Application to register or de-register a

radiocommunications device(s) under a

spectrum licence
Instructions for completion

 Print clearly. Forms which are illegible, unclear or incomplete details may be returned for clarification.
 Applicants seeking to register transmitters and/or receivers must complete section A and sections B and/or C.
 Applicants seeking to de-register an existing device must complete sections A and D.

Disclosure of personal and other details

Information provided by the applicant in a field of this form that is marked with an asterisk (*) is required, by section 147 of the
Radiocommunications Act 1992, to be disclosed to the public by the ACMA in a Register of the Radiocommunications Licences. The ACMA will
disclose the contents of the Register by making it available for inspection at any ACMA office, on its website and through the sale of a CD-ROM.

Where to send this form

Completed forms should be sent to:
Radiocommunications Licensing and Assignments Section
Operations and Services Branch
Australian Communications and Media Authority
PO Box 78
Belconnen ACT 2616
Facsimile: (02) 6219 5347
Email: licensing@acma.gov.au

A. Applicant/licensee details
Name * An authority from the licensee is required if the applicant is
not the licensee.
SURNAME I apply to the ACMA to have included in the register the details of
the device(s) set out on the following page and/or specified in
annexures (PLEASE INDICATE) of this application, which it is
GIVEN NAMES
proposed will be operated under the spectrum licence shown
below.
Organisation name*
Note:
 A charge in accordance with the Radiocommunications
(Charges) Determination 2003 will apply to the registration of a
ACN/ABN * device(s).

Signature of applicant Date

Postal address

Client number of licensee *

POSTCODE

Contact details

HOME ( )

WORK ( )

MOBILE

FACSIMILE

EMAIL

ACMA form – R070 Page 1 of 4 December 2013

B. Registration of transmitter(s) with certificate

Please indicate selection by ticking appropriate boxes (or inserting agreement number) in the table below.
I am accredited under section 263 of the Radiocommunications Act 1992 (‘the Act’) to present certificates to the ACMA for the purposes of section
145(3) of the Act in relation to the registration of radiocommunications transmitters to be operated under spectrum licences. Acting in accordance with the
conditions of that accreditation, I CERTIFY THAT operation of the device(s) will satisfy conditions that are required to be satisfied, in relation to the issue of
such a certificate(s), under a determination made under section 266A. By ticking a particular box (or inserting an agreement number) on the following page, I
am certifying that:

Registration by compliance to the relevant s.145(4) determination

I am satisfied that, where the device(s) are operated in accordance with the information set out in the application, the operation of these
device(s) meets the condition contained in subclause 6(a) of the Radiocommunications (Subsection 145(3) Certificates) Determination 2012; or
Registration by adherence to Guard Space
I am satisfied that, where the device(s) are operated in accordance with the information set out in the application, the operation of these
device(s) meets the condition contained in subclause 6(b) of the Radiocommunications (Subsection 145(3) Certificates) Determination 2012; or
Registration by Agreement with affected licensee(s)
I am satisfied that, where the device(s) are operated in accordance with the information set out in the application, the operation of these
device(s) meets the condition contained in subclause 6(c) of the Radiocommunications (Subsection 145(3) Certificates) Determination 2012; or
Core Condition Agreement (where one exists)
I am satisfied that, for the purpose of the core conditions in the licence(s), all spectrum licensees that may be affected by the operation of the
device(s) have entered into a written agreement in the form set out in the licence(s) that the device(s) described may be operated in accordance
with the information set out in the application.

Transmitter Certification type

Core Condition Annexure details (see Note below)
Licence number * Agreement Number
(document name, number)
s.145(4) Guard Agreement*
Space

Note: With respect to the Radiocommunications (subsection 145(3) Certificates) Determination 2012, if an IIC has been issued under:
 s.6(a), then please tick the column titled “s.145(4)”
 s.6(b), then please tick the column titled “Guard Space”, or provide the corresponding mitigation value if available
 s.6(c), then please provide the corresponding Agreement Number(s) under the column titled “Agreement”.

ACMA form – R070 Page 2 of 4 December 2013

C. Registration of receivers

The registration of a receiver(s) does not require certification. However, a receiver will not be afforded protection unless its details are in the
Register of Radiocommunications Licences.
Accredited persons and licensees are advised to consider the potential for interference from existing services before deploying a service.

Annexure details
Licence number*
(document name, number)

ACMA form – R070 Page 3 of 4 December 2013

D. De-registration of devices

Licensees are requested to de-register transmitters (and receivers) that have ceased operation. Where devices that have changed operating conditions, the
devices will need to be de-registered first and then re-registered as a new device.

Annexure details
Spectrum Licence Number Device Number(s) to be de-registered
(document name, number)

Acknowledgment

I lodge this application and certification knowing that:

1. Section 264 of the Radiocommunications Act 1992 provides that
incorrectly issuing certificates is a ground for withdrawing my
accreditation; and
Accredited Person’s insurance provider
2. Division 136 of the Criminal Code Act 1995 provides that it is an
offence for a person to make a statement in an application which the
person knows:
Insurance policy number Expiry date of
(a) is false or misleading; or
current insurance
(b) omits any matter or thing, without which the statement is
misleading. cover
I confirm that the relevant certificates have been correctly issued and that
this application does not contain any false or misleading information or
omit any information without which the statement is misleading.
Signature of accredited person Date

PRINT NAME
Accredited Person’s Client number *

ACMA form – R070 Page 4 of 4 December 2013