Schedule-4 (c)

Schedule-4 (c)
(Relating to Rule 4)
License for Holding and using other radio machine except satellite
receiving system or satellite communication system (earth station),
cordless telephone and amateur radio control operator or amateur radio
director
To………………….
This license is, hereby, issued to the following person, firm, company or
organization to hold and use the radio machine with the following particulars,
subject to observance of the following terms.
1. Name of person, firm, company or organization:-
2. Address:-
3. License number:-
4. Place of use:-
5. Objective of use:-
6. Place of use:-
7. Frequency to be used:-
8. Details of the radio machine:-
(a)
(b)
(c)
(d)
9. Date of use:-
10. Type of station:-
11. System to be used:-
12. Time of use:-
13. Terms to be observed by the licensee:-
(a)
(b)
(c)
Seal of office Licensing authority’sSignature:-

Name:-
Designation:-
Date:-
Description of Renewal