National Telecommunications Commission

Republic of Honduras
CONATEL Building, 6 Ave SW , Comayagüela, FM, Honduras, C. A.
Tel : +504-234-8600, Fax :+504-234-8611.

Application Form for Maritime Radio License Form 800

Note: Please , fill out this form with print letters or type. Instructions for completion of this form are attached at the end.
1. Applicant's Details
Person or Corporation Body
1.1 Complete Name of the applicant

1.2 File number (modifications only) 1.3 R.T.N. (For Honduras only) 1.4 Number of the identification document

1.5 Applicants' address: Number of House number, Street, Avenue, Neighborhood, etc.

1.6 City 1.7 Province or State 1.8 Country.

1.9 Telephone number 1.10 Facsimile

1.11 Electronic Mail (E-mail) 1.12 Other means (Pager ,Cellular , Telex  )

Legal Representative
1.13 Complete Name of the legal representative and contact in case of emergencies of the vessel..

1.14 Position that the legal representative holds.

1.15 R.T.N. (Honduras only) 1.16 ID number (Persons in Honduras only)

1.17 Telephone number 1.18 Facsimile

1.19 Electronic Mail (E-mail). 1.20 Other means (Pager ,Cellular , Telex  )

2. Applicant Class
Mark with an X the correspondent frame  Person  Private Company
 Official / Government  Military / Police  Volunteer Organization  International Organization

3. Applicant's Attorney Details

3.1 Complete Name of the Applicant's Attorney.

3.2 Complete Address

3.3 Professional College Number: 3.4 E-mail:

CONATEL of HONDURAS Form 800 – Page 1

3.5 Facsimile: 3.6 Telephone: (Office , Pager ,Cellular , Telex  ):

CONATEL of HONDURAS Form 800 – Page 2

4. Accounting Authority's Details
4.1 Complete Name of the Accounting Authority 4.2 IAAC code
HONDURAS RADIO ACCOUNTING SERVICES, S.A. (HRASSA) H O 0 1

5. Ship General Data

5.1 Present Name 5.2 Past Name

5.3 Usual Departure Port 5.4 Trade route of the vessel

5.5 Tonnage 5.6 Length(Mts.) 5.7 Breadth 5.8 Depth(Mts.)

(Mts.)

5.9 Decks 5.10 Masts 5.11 Funnels 5.12 Bridges

5.13 National Maritime Registry of the Vessel

6. Vessel General Classification

Mark with an X the frame that describes the best its primary activity
 Fishery Fleet  Official Service  Merchant Fleet  Maritime Security  River Ship
 Marine of War  Recreation Fleet  Rescue  Trade  Education

 Other use (Specify) :

7. Vessel Special Classification

Mark with an X the frame that describes the best its specific activity
 Cargo Boat  General Cargo  Cargo and passengers  Transatlantic
 Tanker Boat  Oil  Tug  Cattle transport
 Dry Cargo Boat  Passengers Boat  Rescue Boat  Scuba Diving Boat
 Freezer Boat  Fishing Boat  Pleasure Yatch  Battle Ship

 Other (Specify) :

8. Radioelectric Station Details

Satellite Service Will the vessel have satellite

station of INMARSAT?
YES NO

INMARSAT If your answer is YES, Please fill out the INMARSAT application form with the instructions provided in
the same one, then it must be sent to one of the authorized PSAs for Honduras.

LF and MF Bands Complete this section for equipment operating in frequencies under 3,000
KHz

1
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
110 - 160 KHz
415 - 510 KHz
Types of emissions Frequency stability (%) Type of antenna
2065 - 3000 KHz

LF and MF Bands Complete this section for equipment operating in frequencies under 3,000
KHz

CONATEL of HONDURAS Form 800 – Page 3

2
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
110 - 160 KHz
415 - 510 KHz
Types of emissions Frequency stability (%) Type of antenna
2065 - 3000 KHz

HF Bands Complete this section for equipment operating in frequencies

between 3,000 and 27,500KHz.

1
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
3,000 - 4,000 KHz
4,000 - 27,500 KHz
Types of emissions Frequency stability (%) Type of antenna

HF Bands Complete this section for equipment operating in frequencies

between 3,000 and 27,500KHz.

2
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
3,000 - 4,000 KHz
4,000 - 27,500 KHz
Types of emissions Frequency stability (%) Type of antenna

VHF Bands Complete this section for equipment operating in frequencies

between 156 y 174 MHz.

1
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
156 -163 MHz
163 - 174 MHz
Types of emissions Frequency stability (%) Type of antenna

VHF Bands Complete this section for equipment operating in frequencies

between 156 y 174 MHz.

2
Mark with an X the frame of the
operating band of the equipment. Equipment brand Equipment model Output power (Watts)
156 -163 MHz
163 - 174 MHz
Types of emissions Frequency stability (%) Type of antenna

VHF Bands Complete this section for equipment operating in frequencies

between 156 y 174 MHz.

3
If you applying for a selective call
number for telex, please fill out this Equipment brand Equipment model Output power (Watts)
part.
COASTAL TELEX
9. Radionavegation Aids Complete this part for the radio navigation aids that the ship has. Use
the frames in blank in the left to write the name of any additional
equipment not mentioned in this page and complete the details of all of
them.

Equipment's brand Equipment's model Operation band in MHz

RADAR 1

CONATEL of HONDURAS Form 800 – Page 4

 Equipment's brand Equipment's model Operation band in MHz
RADAR 2

Equipment's brand Equipment's model Operation band in MHz

OMEGA

Equipment's brand Equipment's model Operation band in MHz

LORAN

Equipment's brand Equipment's model Operation band in MHz

NAVTEX

ANOTHER 1

Specify the name of the equipment Equipment's brand Equipment's model Operation band in MHz

ANOTHER 2

Specify the name of the equipment Equipment's brand Equipment's model Operation band in MHz

10. Distress Equipment Please indicate with what distress radio transmitters is the vessel
fitted.
Localization radio beacons in case of Operation band of the EPIRB Is the vessel fitted If your answer is YES, How
distress. in MHz with lifeboats? many of them are fitted with
portable radio sets?
EPIRB YES

2182 KHz Amount of portable

radio sets.
121.5 MHz Total amount of radio NO
beacons of all types?
243 MHz

11. Attached Documents

 11.1 Written petition based on the Honduran Administrative Procedures ______ Pages List of other documents attached.
Law.
 11.2 Copy of the Merchant Marine navigation certificate ______ Pages
 11.3 Copy of the contract with the accounting authority (IAAC), or a letter ______ Pages
confirming this fact from the IAAC.
 11.4 Power of Attorney ______ Pages
 11.5 INMARSAT application for satellite communication services ______ Pages
 11.6 Approval in the Commercial Registry Office of Honduras (IAAC only) ______ Pages
 11.7 Copy of International transfer of funds to the Honduras Government ______ Pages
account in payment for the issuing of the license.
 11.8 ______ Pages
 11.9 ______ Pages Total amount of documents presented:
 11.10 ______ Pages
 11.11 ______ Pages Total number of pages presented :

12. Applicant's Declaration

We, the undersigned, declare that :
1. All information provided in this application and in any other document attached to it, is true and correct in each detail.

CONATEL of HONDURAS Form 800 – Page 5

2. We understand and accept that to provide false information or in fraudulent way, will be enough reason for the denial or
revocation of the license that I (the owner) am applying for.
3. We understand that CONATEL will have in every moment the authority to require Technical, legal and administrative additional
information that it consider appropriate, in relation with the license we are applying for.

Signature of the Owner or Legal Place and date.

Representative of the company that owns
the vessel.

Signature of the Attorney acting on behalf Place and date.

of the Owner in Honduras

Exclusive for the use of CONATEL (HONDURAS)

Total de Documentos Presentados: Número de Solicitud:

Total de Folios Presentados: Número de Usuario:

Nombre del Receptor:

Sello y Firma de Recepción

CONATEL of HONDURAS Form 800 – Page 6