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CPC-2-1-23 — Licensing Procedure for Spectrum Licences for Terrestrial Services
Appendix A - Sample Notification of Spectrum Licence Transfer or Division
Part 1 Information to Be Completed by Existing Licensee
1.1 Licensee
Name:
1.2
Address:
Street, P.O. Box, etc.
City, Town Province
Postal Code
Telephone Number Fax Number
Email Address
1.3 Licence Account Number:
1.4 Summary of licence(s) to be transferred or divided:
| Licence Number | Expiry Date | Spectrum | Geographic Area |
|---|---|---|---|
1.5 Map enclosed Yes No (Required for partitioning)
1.6 Proposed Date of Transfer or
Division:
1.7 Authority
I certify that I am an authorized representative of the above-named licensee and that the information stated in Part 1 of this Notification is true and correct.
SIGNED this day of , in the year
Signature of Applicant or Individual Authorized to Sign for the
Licensee
Name of Applicant or Individual Authorized to Sign for the Licensee
(Please print clearly)
Title of Person
Part 2 Information to Be Completed by Proposed Licensee
2.1 Name:
2.2 Address:
Street, P.O. Box, etc.
City, Town Province
Postal Code
Telephone Number Fax Number
Email Address
2.3 Authority
I certify that I am an authorized representative of the above-named proposed licensee and that the information stated in Part 2 of this Notification is true and correct.
I certify that I have read and I understand the contents of the eligibility criteria as set out in the Radiocommunication Regulations and that I comply with these requirements. I will comply with the criteria on an ongoing basis and will notify the Minister of Industry of any change which would have a material effect on my eligibility. Such notification will be made in advance of any proposed transactions within my knowledge.
I certify that I understand the use to which the radio frequencies, that are the subject to the spectrum licence(s), may be employed.
I certify that I have read and understand all the conditions of licence that continue to apply to the spectrum licence(s) and I certify that I will comply with these conditions.
I also understand that the Department may require additional information for the review of the proposed transfer.
SIGNED this day of , in the year
Signature of Applicant or Individual Authorized to Sign for the
Transferee
Name of Applicant or Individual Authorized to Sign for the Transferee
(Please print clearly)
Title of Person
- Date modified:
