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CPC-2-1-23 — Licensing Procedure for Spectrum Licences for Terrestrial Services

Appendix C — Application for a Spectrum Licence

1. Applicant Name:  space to insert name

2. Address:  space to insert address
Street, P.O. Box, etc.

space to insert address
City, Town Province
space to insert postal code
Postal Code
space to insert telephone and fax number
Telephone Number Fax Number
space to insert email
Email Address

3. Language Preference:  English space to check English language preference French space to check French language preference

4. Applicant Classification:  Individual space to check Individual Corporation space to check Corporation Partnership space to check Partnership Joint Venture space to check Joint Venture Other space to check Other

5. Spectrum

6. Nature of Service

A brief narrative describing the nature of the proposed service and spectrum utilization.

7. Consent and Authority

I certify that I have read, I understand and will comply with: 

  • the eligibility criteria as set out in the Radiocommunication Regulations and that I comply with these requirements, as applicable;
  • the marking of antenna structures as required, in accordance with the recommendations of Transport Canada;
  • the authorization procedures for non-site-specific radio stations as outlined in CPC-2-0-03;
  • the terms and conditions of applicable international coordination agreements; and
  • the requirements of applicable spectrum policies, Radio Standards Specifications and Standard Radio System Plans.

I certify that I am the authorized representative of the above-named Applicant and all matters and things stated in this application and attachments are true and correct. I also understand that the Department may require additional information for the review of this application.

SIGNED this space to insert date day of space to insert month, in the year space to insert year

space to insert signature
Signature of Applicant or Individual Authorized to Sign for the Applicant.

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