Please answer question A1b

Special Event Aeronautical Ground Station (e.g. licence required for less than 12 months)

Surrender of an existing licence. Please answer question A1b

A.1b Provide your existing licence number

A.2 Operational details

B. Applicant details B.1a Customer Reference Number (for existing licensees only):

You can harmonise the renewal date of your licence with the renewal date of an existing licence providing the conditions are met in the guidance.

B.1b To harmonise a licence please provide: Licence number of an existing licence Required renewal date (DDMMYYYY)

Now go to question B.4

B.2 Who is the licence to be issued to?A licence can only be issued to a legal entity. Ofcom recognises the following types of entity. Please tick the relevant box:

GovernmentIncorporated associationLimited company/PLC Local governmentNHS England and WalesNHS Northern Ireland

NHS ScotlandNon-UK company/PLCNon-UK government/ administrationPartnershipPublic bodyRegistered charity

Individual or sole traderUnincorporated associationUniversity/educationalCommunity interest Royal charterReligious body

If individual or sole trader, please provide full name:

If a partnership, please provide the full name of one partner (who must also sign the declaration of this form and supply a list of all the full names of all the other partners in the declaration):

If a limited company, public limited company (PLC) or incorporated association please provide:Company name Company registration number

https://www.ofcom.org.uk/__data/assets/pdf_file/0018/125370/OfW586b-Aeronautical-radio-ground-station-providing-new-application-payment-contact-details.pdf

Page 6 Cert: FS 549403

B.2 (continued)If a registered charity please provide:Charity name Charity registration number

Does the registered charity have as as its objective, the safety of human life in an emergency? YesNo

If any other legal entity please provide:Name Registration number (where applicable)

B.3 Licensee contact details • Companies should use the registered address from Companies House• Registered charities should use the address from the Charity Commission For all other Licensees, please use your main business address

Name

Trading name

Address

Postcode

Country

Telephone

Mobile

Fax

Email

Please indicate your communication preference:EmailLetter

B.4 Licence contact details (where different from above) Licensing documentation and correspondence will be sent to this address.

NB: This is the person who is responsible for the licence and will receive all important documents including:• Validation notice (licence amendment reminder)• Notice of Proposed Revocation (where applicable)• Revocation notice (where applicable)• Surrender letters

Name

Address

Postcode

Country

Telephone

Mobile

Fax

Email

Please indicate your communication preference:EmailLetter

http://www.companieshouse.gov.ukhttp://www.gov.uk/government/organisations/charity-commission

Page 7 Cert: FS 549403

C. Aeronautical ground station operational details

C.1 Please tick one of the aeronautical ground station options required for UK: Licence products ‘a to f’ have fees derived using a formula based on the Designated Operational Coverage (DOC) type associated with the licence and all require sections D, E, F, G, H (or I or J), K and N to be completed.

a. Air ground, aerodrome flight information service and tower

Please tick one of the options in either question C1 for United Kingdom (including a platform in the UK Continental Shelf) or C2 for Isle of Man, Jersey, Guernsey.

A/GAFISTWR

b. Area control including flight information service ACCFIS

c. Approach APP

Products ‘d and e’ only permit the Area DOC types which should be entered in section F. d. Aircraft communications addressing and reporting system

ACARS

Products ‘a to c’ permit two DOC types, Area or Circular, one of which should be entered in section F.

e. Very high frequency data link VDL

Products ‘f’ only permits the Broadcast DOC types which should be entered in section F. f. Aeronautical broadcast

VOLMET

ATIS

Licence products ‘g to n’ do not require the Designated Operational Coverage (DOC) type specified and require sections D, E, G, H (or I or J), K, and P to be completed.

g. Operational control - Annual fee is £117 per 8.33 kHz1

OPCh. Aerodrome surface, ground movement control and departure ATIS - Annual fee is £117 per 8.33 kHz1

ASGMCDATIS

B.5 Contact name and address for payments, billing or account queries • For a new application please provide this contact information in application form OfW586b. • Please do not include payment with this application as it will not be processed. Ofcom will invoice

you later.

Note 1: Temporary licences attract a fee of 1/12 of the annual fee for each month or part month subject to a minimum of £25. Fees exceeding £25 will be rounded up to the nearest £.

https://www.ofcom.org.uk/__data/assets/pdf_file/0018/125370/OfW586b-Aeronautical-radio-ground-station-providing-new-application-payment-contact-details.pdf

Page 8 Cert: FS 549403

Number of mobiles:

Provide IMO number:

State type (e.g. microlight, balloon, glider, parachute):

i. Offshore - Annual fee is £117 per 8.33 kHz1. If using a mobile, then add £75 to the annual fee. Also, if you require a Non-Directional (radio) Beacon then also complete sections M1, M2, M3, M4 and M10.

j. Recreational aviation - Annual fee is £751

k. High frequency - Annual fee is £3501

l. Fire and emergency - Annual fee is free of charge (includes 121.5 MHz, 121.6 MHz & 123.1 MHz)

OS fixed service

RA

HF

FIRE & EMERG

OS mobile

C.1 (continued)

Licence products ‘m’ does not require the Designated Operational Coverage (DOC) type specified and requires sections L and N to be completed.

Licence products ‘n’ does not require the Designated Operational Coverage (DOC) type specified and requires sections M and N to be completed.

m. Radar - Annual fee is £50 per station

n. Navigation aid - Annual fee is £50 per station

RAD

NA

Note 1: Temporary licences attract a fee of 1/12 of the annual fee for each month or part month subject to a minimum of £25. Fees exceeding £25 will be rounded up to the nearest £.

C.2 Please tick one option for the required Crown Dependency aeronautical ground station: Licence products ‘a to i’ have fees as detailed below regardless of bandwidth and require sections D, E, F, G, H (or I or J), K and N to be completed.

a. Offshore service - Annual fee is £2501

b. Operational control communication - Annual fee is £2501

c. Air traffic or ground movement control - Annual fee is £1501

d. Aerodrome flight information service - Annual fee is £1001

e. Air ground communication service - Annual fee is £1001

f. General aviation (sporting use) - Annual fee is £50

OSG

OCC

ATGMC

FIS

AGCS

GA

Page 9 Cert: FS 549403

D. Proposed call sign details D.1 Enter proposed callsign

E.1 Provide the transmitter details:

E. Transmitter details

g. Fire - Annual fee is £25

h. Radar - Annual fee is £50

i. Navigation aid - Annual fee is £50

FIRE

Radar

NA

C.2 (continued)

Licence product ‘h’ has fees as detailed below regardless of bandwidth and require sections L and P to be completed.

Licence product ‘i’ has fees as detailed below regardless of bandwidth and require sections M and P to be completed.

Transmitter location (site name)

Longitude Degrees Minutes Seconds

Channel spacing (kHz) 8.33 25.0 50.0

Latitude (select °E or °W) Degrees Minutes Seconds

°N

°N

°N

°N

°N

Page 10 Cert: FS 549403

F. Designated Operational Coverage Details (only applicable for listed licence products ‘a to f’ in section C) F.1 For a Circular or Broadcast DOC provide:

For an Area DOC provide:

Range

Flight level1

Flight level1

NM

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

F L

Longitude Degrees Minutes Seconds

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Latitude (select °E or °W) Degrees Minutes Seconds

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

°N

Note 1: Flight Level (FL) is defined as vertical altitude at standard pressure expressed in hundreds of feet. (e.g. FL200 is equal to 20,000 ft).If necessary, add any additional details in the space at the back of this form under ‘Additional information’

Page 11

G.1 Please supply full details including manufacturer, model type, modification state (where appropriate) and power supply arrangements for each item of equipment.

H.1 Enter the expected number of proposed aircraft movements and level of service required:

I.1 Enter the event details

G. Details of proposed equipment or changes to equipment

H. VHF and UHF Service details for permanent installations

I. Special Event details only

Day(s)Maximum number of movements expected per day

Maximum number of movements expected per hour

Saturday

Sunday

Weekday

Tick the requested service levelAir traffic control

APP ADC GMC ATIS AFIS AGCS OPC OS

Name of event

Event organiser

Address

Postcode

Telephone

Event contact

Email

Date of event (DDMMYYYY)

J.1 Enter the expected number of aircraft movements and the level of service requested:

J. VHF and UHF Service details for Special Event installations

Date (DDMMYYYY)

Maximum number of movements expected per day

Maximum number of movements expected per hour

Tick the requested service levelAir traffic control

APP ADC GMC ATIS AFIS AGCS OPC

Page 12 Cert: FS 549403

K.1 Enter the licence and certificate numbers of all proposed radio station operators:

L.1 Site/Transmitter details for primary radar

L.2a Primary surveillance radar transmitter details

K. ATC, FIS and AGCS applications only

L. Primary Surveillance Radar details

Name

Name

Site/location height (above mean sea level)

Antenna height (above ground level)

Instrumental coverage range

Transmit power

Pulse width

Pulse repetition frequency (PRF)

Radar make

Radar model

Transmitter type:Solid stateMagnetron TWTOther - please specify:

metres

metres

nautical miles

watts

µs

pulses per second

QualificationsController

licence numberFISO

licence numberROCC certificate

number

Longitude Degrees Minutes Seconds

Latitude (select °E or °W) Degrees Minutes Seconds

°N

L.2b Primary surveillance radar antenna details

Antenna gain

Scan rate

Antenna make

Antenna model

dBi

revs per minute

Page 13 Cert: FS 549403

L.2b (continued)

L.2c Primary surveillance radar frequency details

L.3 Secondary surveillance radar technical details:

Frequency Range (select frequency units)

Intermittent frequencies (enter values and select appropriate frequency units)

Horizontal beamwidth

Feeder loss

Minimum

Bandwidth 1

Bandwidth 2

Bandwidth 3

Maximum

Frequency 1

Frequency 2

Frequency 3

Vertical low beamwidth (main)

Vertical low beamwidth (aux)

Number of frequencies required

Minimum diversity

Polarisation type:

Antenna pattern:

Linear

Cosec2

Circular

Pencil

Other TWT

Fan beam

Other - please specify:

Other - please specify:

degrees

dB

degrees

degrees

kHz

kHz

kHz

kHz

kHz

kHz

kHz kHz

MHz

MHz

MHz

MHz

MHz

MHz

MHz MHz

Site/location name

Number of interrogator (1,030 MHz) transmitters

If you hold an approval, then provide the certificate number here

Longitude Degrees Minutes Seconds

Latitude (select °E or °W) Degrees Minutes Seconds

°N

NISC Approval:Tick if you have applied for an approval

Tick if the application requires a Mode S I/II code for Allocation Coordination and IC Conflict Management MICA (Eurocontrol) Tick if application requires registration with MICA for access to MICA web-based tools

Tick if 24-bit address required for remote site monitors

Tick if SIC/SAC code required

M.1 Please tick NAVAID type:

Page 14 Cert: FS 549403

M. NAVAID Systems

VHF Omnidirectional Radio range (VOR) - answer questions M2, M3, M4, M5a and M6

Distance Measuring Equipment (DME) Terminal /Enroute - answer questions M2, M3, M4, M5b and M6

Localiser - answer questions M2, M3, M4 and M7

Glide path - answer questions M2, M3 and M4

DME paired with ILS - answer questions M2, M3, M4 and M8

Non-Directional Beacon (NDB): land based - answer questions M2, M3, M4 and M9

Non-Directional Beacon (NDB): offshore - answer questions M2, M3, M4 and M10

Tick if for a mobile vessel Onshore service

M.2 Site/Antenna Location:

Site/location/platform/vessel name (if applicable)

Note: For an antenna array specify the central point.

Longitude Degrees Minutes Seconds

Latitude (select °E or °W) Degrees Minutes Seconds

°N

Site/location height (above mean sea level)

Antenna height (above ground level)

Antenna mast height (above ground level)

metres

metres

metres

M.3 Antenna details:

M.4 Transmitter equipment details:

M.5a Details specific for VHF omni-directional radio range (VOR)

M.5b Details specific for distance measuring equipment (DME) terminal/enroute

Antenna gain

Transmitter power

Antenna make

Transmitter make

VOR identifier (if an ICAO Morse identifier already exists then provide this here)

DME identifier (if an ICAO Morse identifier already exists then provide this here)

Antenna model

Transmitter model

dBi

watts

DME - Associated Distance Measuring Equipment (tick if available)

VOR - Associated VHF Omni-Directional Range (tick if available)

Page 15 Cert: FS 549403

M.6 Coverage details specific for VOR, DME or DME/VOR terminal/enroute systems

M.7 Details specific for Localiser NAVAID system

M.8 Details specific for DME paired with ILS

M.9 Details specific for Land Based non-directional beacon

M.10 Details specific for Offshore non-directional beacon

Site name as in question M.2

Runway designator

ILS identifier (if an ICAO Morse identifier already exists then provide this here)

Category class:

Associated Ranging Equipment (tick if available)

Runway true heading

Number of antenna array elements

degrees

Service Height (ft) Range (NM) 360°Sector angle (if applicable)

Start (degrees) Finish (degrees)

Uncategorised

Paired DME

I

75 MHz marker beacons

IIIII

Antenna pattern:

Maximum designated operational coverage required

Maximum designated operational coverage required

Please use the section ‘Additional information (optional)’ at the back of this form to provide any additional information.

NDB (if an ICAO Morse identifier already exists then provide this here)

Platform Area Block

NDB (if an ICAO Morse identifier already exists then provide this here)

nautical miles

nautical miles

Directional

Omni-directional Bi-directionalOther - please specify:

Page 16 Cert: FS 549403

N. Declaration

By signing this form, I confirm that I have read and understood all the notes. Any information provided is correct and complete to the best of my knowledge and I have the authority to make this declaration and sign this application.

I understand and accept that:

• I am responsible for compliance with the licence and control and supervision of the equipment which is the subject of the Wireless Telegraphy Act Licence;

• It may be an offence to knowingly make a false statement in support of this application;• Ofcom will not share your personal data except in accordance with the law;

Full name

Position in organisation

Signature of applicant

Date of application (DDMMYYYY)

For self and partners (tick if applicable)

• Partnerships must be applied for by one partner signing ‘for self and partners’. A director or authorised person must sign for public limited companies, limited companies and other legal entities;

• If the number of partners exceeds the space, then for each additional partner please provide the name and signature.

Partner 1 name

Partner 1 signature

Partner 2 name

Partner 2 signature

Partner 3 name

Partner 3 signature

Partner 4 name

Partner 4 signature

Where to send this formPlease do not include payment with this form, as you will be invoiced at a later date.A member of the team will contact you to clarify the requirements of this application. OfcomFAO Spectrum Licensing PO Box 1285WarringtonWA1 9GL

Website: www.ofcom.org.uk/manage-your-licencePhone: 020 7981 3131

Allow up to 60 days from posting your application for receipt of your licence. If you need assistance, please contact us at spectrum.licensing@ofcom.org.uk. There is also information available on our website at www.ofcom.org.uk.

Website: www.ofcom.org.uk/manage-your-licencePhone: 020 7981 3131mailto:spectrum.licensing%40ofcom.org.uk?subject=http://www.ofcom.org.uk

Page 17 Cert: FS 549403

Additional information (optional)

application-new-tier: Offapplication-operational-details: Offapplication-variation: customer-ref-no: harmonisation-licence-number: harmonisation-licence-renewal-date: type-of-legal-entity: Offindividual-name: partnership-name: company-details-name: company-details-registration: operational-details: Offoperational-details-UK-offshore-mobiles: operational-details-UK-offshore-IMO: operational-details-UK-offshore-mobiles 1: call-sign: transmitter-longitude-degrees: transmitter-longitude-degrees 1: transmitter-longitude-degrees 2: transmitter-longitude-degrees 3: transmitter-longitude-degrees 4: transmitter-latitude-degrees: transmitter-latitude-degrees 1: transmitter-latitude-degrees 2: transmitter-latitude-degrees 3: transmitter-latitude-degrees 4: transmitter-site-name: transmitter-site-name 1: transmitter-site-name 2: transmitter-site-name 3: transmitter-site-name 4: transmitter-longitude-minutes: transmitter-longitude-minutes 1: transmitter-longitude-minutes 2: transmitter-longitude-minutes 3: transmitter-longitude-minutes 4: transmitter-latitude-minutes: transmitter-latitude-minutes 1: transmitter-latitude-minutes 2: transmitter-latitude-minutes 3: transmitter-latitude-minutes 4: transmitter-longitude-seconds: transmitter-longitude-seconds 1: transmitter-longitude-seconds 2: transmitter-longitude-seconds 3: transmitter-longitude-seconds 4: transmitter-latitude-seconds: transmitter-latitude-seconds 1: transmitter-latitude-seconds 2: transmitter-latitude-seconds 3: transmitter-latitude-seconds 4: transmitter-latitude-degrees-east-west 1: [-]transmitter-latitude-degrees-east-west 2: [-]transmitter-latitude-degrees-east-west 3: [-]transmitter-latitude-degrees-east-west 4: [-]transmitter-latitude-degrees-east-west 25: [-]channel-spacing-1: Offchannel-spacing2: Offchannel-spacing3: Offchannel-spacing4: Offchannel-spacing5: Offtransmitter-site-name 5: transmitter-site-name 6: area doc-flight level: area doc-flight level 1: area doc-flight level 2: area doc-flight level 3: area doc-flight level 4: area doc-flight level 5: area doc-flight level 6: area doc-flight level 7: area doc-flight level 8: area doc-flight level 9: area doc-flight level 10: area doc-flight level 11: area doc-flight level 12: area doc-flight level 13: area doc-flight level 14: area doc-flight level 15: area doc-flight level 16: area doc-flight level 17: area doc-flight level 18: area doc-flight level 19: DOC-longitude-north: DOC-longitude-north 1: DOC-longitude-north 2: DOC-longitude-north 3: DOC-longitude-north 4: DOC-longitude-north 5: DOC-longitude-north 6: DOC-longitude-north 7: DOC-longitude-north 8: DOC-longitude-north 9: DOC-longitude-north 10: DOC-longitude-north 11: DOC-longitude-north 12: DOC-longitude-north 13: DOC-longitude-north 14: DOC-longitude-north 15: DOC-longitude-north 16: DOC-longitude-north 17: DOC-longitude-north 18: DOC-longitude-north 19: DOC-latitude-degrees: DOC-latitude-degrees 1: DOC-latitude-degrees 2: DOC-latitude-degrees 3: DOC-latitude-degrees 4: DOC-latitude-degrees 5: DOC-latitude-degrees 6: DOC-latitude-degrees 7: DOC-latitude-degrees 8: DOC-latitude-degrees 9: DOC-latitude-degrees 10: DOC-latitude-degrees 11: DOC-latitude-degrees 12: DOC-latitude-degrees 13: DOC-latitude-degrees 14: DOC-latitude-degrees 15: DOC-latitude-degrees 16: DOC-latitude-degrees 17: DOC-latitude-degrees 18: DOC-latitude-degrees 19: DOC-longitude-minutes: DOC-longitude-minutes 1: DOC-longitude-minutes 2: DOC-longitude-minutes 3: DOC-longitude-minutes 4: DOC-longitude-minutes 5: DOC-longitude-minutes 6: DOC-longitude-minutes 7: DOC-longitude-minutes 8: DOC-longitude-minutes 9: DOC-longitude-minutes 10: DOC-longitude-minutes 11: DOC-longitude-minutes 12: DOC-longitude-minutes 13: DOC-longitude-minutes 14: DOC-longitude-minutes 15: DOC-longitude-minutes 16: DOC-longitude-minutes 17: DOC-longitude-minutes 18: DOC-longitude-minutes 19: DOC-latitude-minutes: DOC-latitude-minutes 1: DOC-latitude-minutes 2: DOC-latitude-minutes 3: DOC-latitude-minutes 4: DOC-latitude-minutes 5: DOC-latitude-minutes 6: DOC-latitude-minutes 7: DOC-latitude-minutes 8: DOC-latitude-minutes 9: DOC-latitude-minutes 10: DOC-latitude-minutes 11: DOC-latitude-minutes 12: DOC-latitude-minutes 13: DOC-latitude-minutes 14: DOC-latitude-minutes 15: DOC-latitude-minutes 16: DOC-latitude-minutes 17: DOC-latitude-minutes 18: DOC-latitude-minutes 19: DOC-longitude-seconds: DOC-longitude-seconds 1: DOC-longitude-seconds 2: DOC-longitude-seconds 3: DOC-longitude-seconds 4: DOC-longitude-seconds 5: DOC-longitude-seconds 6: DOC-longitude-seconds 7: DOC-longitude-seconds 8: DOC-longitude-seconds 9: DOC-longitude-seconds 10: DOC-longitude-seconds 11: DOC-longitude-seconds 12: DOC-longitude-seconds 13: DOC-longitude-seconds 14: DOC-longitude-seconds 15: DOC-longitude-seconds 16: DOC-longitude-seconds 17: DOC-longitude-seconds 18: DOC-longitude-seconds 19: DOC-latitude-seconds: DOC-latitude-seconds 1: DOC-latitude-seconds 2: DOC-latitude-seconds 3: DOC-latitude-seconds 4: DOC-latitude-seconds 5: DOC-latitude-seconds 6: DOC-latitude-seconds 7: DOC-latitude-seconds 8: DOC-latitude-seconds 9: DOC-latitude-seconds 10: DOC-latitude-seconds 11: DOC-latitude-seconds 12: DOC-latitude-seconds 13: DOC-latitude-seconds 14: DOC-latitude-seconds 15: DOC-latitude-seconds 16: DOC-latitude-seconds 17: DOC-latitude-seconds 18: DOC-latitude-seconds 19: transmitter-latitude-degrees-east-west 5: [-]transmitter-latitude-degrees-east-west 6: [-]transmitter-latitude-degrees-east-west 7: [-]transmitter-latitude-degrees-east-west 8: [-]transmitter-latitude-degrees-east-west 9: [-]transmitter-latitude-degrees-east-west 10: [-]transmitter-latitude-degrees-east-west 11: [-]transmitter-latitude-degrees-east-west 12: [-]transmitter-latitude-degrees-east-west 13: [-]transmitter-latitude-degrees-east-west 14: [-]transmitter-latitude-degrees-east-west 15: [-]transmitter-latitude-degrees-east-west 16: [-]transmitter-latitude-degrees-east-west 17: [-]transmitter-latitude-degrees-east-west 18: [-]transmitter-latitude-degrees-east-west 19: [-]transmitter-latitude-degrees-east-west 20: [-]transmitter-latitude-degrees-east-west 21: [-]transmitter-latitude-degrees-east-west 22: [-]transmitter-latitude-degrees-east-west 23: [-]transmitter-latitude-degrees-east-west 24: [-]atc-fis-agcs-licence-details: atc-fis-agcs-licence-details 5: atc-fis-agcs-licence-details 1: atc-fis-agcs-licence-details 2: atc-fis-agcs-licence-details 3: atc-fis-agcs-licence-details 4: atc-fis-agcs-licence-cont-no: atc-fis-agcs-licence-cont-no 1: atc-fis-agcs-licence-cont-no 2: atc-fis-agcs-licence-cont-no 3: atc-fis-agcs-licence-cont-no 4: atc-fis-agcs-licence-fiso-no: atc-fis-agcs-licence-fiso-no 1: atc-fis-agcs-licence-fiso-no 2: atc-fis-agcs-licence-fiso-no 3: atc-fis-agcs-licence-fiso-no 4: atc-fis-agcs-licence-rocc: atc-fis-agcs-licence-rocc 1: atc-fis-agcs-licence-rocc 2: atc-fis-agcs-licence-rocc 3: atc-fis-agcs-licence-rocc 4: DOC-longitude-north 20: DOC-latitude-degrees 20: DOC-latitude-degrees 21: DOC-latitude-degrees 22: DOC-latitude-degrees 23: DOC-latitude-degrees 24: DOC-latitude-degrees 28: DOC-latitude-degrees 29: DOC-latitude-degrees 25: DOC-latitude-degrees 26: DOC-latitude-degrees 27: DOC-longitude-minutes 20: DOC-latitude-minutes 20: DOC-longitude-seconds 20: DOC-latitude-seconds 20: primary-radar-type: OffDOC-latitude-degrees 34: DOC-latitude-degrees 44: DOC-latitude-degrees 45: DOC-latitude-degrees 56: transmitter-latitude-degrees-east-west 26: [-]DOC-latitude-degrees 41: DOC-latitude-degrees 42: DOC-latitude-degrees 46: DOC-latitude-degrees 50: DOC-latitude-degrees 52: DOC-latitude-degrees 54: DOC-latitude-degrees 49: DOC-latitude-degrees 51: DOC-latitude-degrees 53: DOC-latitude-degrees 55: DOC-latitude-degrees 32: DOC-latitude-degrees 33: DOC-latitude-degrees 47: DOC-latitude-degrees 48: DOC-latitude-degrees 39: DOC-latitude-degrees 43: primary-radar-type 2: Offantenna-pattern 2: Offprimary-freq-range-min: Offprimary-freq-range-min2: Offprimary-freq-range-min3: Offprimary-freq-range-min4: Offprimary-freq-range-max: Offprimary-freq-range-max2: Offprimary-freq-range-max3: Offprimary-freq-range-max4: Offatc-fis-agcs-licence-details 6: atc-fis-agcs-licence-details 7: atc-fis-agcs-licence-details 8: DOC-longitude-north 21: DOC-latitude-degrees 30: DOC-longitude-minutes 21: DOC-latitude-minutes 21: DOC-longitude-seconds 21: DOC-latitude-seconds 21: scondary-radar-details: Offscondary-radar-details-mode-s: Offscondary-radar-details-MICA: Offscondary-radar-details-24-bit: Offscondary-radar-details-SIC-SAC: Offtransmitter-latitude-degrees-east-west 27: [-]NAVAID-type: Offsite location: Offatc-fis-agcs-licence-details 9: DOC-longitude-north 22: DOC-latitude-degrees 31: DOC-longitude-minutes 22: DOC-latitude-minutes 22: DOC-longitude-seconds 22: DOC-latitude-seconds 22: DOC-latitude-degrees 35: DOC-latitude-degrees 36: DOC-latitude-degrees 37: DOC-latitude-degrees 38: DOC-latitude-degrees 40: DOC-latitude-degrees 57: DOC-latitude-degrees 59: DOC-latitude-degrees 61: DOC-latitude-degrees 62: DOC-latitude-degrees 58: DOC-latitude-degrees 60: VOR-DME: OffDME-VOR: Offtransmitter-latitude-degrees-east-west 28: [-]Coverage-vor-dme-name: Coverage-vor-dme-name 5: Coverage-vor-dme-name 7: Coverage-vor-dme-name 10: Coverage-vor-dme-name 11: Coverage-vor-dme-name 13: Coverage-vor-dme-name 6: Coverage-vor-dme-name 8: Coverage-vor-dme-name 9: Coverage-vor-dme-name 12: Coverage-vor-dme-name 1: Coverage-vor-dme-name 2: Coverage-vor-dme-name 3: Coverage-vor-dme-name 4: Coverage-vor-dme-service: Coverage-vor-dme-service 1: Coverage-vor-dme-service 2: Coverage-vor-dme-service 3: Coverage-vor-dme-service 4: Coverage-vor-dme-height: Coverage-vor-dme-height 1: Coverage-vor-dme-height 2: Coverage-vor-dme-height 3: Coverage-vor-dme-height 4: Coverage-vor-dme-range: Coverage-vor-dme-range 1: Coverage-vor-dme-range 2: Coverage-vor-dme-range 3: Coverage-vor-dme-range 4: Coverage-vor-dme-angle-start: Coverage-vor-dme-angle-start 1: Coverage-vor-dme-angle-start 2: Coverage-vor-dme-angle-start 3: Coverage-vor-dme-angle-start 4: Coverage-vor-dme-angle-finish: Coverage-vor-dme-angle-finish 1: Coverage-vor-dme-angle-finish 2: Coverage-vor-dme-angle-finish 3: Coverage-vor-dme-angle-finish 4: Coverage-vor-dme-360: Coverage-vor-dme-359: Coverage-vor-dme-358: Coverage-vor-dme-357: Coverage-vor-dme-356: localiser-NAVAID-associated: Offlocaliser-NAVAID-category: Offlocaliser-NAVAID-associated 2: Offdme-paired-ils-antenna-pattern-other: dme-paired-ils-antenna-pattern: Offdeclaration-name: declaration-position: declaration-date: declaration-partners: Offdeclaration-partner1-name: declaration-partner2-name: declaration-partner3-name: declaration-partner4-name: additional-info: other-details-name: other-details-registration: licensee-details-name: licensee-details-trading: licensee-details-address: licensee-details-postcode: licensee-details-country: licensee-details-telephone: licensee-details-mobile: licensee-details-fax: licensee-details-email: licensee-details-communication: Offlicence-contact details-name: licence-contact details-address: licence-contact details-postcode: licence-contact details-country: licence-contact details-telephone: licence-contact details-mobile: licence-contact details-fax: licence-contact details-email: licence-contact details-communications: Offcharity-details-name 1: charity-details-registration 1: charity-objective: Offtransmitter-site-name 11: vhf-uhf-max-per-day: vhf-uhf-max-per-hour: vhf-uhf-details-service: Offvhf-uhf-max-per-day 1: vhf-uhf-max-per-hour 1: vhf-uhf-details-service2: Offvhf-uhf-max-per-day 2: vhf-uhf-max-per-hour 2: vhf-uhf-details-service3: Offlicensee-details-name 2: licensee-details-trading 2: licensee-details-address 2: licensee-details-postcode 2: licensee-details-telephone 2: licensee-details-mobile 2: licensee-details-email 2: vhf-uhf-max-per-day 3: vhf-uhf-max-per-day 4: vhf-uhf-max-per-day 5: vhf-uhf-max-per-hour 3: vhf-uhf-max-per-hour 4: vhf-uhf-max-per-hour 5: harmonisation-licence-renewal-date 2: vhf-uhf-max-per-day 6: vhf-uhf-max-per-day 7: vhf-uhf-max-per-hour 6: vhf-uhf-max-per-hour 7: vhf-uhf-special-service1: Offvhf-uhf-special-service2: Offvhf-uhf-special-service3: Offvhf-uhf-special-service4: Offvhf-uhf-special-service5: Offspecial-event-movements-date: special-event-movements-date 1: special-event-movements-date 2: special-event-movements-date 3: special-event-movements-date 4: