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  • Form No. NTC 1 12 FORM C (MULTIPLE STATIONS EQUIPMENT)

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    Flip Tamayao
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    This document is a form from the National Telecommunications Commission of the Philippines for applicants applying for multiple station or equipment authorizations. The form requests information about the station location, assigned frequency, bandwidth, emission configuration, call sign, validity period, and equipment details including make, model, serial number, power output, frequency range, antenna details and more. Applicants must provide the pertinent technical details for each station or piece of equipment and sign and date the form.

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    Form-No.-NTC-1-12-FORM-C-(MULTIPLE-STATIONS-EQUIPMENT)

    Original Title

    Form-No.-NTC-1-12-FORM-C-(MULTIPLE-STATIONS-EQUIPMENT)

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    This document is a form from the National Telecommunications Commission of the Philippines for applicants applying for multiple station or equipment authorizations. The form requests information about the station location, assigned frequency, bandwidth, emission configuration, call sign, validity period, and equipment details including make, model, serial number, power output, frequency range, antenna details and more. Applicants must provide the pertinent technical details for each station or piece of equipment and sign and date the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Form No. NTC 1 12 FORM C (MULTIPLE STATIONS EQUIPMENT)

    Uploaded by

    Flip Tamayao
    This document is a form from the National Telecommunications Commission of the Philippines for applicants applying for multiple station or equipment authorizations. The form requests information about the station location, assigned frequency, bandwidth, emission configuration, call sign, validity period, and equipment details including make, model, serial number, power output, frequency range, antenna details and more. Applicants must provide the pertinent technical details for each station or piece of equipment and sign and date the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines Form No.

    NTC 1-12
    NATIONAL TELECOMMUNICATIONS COMMISSION Revision No. ____ __01
    Revision Date 03/31/2021
    BIR Road, East Triangle, Diliman, Quezon City

    FORM C (MULTIPLE STATIONS/EQUIPMENT)

    APPLICANT

    PARTICULARS
    Indicate "N/A" for items not applicable.
    STATION
    EXACT LOCATION
    LONGITUDE (deg-min-sec)
    LATITUDE (deg-min-sec)
    POINTS OF COMM/SERVICE AREA

    ASSIGNED FREQ.
    BW & EMISSION
    CONFIGURATION
    DATA RATE
    CALL SIGN
    RSL NO.
    VALIDITY (mm/dd/yy)
    OTHERS

    EQUIPMENT
    MAKE/TYPE/MODEL
    SERIAL NO.
    POWER OUTPUT
    FREQ. RANGE
    ANTENNA
    TYPE
    HEIGHT (M)
    GAIN (dBi)
    DIRECTIVITY (degrees)
    DIAMETER
    POLARIZATION
    BEAMWIDTH (degrees)

    Signature over Printed Name of Applicant /


    Duly Authorized Signatory/Representative

    Date Accomplished

    THIS FORM IS NOT FOR SALE AND CAN BE REPRODUCED

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