Form No.

: QF-NTC-004

Revision No.: 0
Revision Date: N/A
DOCUMENTARY REQUIREMENTS FOR SUBMISSION :

1 Duly Accomplished Form

2 Copy of Permit to Purchase/Possess with Frequency Assignment
3 Engineering Plans duly signed and sealed by a PECE
a. Location Map
b. Physical Layout of the Station
c. Antenna System Layout

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NTC REGIONAL OFFICE NO.: ____________________________
Office Address: ________________________________________
Contact No.: __________________________________________
E-mail Address: _______________________________________