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Bangladesh Telecommunication Regulatory Commission (BTRC)

Application Form for License of Radio Communication Apparatus

1. Name of Applicant: ................................................................................................................................

2. Present Postal Address: ..........................................................................................................................

3. Name of Contact Person: ..................................................................................Designation .................

Mobile: ……………………… Telephone: ………… Fax: ………… E-mail: …………………….

4. Nationality: .............................................................................................................................................

5. Name and Address of Local Agent:........................................................................................................

6. Purpose of License:.................................................................................................................................

7. If Frequency Allocated Please Mentioned:.............................................................................................

8. Equipment information, Class of station (Please tick): Fixed/Base/Repeater/Land Mobile/Walki-

Talki/SatellitePhone/SNG/DSNG/TerrestrialTV/VSAT/Amateur/Paging/Trunking/SST/ISM/Data/
Broadband /Broadcast/Radar/Telemetry/Cordless/Other (indicate).................
9. Equipment Information:
Sl Class of Type/Model of Tx/Rx with No of Frequency Range Power out put, W, Class of Modulation
No Station Manufacturer Name Sets From To Mw, dbm emission

10. Equipment Information:

Sl Simplex XTL/ Source of B/W or TX/RX Type of Antenna Antenna Height of Minimum
No. /Duplex Synthesized Power, Chl Separation Antenna Polarization gain (dbi) Antenna code speed
Bat/Gen Spacing V/H from Sea for Amateur
level

11. Equipment Information: (use this page as additional if required)

Sl Exact location of the station Class of Latitude Longitude Azimuth for Point to Remarks
No. with postal address Station point Link
D M S D M S

P.T.O
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12. Terms and Conditions for use of wireless equipment in the People’s Republic of Bangladesh:-

i. A Log Book for each equipment must be maintained regularly.

ii. The competent Authority shall physically inspect the said equipment time to time.
iii. On demand of the Competent Authority the station may be closed down at any time.
iv. The licenses of the wireless equipments are not transferable.
v. On expiry of the scheduled works the license must be returned to the competent Authority.
vi. Export and import of the wireless equipment is strictly prohibited without prior permission
of the authority.
vii. A government lavvy is not chargeable for unserviceable wireless set if sealed by the
competent authority.
viii. Telecommunication facilities will be disconnected for non-payment of Govt. dues.
ix. Charges on frequency, power output, station & License fees to be paid as per rate list in
favor of Bangladesh Telecommunication Regulatory Commission (BTRC).

13. Note:

a) Appropriate Network plan to be submitted

b) Technical Catalogue to be submitted
c) Period for which license is required (for foreigner)
d) Amateur Radio License (Local): Passport or Police Verification report to be submitted
e) Amateur Radio License (Foreigner): Photocopy of existing Amateur License, Passport & Visa
to be submitted.
f) Prior Permission to be required for any coding or cipher equipment to be used.
g) Name of wireless equipment if installed earlier, please state frequency, Power output & number
of sets.
h) Photo Copy of up to date Vendor License
i) Class of station means: Fixed/Base/Repeater/LandMobile/Walki-Talki/Satettite Phone/SNG/
DSNG/TerrestrialTV/VSAT/Amateur/Paging/Trunking/SST/ISM/Data/Broadband/Broadcast/R
adar/ Telemetry/Cordless/Others (indicate)...............

14. Declaration: I under take to observe the conditions of license & here by certify that the apparatus
herein described and will be worked in accordance with provision of license, I further declare that all
information’s mentioned are true and correct. If any statement kept concealed, the Bangladesh
Telecommunication Regulatory Commission (BTRC) reserves the right to seize the wireless
equipment.

For official use Signature of the applicant with seal & date

.................... ...................................... ............................

Analyzed by Checked & corrected by Countersigned by
(seal) (seal) (seal)

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Bangladesh Telecommunication Regulatory Commission (BTRC)

Application Form for a Maritime/Aeronautical Mobile Station

Application for a license to establish, maintain and work wireless Communication Apparatus in Ships/
Aircraft’s registered in Bangladesh.

1. Name of Applicant (in block capital): …………………………………………………………………

Postal Address: ………………………………………………………………………………………...

(a) Name of Contact Person:..................................................................................Designation .................

Mobile: …………………….. Telephone: ……………… Fax: …………… E-mail: ……………...

2. Particulars of ship for which a license is required:

Registered No Name Gross Tonnage Owner Port of Registry

3. Particulars of Aircraft for which a licence is required:

Name & Type & Make Maximum take off Registered Marking Place of Registry in
Number weight (kg) Bangladesh

4. Particulars of Radio Communication Apparatus.

Symbols Type/ Model of TX/ RX. Allocated Assigned Nominal Maximum
with Manufacturer name Frequency Band Frequency (s) & Transmitter Power
Tolerance (w)
MF
HF
VHF

5. Particulars of Radio Communication Apparatus.

Symbols Maximum Antenna Polarization Height of Antenna from Class of Bandwidth
Gain (dbi) V/H Sea level (M) Emission
MF
HF
VHF
P.T.O

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6.
a. Number & Qualification b. Class of Station under the c. Nature of Service to be
of Operators. International Telecom Convection. performed.

7. Hours of service:

8. Name and address of person or person by whom radio Telephone/Telegraph accounts are
settled:

9. Declaration: I undertake to observe the condition of the license and hereby certify that the apparatus
herein described and will be worked in accordance with the provisions of the license. I further
declare that only operators holding approved certificates of competency are employed to work the
transmitting apparatus.

Signature of applicant
(with Seal) ..............................
Dated ......................................

CERTIFICATE OF INSPECTION

(To be completed by a Radio Communication engineer) I hereby certify that I have inspected the
installation described in this application and that the particulars given are correct.

Signature with seal Occupation

Address

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