APPLICATION FOR MARITIME MOBILE SHIP STATION LICENCE
(Under section 4 of Indian Telegraph Act, 1885 (13 of 1885))
Schedule No. S-014/016/WRLO annexed to _____________ dated 15 Sep 2011
- Name & address of the Applicant
- State whether the Radio Installation
is provided in pursuance of statutory
requirements or otherwise.
- Particulars of Mobile Vessel on which Radio Installation is located:
- Name of the Ship
- Call Sign 1
- Selective Call Number, if any
- Class of Ship
- Individual Classification of the Ship
- Gross Tonnage
- Category of Station & hours
of service.
- Nature of service performed
a) Authorised charges for transmission
& reception of radio telegrams …………Gold centimes per word
b) Authorised charges for 3 Charges for additional
minutes call minutes
- Metric Wave (VHF) Service
- Hectometric (HF) Service
- Decemetric Waves (HF) Service
- Name & address of person or agency by
call’s account shall be settled.
To be filled in by the Ministry of Communications. Explanation of references may be seen at last page.
- Certified Operators (Indian national only)
- Minimum no.
- Minimum Qualifications
- Description of Radio Apparatus
- Transmitter, Transreceiver & Radar
| Manufacturer’s Name | Type No. | Rated Power Output (W) | Frequency Range (Khz.) | Emission / Band Width | Frequency Tolerance Stability | |
| Main
|
MF/HF RADIO
JRC (with DSC) |
) | ||||
| Emergency | INMARSAT C
SAILOR
SAILOR (SPERRY MARINE)
|
|
|
|
|
— |
| VHF/DSC
Transreceiver |
JRC
JRC SAMYUNG |
|
|
|
||
| RADAR | JRC
FURUNO |
|
||||
|
LRIT |
INCORPORATED IN INMARSAT C TT-3000E |
|||||
| Emergency Position Indication Radio Beacon | KANNAD MARINE
TRON (VDR Capsule)
|
|
|
|
|
|
| SART
|
KANNAD MARINE
(02 NOS) |
|
|
|
|
|
| GPS
|
SIMRAD
(02 NOS)
|
|
|
|
|
|
| A.I.S. | SAMYUNG | |||||
| GMDSS WLK/T | JRC (3 nos)
|
|||||
- Receivers
| Type No. | Frequency RangeKhz. | Quantity | |
| Main(MF Radio/DSC) |
Incorporated in MFHF DSC |
—– |
One |
| Emergency
(Inmarsat C SES) |
Incorporated in SAT C |
—- |
One |
| Auto Alarm | Incorporated in DSC Equipments. | —- | One |
| Direction Finder | N.A. | —– | —- |
| Lifeboat | N.A. | —- | —- |
| Weather Fax | N.A | —– | —- |
| NAVTEX | JMC NT-1800 |
Explanation of reference may be seen on last page.
10. Frequency desired : a) M.F. Radiotelegraph band.
| Calling (khz) | Working (khz) D.F.
(khz) |
Emission | Distress, Urgency & Safety (khz) |
|
|
- M.F. Radiotelephone band:
| Calling (khz) | Working (khz) D.F.
(khz) |
Emission | Distress, Urgency & Safety (khz) |
| — |
- F.Radiotelegraph Band;
Indicate discrete frequencies, if any, desired for allocation.
| Calling
Khz |
Working
Khz |
Emission | Distress, Urgency & Safety Khz |
- F Radio telephone band (SSB Operation only)
| Calling
Khz |
Working
Khz |
Emission | Remarks |
|
|
- VHF Radiotelephone band
| Calling & Safety
Mhz |
Working
Mhz |
Emission | Remarks |
|
|
- Radar
State…..
- Central frequency of the carrier 9410 MHz
- Bandwidth of emission 28 / 3 MHz
- Pulse width 07/0.15/0.3/0.5/0.7/1.2 Micro seconds
- Pulse repetition rate 3000 / 1500 / 1000 / 600 Hz
CERTIFICATE OF INSPECTION
It is certified that the radio apparatus detailed herein before has been satisfactorily installed and the particulars given thereof are correct.
Place : Signature of the
Certifying officer __ ______
Dated : Designation (Seal)
D E C L A R A T I O N
I hereby solemnly declare and state that foregoing facts are true and correct and nothing is false therein and nothing is false and no material has been concealed therefrom. I also agree that in case any information given by me herein before is found false at a later date, the licence, if granted, will be cancelled.
I further solemnly give an undertaking that the apparatus herein before will be worked in accordance with the conditions of the licence and Indian operators holding approved Certificates of Proficiency shall only be employed to work the said apparatus.
Place : Signature of applicant :
Dated :

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