Marine Radio User Manual

Signature of Applicant
If you cannot certify to all of the above statements, you are not eligible for a Temporary Permit. Willful fals statements made on this form are punishable by fine and/or imprisonment (U.S. Code, Title 18, Section 1001) and/or revocation of any station license or construction permit (U.S. Code, Title 47, Section 312(A)(1)), and/or forfeiture (U.S. Code 47, Section 503).
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TECHNICAL
INFORMATION
Location of Control Station(s) or point(s) Location of Existing Licensed Facility Number of Mobile Units Licensee Presently Operating on the Shared Facility
Call SignName
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TEMPORARY
CALL SIGN
l Complete the blocks as indicated.
Use this temporary call sign until a call sign is assigned by the Federal Communications Commission.
Your temporary call sign will consist of the letters “WT” plus your business residence telephone number.
W
T
l Your authority under this Permit is subject to all applicable treaties, statutes and rules a
is subject to the right of use or control by the Government of the United States.
l This Permit is valid for 180 days from the date the Form 574 is mailed to the FCC. l You must have a Temporary Permit or a license from the FCC to operate your Genera
Mobile Radio Service system transmitters.
l This Temporary Permit must be kept with your station records until your license is receive
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LIMITATIONS
DO NOT SUBMIT THIS FORM TO THE FCC
FCC 574T
March 1998