APPENDIX A

GUIDELINES FOR APPARATUS ASSIGNMENT

Sample of Fixed Service Application Form
RSAD/AAP-F01

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(FIXED SERVICE)
Application
New apparatus Type of apparatus (Please refer to instructions): Fee
Callsign: RM60
Client Assignment
Existing apparatus per application
ID no.: no.(s):
To be used when applying for fixed service apparatus assignment(s) except for earth station
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:
Telephone (office/home): Fax: E-mail:
Company /
Contact person:
Business reg. no.:
Nature of business: IC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:
3. GEOGRAPHIC AREA INFORMATION
Location name:
Site address:
Town / State: Postal code:
Apparatus name:
Latitude (ºN): Longitude (ºE):
Ground elevation:
(metres above mean sea level)

Structure height (m):

Building height (m):
Transportable: Yes No Radius of operation (km):

4. FREQUENCY INFORMATION
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Bandwidth (MHz): Emission:
Communication desired with:
Coverage radius (km): No. of terminals:

Fixed Service Form 1/5

RSAD/AAP-F01

5. COVERAGE & LINK INFORMATION

Center of coverage area: Latitude (ºN): Longitude (ºE):
Radius (km):
Auxiliary link point #1:
Auxiliary link point #2:
Link name (MAIN):
Auxiliary link point #3:
Auxiliary link point #4:

Note: If necessary, please attach a Single Line Diagram (SLD) together with the form.
6. ANTENNA INFORMATION
Manufacturer and model:
Antenna gain (dB): Polarization (vertical, horizontal etc):
Azimuth of main beam (0º-omni, 360º- directional north): Beamwidth (º):
Elevation angle (º): Height above ground (m):
Antenna displacement (m):
Latitude (ºN): Longitude (ºE):
For antenna farm only
7. APPARATUS INFORMATION
Manufacturer (Transmitter): Model (Transmitter) / Serial no.:
Manufacturer (Receiver): Model (Receiver) / Serial no.:
Transmitter power (watts): Type approval no.:
Transmission line length (m) Line type (RG8, RG213 etc):

8. FILTER INFORMATION
Manufacturer/Model:
Insertion loss (dB): Tuned frequency (MHz):
Manufacturer/Model:
Insertion loss (dB): Tuned frequency (MHz):
Note: If necessary, please attach Technical Specifications & Brochure for items 6 (antenna pattern), 7 and 8 together with the form.

9. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT 1998?
IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

Fixed Service Form 2/5

RSAD/AAP-F01

10. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required _________________________ (Please state the date)
Period (from 3 months to 1 year):

11. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:

Fixed Service Form 3/5

RSAD/AAP-F01

INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.1 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) FIXED SERVICE FORM.

1.2 The FIXED SERVICE FORM is to be completed by the applicant and submitted to the Malaysian Communications and
Multimedia Commission office for the following types of fixed service apparatus:-

1) Earth Station (2.4 meter and above) 5) Land Station (30MHz up to 3GHz)
2) Experimental Station 6) Land Station (more than 3GHz)
3) Fixed Station 7) Press Receiving Station
4) Land Station (less than 30 MHz)

1.3 Please complete one FIXED SERVICE FORM per station. A station is defined as being one or more transmitters,
receivers, or a combination of both belonging to a single application at a location identified by one set of geographical
coordinates.

1.4 Application Fee is RM 60.00 per application.

1.5 The applicants are requested to submit the annual fee associated with the services of which you are applying along with
the application. Assignments will not be issued until full payments of all appropriate fees have been received.

1.6 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.7 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES
Each application contains 12 sections which can be selected according to the services.

Section 1 for client information Section 7 for apparatus information

Section 2 for application information Section 8 for filter information
Section 3 for geographic area information Section 9 for comments and remarks
Section 4 for frequency information Section 10 for validity date and period
Section 5 for coverage & link information Section 11 for the applicant’s certification &
signature
Section 6 for antenna information

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have licensed transmitters or receivers at the
location, please indicate this by checking the “New apparatus” box. NOTE: If the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s
information.

2.2 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license/assignment, in the
appropriate fields on the form.

2.3 Client Information

This section requests particular information on the applicant (individual, business or company).

2.3.1 Addresses

Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.

Fixed Service Form 4/5

RSAD/AAP-F01

2.3.2 Contact

This section informs MCMC now on how and who to contact for more information on the application to avoid any
delay.

2.4 Application Information

This section requests information on the proposed use of the apparatus or system and a brief description of the actual
system. If more space is required, please provide attachment.

2.5 Geographic Area Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus.

2.6 Frequency Information

Please enter the frequency on which communications are desired.

2.6.1 Bandwidth and Emission

Please complete the necessary bandwidth and emission of the transmitter equipment. This data may not be
readily available, in which case the applicant should contact its supplier.

2.7 Coverage and Link Information

This section requests the applicant to complete the appropriate fields depending on the type of system for which the
applicant is applying, e.g. Broadcasting station communicating with another Broadcasting station. Broadcasting station
communicating with mobile stations, etc. All fields should be completed if the system is a combination of the fixed and
mobile stations. Please attach a Single Line Diagram (SLD) of the system if necessary.

2.8 Antenna Information

Please provide information on the make, model of the antenna as well as the technical characteristics such as the gain
(referenced to a half-wave dipole or quarter-wave whip), polarization employed (vertical, horizontal, etc.), the direction
from true north of the main beam (north=360, east=90, south=180, west=270, etc) if the antenna is directional, the
elevation angle (level=0), and the height of the antenna above the ground.

2.9 Apparatus Information

Please provide information on the make, model and serial number of the transmitter, receiver, or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.10 Filter Information

This section is to be completed only when the applicant is planning to install any ancillary devices such as band-pass
filters, band-pass/band reject duplexers, isolators, multi-couplers, etc. in the transmission line between the
transmitter/receiver and the antenna. Please provide information on the make, model, insertion loss, and the frequency to
which the device is to be tuned. The field for the tuned frequency may be left blank. A diagram showing the system layout
from the transmitter/receiver to the input of the antenna should be included with the application to assist MCMC in
determining the system configuration. Please attach technical specifications and brochure of the equipment.

2.11 Comments / Remarks

Please provide details of your existing license/assignment under the Communications and Multimedia Act 1998. Please
enter any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required,
please provide attachments.

2.12 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated. The name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Fixed Service Form 5/5

RSAD/AAP-F01/E

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

SUMMARY OF APPLICATION FOR APPARATUS ASSIGNMENT(S) FOR E-SPECTRA

(FIXED SERVICE)

Client ID Client Reference

Client Name

Type of application: New Application Variation Certified True Copy

Cheque Postal Order e-Payment

Amount
Payment Details Money Order Credit Card (RM)
Payment Reference No.: ________________________

For variation, please specify the type of

Application Ref. No.
No. Remarks / Justification (if any) variation (station name, frequency,
(e-SPECTRA)
bandwidth, equipment, antenna)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO THE BEST OF MY
KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT WILL BE USED ONLY FOR THE
PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Fixed Service Form 1/1

 APPENDIX B
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Fixed Service: Earth Station Application Form
RSAD/AAP-F02

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(FIXED SERVICE: EARTH STATION)
Application
New apparatus Type of apparatus (Please refer to instructions): Fee
RM 60
Client Assignment Per
Existing apparatus Call sign: Application
ID No.: No.(s):
To be used when applying for satellite earth station apparatus assignment(s)
1. CLIENT INFORMATION
Organization Name:

Applicant Name:

Business / Residential Address:

Town / State: Postal Code:

Billing Address:
(if different from above): Postal Code:

Telephone (office/home): Fax: E- mail:

Contact Person: Company / Business

Reg. No.:
Nature of Business: IC No.:

2. APPLICATION INFORMATION
Proposed Use of System /
System Description:

3. GEOGRAPHIC AREA INFORMATION

Location Name:
Site Address:
Town / State:

Postal Code:

Apparatus Name:
Latitude / Longitude (ºN/ºE):

Ground Elevation:
(meters above mean sea level):

Structure Height (m):

Building Height (m):

Transportable: Yes No

4. TECHNICAL INFORMATION - EARTH STATION

Class of Earth Station:

Modulation Type: Analog Digital

Upper Limit:
Operating Azimuth:
Lower Limit:

Fixed Service: Earth Station Form 1/10

RSAD/AAP-F02
Receiver Reference:
Bandwidth (kHz):

Receiver Noise Temps (K):

Coordination Area Diagram :

Note: If necessary, please provide additional attachment together with this form.

A. FREQUENCY INFORMATION

Desired Transmit Frequency (MHz):

Desired Receive Frequency (MHz):

Bandwidth (MHz):

Designation of Emission:

B. ANTENNA INFORMATION
Antenna Diameter:

Polarization:

Radiation Pattern:

Manufacturer and Model:

Antenna Gain (dB):

Azimuth of Main Beam:

Beamwidth (˚ ):

Elevation Angle (˚ ):

Height Above Ground (m) :

Antenna Displacement (m):

(For antenna farm only):
Latitude / Longitude (ºN/ºE):

C. APPARATUS INFORMATION
Transmitter Manufacturer:

Transmitter Model / Serial No:

Transmitter Power (watts):

Receiver Manufacturer:

Receiver Model / Serial No:

Type Approval No:

Transmission Line Length (m):

Line Type (RG8, RG213 etc):

5. TECHNICAL INFORMATION - ASSOCIATED SPACE STATION
(Information from Satellite Provider)
A.GSO
Name of Associated Space
Station:

Operational Satellite Network:

(ITU filing name):
ITU (BRIFC) Special Section Reference
Number:

Orbital Position (˚E /˚W):

Beam Designation:

Transmit Gain (dB):

Power Flux Density (dBW/m2 ):

Fixed Service: Earth Station Form 2/10

RSAD/AAP-F02
Or B.NGSO
Name of Associated Space
Station:

Operational Satellite Network:

(ITU filing name):
ITU (BRIFC) Special Section Reference
Number:

Inclination Angle ( ˚ ):

Apogee (km):

Perigee (km):

Beam Designation:

Transmit Gain (dB):

Power Flux Density (dBW/m2) :

6. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT
1998? IF YES, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

7. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD

Date assignment is issued OR

Date:
Date required ____________________________________(please state the date)
Period (from 3 months to 1 year):

Fixed Service: Earth Station Form 3/10

RSAD/AAP-F02

8. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE; THE APARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA

Signature: Date:

Name of Signatory: I.C No.:

Business / Company stamp:

FOR MCMC USE ONLY

Fee Paid:
Cheque or Bank in Slip No.:
Receipt No. / Date:
Spectrum Plan Checked:

Fixed Service: Earth Station Form 4/10

 RSAD/AAP-F02

EXPLANATORY NOTE FOR COMPLETING THE APPARATUS ASSIGNMENT APPLICATION

FORM FOR SATELLITE EARTH STATION (E/S)

1. INTRODUCTION

This Explanatory Note is to guide the applicant in completing the Apparatus Assignment(s) for Satellite
Earth Station Application Form.

The satellite earth station form is to be completed by the applicant and submitted to the MCMC office
for the Earth station apparatus: -

Please complete SATELLITE EARTH STATION FORM (please refer to note *) for each antenna.
Application Fee is RM 60.00 per application. The applicants are requested to submit the annual fee
associated with the each station being applied. Assignment will not be issued until full payments of all
appropriate fees have been received.

Cheque or money orders should be made payable to:

“SURUHANJAYA KOMUNIKASI DAN MULTIMEDIA MALAYSIA”

2. DETAIL INSTRUCTION FOR FILLING OUT NOTICE FORMS

The instructions for filling out the individual data items on SATELLITE EARTH STATION FORM (please
refer to note *) are given below:

*Note:

If the application is for a new station, i.e. the applicant does not have any licensed transmitters or
receivers at the location, please indicate this by checking the “New apparatus” box. Note: If the
client has existing license(s) /assignment (s), then the client ID number field should be completed to
assist MCMC staff in locating the applicant’s information.

Please indicate if the application is for a change in an existing apparatus assignment, such as a change
of frequency, the addition of new frequency or a change of location. Please indicate this by checking
the “Existing apparatus” box, entering the client ID number, the assignment number, and the call sign,
found on the existing license(s) / assignment(s), in the appropriate fields on the form.

Fixed Service: Earth Station Form 5/10

RSAD/AAP-F02

3. CLIENT INFORMATION

This section requests particular information on the applicant (individual, business or company). Please
indicate your Business / Residential address for Assignment and other correspondence. Please indicate
if a separate address is needed for all billing correspondences. This section will provide MCMC with
contact information:-

Item Data Name Description(s)

3.1 Organization name: Name of the operating company or agency;

3.2 Applicant Name: Name of the person responsible for this application;

3.3 Business/ Residential Address: Address of the operating agency;

3.4 Company/ Business Reg. No: Registration number of the company;

3.5 Contact Person: Applicant contact person;

3.6 Nature of Business: Type of business.

4. APPLICATION INFORMATION

This section requests information on the proposed use of the apparatus or system and a brief
description of the actual system. If more space is required, please provide attachment.

5. GEOGRAPHIC AREA INFORMATION

The information requested in this section pertains to the physical characteristic of the location of the
apparatus:-

Item Data Name Description(s)

5.1 Location Name: Location of Earth station(E/S);

5.2 Site address: Postal address of the Earth Station site;

5.3 Apparatus Name: Name of the apparatus (name of the Earth

Station);

5.4 Earth Station Latitude/ Longitude: Geographical position of the Earth Station(ºN/ºE);

5.5 Ground Elevation: The elevation above mean sea level of the ground
at the site of the Earth Station (m)

5.6 Structure High: The height of the antenna structure(m);

5.7 Building High: The high of the building (m);

5.8 Transportable: Either Earth Station is transportable or not.

Fixed Service: Earth Station Form 6/10

 RSAD/AAP-F02

6. TECHNICAL INFORMATION - EARTH STATION

The information requested in this section pertains to the physical characteristic of the location of the
apparatus:-

Item Data Name Description (s)

6.1 Class of Earth Station: Indicate the appropriate class of station and the
nature of service;

6.2 Modulation Type: A code indicating how the information carried by

the signal is encoded on to the carrier frequency
as follows:-
AM-SSB-TV- Amplitude Modulation SSB-TV
AM-VIDEO- Amplitude Modulation Video (Audio
Sub-Carrier)
ASK- Amplitude Shift Keying
DAV- Data Above Voice
DIV- Data in Voice
DUV- Data Under Voice
FDM- Frequency Division Multiplex- Frequency
FM- Modulation
FM Video- Frequency Modulation Video
FSK- Frequency Shift Keying
MSK- Minimum Shift Keying
OQPSK- Offset Quadrate Phase Shift Keying
PSK- Phase Shift Keying
QAM-Quadrate Amplitude Modulation
QPR- Quadrate Partial Response
QPRS- Quadrate Partial Response Signaling
QPSK-Quadrate Phase Shift Keying
6.3 Operating Azimuth: An angle measured from true north in which the
direction of the maximum radiation of the antenna
points.

6.4 Receiver reference bandwidth: The frequency bandwidth that receiver use as the
reference in kHz

6.5 Receiver Noise temperature: The total receiving system noise temperature(K);

6.6 Coordination area diagram station Please provide the attachment number in the box
and the earth coordination diagrams. The
diagrams shall be drawn to an appropriate scale
and indicating as follows:-

a. Both transmission(Tx) and reception(Rx);

b. The location of earth station and its associated

coordination areas;

c. The coordination area relate to the service area

which it is intended to operate the mobile earth
station.

Fixed Service: Earth Station Form 7/10

RSAD/AAP-F02

6. A. FREQUENCY INFORMATION

Please enter the frequency on which communications are desired.

Item Data Name Description (s)

6.A.1 Desired Transmit Frequency: The desired frequency of the transmitting station
(MHz);

6.A.2 Desired Receive Frequency: The desired frequency of the receiving station
(MHz);

6.A.3 Bandwidth: The width of a frequency band which is required(

MHz);

6.A.4 Designation of emission: Emissions shall be designated according to their

necessary bandwidth and their classification in
accordance with the method described by ITU Radio
Regulation in Appendix 1 of Volume 1.

6. B. ANTENNA INFORMATION

Please provide information on the make and model of the antenna as well as it’s the technical
characteristic, the elevation angle (level=0), and the height of the antenna above the ground:-

Item Data Name Description(s)

6.B.1 Antenna Diameter: Diameter of the antenna(m);

6.B.2 Polarization: The polarization of the radio wave:-

H-Horizontal, V-Vertical;

6.B.3 Radiation Pattern: The assignments associated with the beam are to a
space station on board a geostationary satellite and
the antenna beam is directed towards another
satellite;

6.B.4 Manufacturer and model: Detail description about manufacturing and model
data of the equipment;

6.B.5 Antenna gain: The ratio of the maximum radiation to that of a

reference antenna for equal power(dB);

6.B.6 Azimuth of main beam: Horizontal angle of main beam area;

6.B.7 Beam width: The total beam width of the mean half-power points
of the main lobe, express in decimal degree(º);

6.B.8 Elevation Angle: Antenna elevation of the antenna in maximum

radiation direction (º);

6.B.9 Antenna Displacement: For antenna farm only(m);

6.B.10 Latitude/ Longitude The geographical position of the antenna (ºN/ ºE).

Fixed Service: Earth Station Form 8/10

RSAD/AAP-F02
6. C. APPARATUS INFORMATION

Please provide information on the make, model and serial number of the transmitter, receiver being
employed at the station. Included are fields requesting the transmitter output power and type approval
number. Please attach technical specifications and brochure of the equipment:-

Item Data Name Description (s)

6.C.1 Transmitter Manufacturer: The manufacturer of the equipment;

6.C.2 Transmitter Model/ Serial No: Model and serial number of the transmitter;

6.C.3 Transmitter Power: The rated power of the transmitter in Watt

6.C.4 Receiver Manufacturer: The manufacturer of the equipment;

6.C.5 Receiver Model/ Serial No: Model and serial number of the receiver;

6.C.6 Type Approval No: Approval no.;

6.C.7 Transmission line length: The length of the transmission line(m);

6.C.8 Line type: Type of line (R68, R6213 etc)

7. TECHNICAL - ASSOCIATED SPACE STATION

7. A. GEOSTATIONARY SATELLITE ORBIT (GSO)

Item Data Name Description(s)

7.A.1 Name of Associated Space Station: Indicate the name of the associated space station
with which communication is to be established;

7.A.2 Operational Satellite Network: The name of the satellite that is operating according
(ITU filing name): to ITU filing name;

7.A.3 ITU (BRIFC) Special Section The reference and the number of the Special
Reference Number: Section of the Weekly Circular in which any other
request for coordination was published (BRIFC).
This information can be obtained from the Space
Satellite provider;

7.A.4 Orbital Position: The nominal longitude of the orbital position of the
satellite expressed in decimal degrees E(ºE) or
W(ºW) ( the values should not exceed 180º );
7.A.5 Beam Designation: The beam designation of associated space station;

7.A.6 Transmit Gain: The gain of the transmitted power of satellite in dB;
7.A.7 Power Flux Density: The appropriate sign (+ or -) followed by the value
of the power density per square meter (dBW/m²).

Fixed Service: Earth Station Form 9/10

RSAD/AAP-F02

7. B. NON-GEOSTATIONARY SATELLITE ORBIT (NGSO)

Item Data Name Description(s)

7.B.1 Name of Associated Space Station: Indicate the name of the Associated Space Station
with which communication is to be established;

7.B.2 Operational Satellite Network: The name of the satellite that is operating according
(ITU filing name): to ITU filing name;
7.B.3 ITU(BRIFC) Special Section Reference The reference and the number of the Special
Number: Section of the Weekly Circular in which any other
request for coordination was published (BRIFC).
This information can be obtained from the Space
Satellite provider;

7.B.4 Inclination Angle: The equatorial plane of the earth(º);

7.B.5 Apogee: The relevant altitude of the apogee in kilometers

(km) above a specified reference surface serving to
represent the surface of the Earth or of the
reference celestial body;

7.B.6 Perigee: The relevant altitude of the perigee, expressed in

kilometers (km) above a specified reference surface
serving to represent the surface of the Earth or of
the reference celestial body;

7.B.7 Beam Designation: The beam designation of associated space station;

7.B.8 Transmit Gain: The gain of the transmitted power of satellite in dB;

7.B.9 Power Flux Density: The appropriate sign (+ or -) followed by the value
of the power density per square meter (dBW/m²).

8. COMMENTS/ REMARKS

Please provide details of your existing license/assignment under the Communications and Multimedia
Act 1998. Please enter any comments or remarks that may assist MCMC in processing the application
in an efficient manner. If required, please provide attachment.

9. CERTIFICATION AND SIGNATURE

Please READ CAREFULLY the certification, sign and data the form where indicated. The name and I.C
number of the signatory should be PRINTED clearly where indicated, and the business or company
stamp should be placed under the bottom of the page.

References: Refer to Radio Regulations of the ITU, provision of the Communications and
Multimedia (Spectrum) Regulations 2000 and its Amendment 2001.

Fixed Service: Earth Station Form 10/10

 APPENDIX C
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Radiodetermination Service Application Form
RSAD/AAP-F09

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(RADIODETERMINATION SERVICE)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
Callsign: RM60
Client Assignment
Existing apparatus per application
ID no.: no.(s):
To be used when applying for radiodetermination service apparatus assignment (s)
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:
Telephone (office/home): Fax: E-mail:
Company /
Contact person:
Business reg. no.:
Nature of business: IC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:
3. GEOGRAPHIC AREA INFORMATION
Location name:
Site address:
Town / State: Postal code:
Ground elevation:
Apparatus name:
(metres above mean sea level)
Geographic area of operations: Coverage radius (km):
Centre of area of operations
_ _ °_ _ ’ _ _ ” Longitude (ºE): _ _ _ °_ _ ’ _ _ ”
Latitude (ºN):
Structure height (m): Building height (m):

4. FREQUENCY INFORMATION
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Communication desired with:
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Communication desired with:
Bandwidth (MHz): Emission:

Radiodetermination Service Form 1/4

RSAD/AAP-F09

5. APPARATUS INFORMATION
Manufacturer (Transmitter): Model (Transmitter) / Serial no.:
Manufacturer (Receiver): Model (Receiver) / Serial no.:
Transmitter power (watts): Type approval no.:

6. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT
1998? IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

7. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required _______________________________(Please state the date)
Period (from 3 months to 1 year):

8. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Note: Please enclose the following:

1. A letter using the company, agency or organization’s letter head and describe the purpose of application
and its usage;
2. Copy of applicant’s identification card;
3. Certified true copy of the company registration (for non-government applicant only);
4. Equipment technical specification such (as equipment product brochure or pamphlet); and
5. A copy of approval letter from DCA on the use of frequency for Non-Directional Beacon (NDB)
application.

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:

Radiodetermination Service Form 2/4

RSAD/AAP-F09

INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.1 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) RADIODETERMINATION SERVICE FORM.

1.2 The RADIODETERMINATION SERVICE FORM is to be completed by the applicant and submitted to the Malaysian
Communications and Multimedia Commission office for the following types of mobile service apparatus:-

1) Radiodetermination Station
2) Radionavigation Station
3) Radiolocation Station

1.3 Please complete one RADIODETERMINATION SERVICE FORM per station. A station is defined as being one or more
transmitter, receivers, or a combination both belonging to a single application at a location identified by one set of
geographical coordinates.

1.4 Application Fee is RM60.00 per application (for non-government applicant only).

1.5 The applicants are requested to submit the annual fee associated with the services for which you are applying along with
the application. Assignments will not be issued until full payments of all appropriate fees have been received.

1.6 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.7 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES

Each application contains 8 sections which can be selected according to the services.

Section 1 for client information

Section 2 for application information
Section 3 for geographical area information
Section 4 for frequency information
Section 5 for apparatus information
Section 6 for comments and remarks
Section 7 for validity date and period
Section 8 for the applicant’s certification & signature

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have any licensed transmitters or receivers at the
location, please indicate this by checking the “New apparatus” box. NOTE: if the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s
information.

2.2 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license / assignment, in the
appropriate fields on the form.

2.3 Client Information

This section requests particular information on the applicant (individual, business or company).

2.3.1 Addresses
Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.

Radiodetermination Service Form 3/4

RSAD/AAP-F09

2.3.2 Contact

This section informs MCMC on how and who to contact for more information on the application to avoid any
delay.

2.4 Application Information

This section requests information on the proposed use of the apparatus or system and a brief description of the actual
system. If more space is required, please provide attachment.

2.5 Geographic Area Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus.

2.6 Frequency Information

Please enter the frequency on which communications are desired.

2.6.1 Bandwidth and Emission

Please complete the necessary bandwidth and emission of the transmitter equipment. This data may not be
readily available, in which case the applicant should contact its supplier.

2.7 Coverage Information

This section requests the applicant to complete the appropriate fields depending on the type of system for which the
applicant is applying.

2.8 Apparatus Information

Please provide information on the make, model and serial number of the transmitter, receiver, or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.9 Comments / Remarks

Please provide details existing license/assignment(s) under the Communications and Multimedia Act 1998. Please enter
any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required, please
provide attachments.

2.10 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated, the name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Radiodetermination Service Form 4/4

 APPENDIX D
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Space Service Application Form
RSAD/AAP-F10

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(SPACE SERVICE)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
Callsign: RM60
Client Assignment
Existing apparatus per application
ID no.: no.(s):
To be used when applying for space service apparatus assignment (s) including amateur satellite, broadcasting satellite, fixed
satellite and space apparatus
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:
Telephone (office/home): Fax: E-mail:
Company /
Contact person:
Business reg. no.:
Nature of business: IC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:
3. GEOGRAPHIC AREA INFORMATION
Name of space station: Orbital position : (°E / °W)
Date of bringing into use: Class of station:
Nature of service: No. of satellites:
Period of validity (year): No. of orbital planes:
Assoc. earth station name: Type of earth station:
Polarization type: Polarization angle (°):
Noise temperature (°K): Max. power:
Apogee (km): Perigee (km): Pilot weight (kg):
4. FREQUENCY INFORMATION

Assigned frequency : (GHz)

Space Service Form 1/4

RSAD/AAP-F10

5. FREQUENCY INFORMATION
Design of emission Max. peak power Max. power density Min. peak power Min. power density C/N ratio

Note: If necessary, please attach additional information together with this form.

6. EQUIPMENT INFORMATION
Manufacturer/Model/Serial no./Approval no.: Power: Use:

Note: If necessary, please attach additional information together with this form.

7. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT 1998?
IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

8. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required _______________________________(Please state the date)
Period (from 3 months to 1 year):

9. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:
Space Service Form 2/4

RSAD/AAP-F10
INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.1 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT (S) SPACE SERVICE FORM.

1.2 The SPACE SERVICE FORM is to be completed by the applicant and submitted to the Malaysian Communications and
Multimedia Commission office for the following types of space service apparatus :-

1) Amateur Satellite Station

2) Broadcasting Satellite Station
3) Fixed Satellite Station
4) Space Station

1.3 Please complete one SPACE SERVICE FORM per apparatus.

1.4 Application Fee is RM60.00 per application.

1.5 Please submit the annual fee associated with the services for you are applying along with the application. Assignments will
not be issued until full payment of all appropriate fees have been received.

1.6 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.7 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES

Each application contains 9 sections:-

Section 1 for client information

Section 2 for application information
Section 3 for geographic area information
Section 4 &5 for frequency information
Section 6 for equipment information
Section 7 for comments and remarks
Section 8 for validity date and period
Section 9 for certification & signature

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have any licensed transmitters or receivers at the
location, then the applicant should indicate this by checking the “New apparatus” box. NOTE: if the client has existing
license (s) assignment (s), then the client ID number field should be completed to assist MCMC staff in locating applicant’s
information.

2.2 Change to Existing Apparatus Assignment

Please indicate if the application is for change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license / assignment In the
appropriate fields on the form.

2.3 Client Information

This section requests particular information on the applicant (individual, business or company).

2.3.1 Addresses

Please indicate your Business / Residential address which for assignments and other correspondence. Please
indicate if a separate address is needed for all billing correspondence.

2.3.2 Contact

This section informs MCMC on how and who to contact for more information on the application to avoid any delay.

2.4 Application Information

Space Service Form 3/4
RSAD/AAP-F10

This section requests for information on the proposed use of the apparatus or system and brief description of the actual
system. If more space is required, please provide attachments.

2.5 Apparatus Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus.

2.6 Frequency Information

Please enter the assigned frequency, design of emission, maximum peak power, maximum power density, minimum peak
power, minimum power density and C/N ratio. Please attach additional information regarding frequency information, if
necessary.

2.7 Equipment Information

Please provide information on the make, model and serial number of the transmitter, receiver or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.8 Comments / Remarks

Please provide details existing license/assignment(s) under the Communications and Multimedia Act 1998. Please enter
any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required, please
provide attachments.

2.9 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated, the name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Space Service Form 4/4

 APPENDIX E
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Mobile Service Application Form
RSAD/AAP-F03

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(MOBILE SERVICE)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
RM60
Client Assignment Callsign:
Existing apparatus per application
ID no.: no.(s):
To be used when applying for all mobile service apparatus assignment(s) except for ship and aircraft stations
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:

Telephone (office/home): Fax: E-mail:

Company /
Contact person:
Business reg. no.:
Nature of business: IC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:

3. GEOGRAPHIC AREA INFORMATION

Location name:
Site address:
Town / State: Postal code:
Ground elevation:
Apparatus name:
(metres above mean sea level)
Number of mobiles / Hand-carried
Hand-carried portables: portable (Y/N):
Coverage radius
Geographic area of operations:
(km):
Centre of area of operations
_ _ °_ _ ’ _ _ ” Longitude (ºE): _ _ _ °_ _ ’ _ _ ”
Latitude (ºN):
Structure height (m): Building height (m):

4. FREQUENCY INFORMATION

High Frequency (HF) Very High Frequency (VHF) Ultra High Frequency (UHF)
Operating frequency band:
Others, please specify: _____________________________________________________

Type of communication: Simplex Duplex Number of channels:

Bandwidth (MHz): Emission:

Mobile Service Form 1/5

RSAD/AAP-F03
Desired receive frequency
Desired transmit frequency (MHz):
(MHz):
Communication desired with:
Desired receive frequency
Desired transmit frequency (MHz):
(MHz):
Communication desired with:
Desired receive frequency
Desired transmit frequency (MHz):
(MHz):
Communication desired with:
5. COVERAGE INFORMATION (Only applicable to Cellular Radio Base Station, Paging Base Station, Private Use Station, Remote
Controlled Station, Trunked Radio Base Station, Experimental Station, Leased Channel Base Station, Aeronautical Fixed Station, Coast Station,
Wireless Alarm Station and Cordless Base Station)
Center of coverage area: Latitude (ºN): _ _ °_ _ ’ _ _ ” Longitude (ºE): _ _ _ °_ _ ’ _ _ ”
Radius (km):
6. ANTENNA INFORMATION (Only applicable to Cellular Radio Base Station, Paging Base Station, Private Use Station, Remote
Controlled Station, Trunked Radio Base Station, Experimental Station, Leased Channel Base Station, Aeronautical Fixed Station, Coast Station,
Wireless Alarm Station and Cordless Base Station)
Manufacturer and model:
Antenna gain (dB): Polarization (vertical, horizontal etc):
Azimuth of main beam (0º-omni, 360º- directional north): Beamwidth (º):
Elevation angle (º): Height above ground (m):
Antenna displacement (m):
Latitude (ºN): Longitude (ºE):
For antenna farm only
7. FILTER INFORMATION (Only applicable to Cellular Radio Base Station, Paging Base Station, Private Use Station, Remote Controlled
Station, Trunked Radio Base Station, Experimental Station, Leased Channel Base Station, Aeronautical Fixed Station, Coast Station, Wireless
Alarm Station and Cordless Base Station)
Manufacture/Model:
Insertion loss (dB): Tuned frequency (MHz):
Manufacture/Model:
Insertion loss (dB): Tuned frequency (MHz):

8. APPARATUS INFORMATION
Manufacturer (Transmitter): Model (Transmitter) / Serial no.:
Manufacturer (Receiver): Model (Receiver) / Serial no.:
Transmitter power (watts): Type approval no.:

9. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT 1998?
IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

10. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required _______________________________(Please state the date)
Period (from 3 months to 1 year):

Mobile Service Form 2/5

RSAD/AAP-F03

11. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Note: Please enclose the following:

1. A letter using the company, agency or organization’s letter head and describe the purpose of application
and its usage;
2. Copy of applicant’s identification card;
3. Certified true copy of the company registration (for non-government applicant only); and
4. Equipment technical specification (such as equipment product brochure or pamphlet).

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:

Mobile Service Form 3/5

RSAD/AAP-F03
INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.8 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) MOBILE SERVICE FORM.

1.9 The MOBILE SERVICE FORM is to be completed by the applicant and submitted to the Malaysian Communications and
Multimedia Commission office for the following types of mobile service apparatus:-

4) Aeronautical Mobile Station 9) Private Use Station

5) Cellular Radio Base Station 10) Press Receiving Station
6) Experimental Station 11) Trunked Radio Base Station
7) Land Mobile Station 12) Wireless Alarm Station
8) Leased Channel Radio Base Station 13) Coast Station
9) Mobile Earth Station 14) Aeronautical Fixed Station
10) Mobile Station 15) Amateur Repeater Station
11) Paging Base Station 16) Cordless Base Station

1.10 Please complete one MOBILE SERVICE FORM per station. A station is defined as being one or more transmitter,
receivers, or a combination both belonging to a single application at a location identified by one set of geographical
coordinates.

1.11 Application Fee is RM60.00 per application (for non-government applicant only).

1.12 The applicants are requested to submit the annual fee associated with the services for which you are applying along with
the application. Assignments will not be issued until full payments of all appropriate fees have been received.

1.13 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.14 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES

Each application contains 11 sections which can be selected according to the services.

Section 1 for client information Section 7 for filter information

Section 2 for application information Section 8 for equipment information
Section 3 for geographical area information Section 9 for comments and remarks
Section 4 for frequency information Section 10 for validity date and period
Section 5 for coverage & link information Section 11 for the applicant’s certification & signature
Section 6 for antenna information

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have any licensed transmitters or receivers at the
location, please indicate this by checking the “New apparatus” box. NOTE: if the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s
information.

2.9 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license / assignment, in the
appropriate fields on the form.

2.10 Client Information

This section requests particular information on the applicant (individual, business or company).

Mobile Service Form 4/5

RSAD/AAP-F03
2.10.1 Addresses

Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.

2.10.2 Contact

This section informs MCMC on how and who to contact for more information on the application to avoid any
delay.

2.11 Application Information

This section requests information on the proposed use of the apparatus or system and a brief description of the actual
system. If more space is required, please provide attachment. The other application information in section 9 is only
applicable to mobile station.

2.12 Geographic Area Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus. The
geographic area information in section 3 is only applicable to Cellular Radio Base Station, Paging Base Station, Private
Use Station, Remote Controlled Station, Trunked Radio Base Station, Experimental Station, Lease Channel Base Station,
and Aeronautical Fixed Station, Coast Station and Wireless Alarm Station.

2.13 Frequency Information

Please enter the frequency on which communications are desired.

2.13.1 Bandwidth and Emission

Please complete the necessary bandwidth and emission of the transmitter equipment. This data may not be
readily available, in which case the applicant should contact its supplier.

2.14 Coverage Information

This section requests the applicant to complete the appropriate fields depending on the type of system for which the
applicant is applying.

2.15 Antenna Information

Please provide information on the make and model of the antenna as well the technical characteristics such as the gain
(referenced to a half-wave dipole or quarter-wave whip), polarization employed (vertical, horizontal, etc), the direction from
true north of the main beam (north=360, east=90, south=180, west=270, etc) if the antenna is directional, the elevation
angle (level-0), and the height of the antenna above the ground.

2.16 Filter Information

This section is to be completed only when the applicant is planning to install any ancillary devices such as band-pass
filters, band-pass/band reject duplexers, isolator, multi-couplers, etc. in the transmission line between the
transmitter/receiver and the antenna. Please provide information on the make, model, insertion loss, and the frequency to
which the device is to be tuned. The field for the tuned frequency may be left blank. A diagram showing the system layout
from the transmitter/receiver to the input of the antenna should be included with the application to assist MCMC in
determining the system configuration. Please attach technical specifications and brochure of the equipment.

2.17 Apparatus Information

Please provide information on the make, model and serial number of the transmitter, receiver, or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.11 Comments / Remarks

Please provide details existing license/assignment(s) under the Communications and Multimedia Act 1998. Please enter
any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required, please
provide attachments.

2.12 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated, the name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Mobile Service Form 5/5

RSAD/AAP-F03/E

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

SUMMARY OF APPLICATION FOR APPARATUS ASSIGNMENT(S) FOR E-SPECTRA

(MOBILE SERVICE)

Client ID Client Reference

Client Name

Type of application: New Application Variation Certified True Copy

Cheque Postal Order e-Payment

Amount
Payment Details Money Order Credit Card (RM)
Payment Reference No.: ________________________

For variation, please specify the type of

Application Ref. No.
No. Remarks / Justification (if any) variation (station name, frequency,
(e-SPECTRA)
bandwidth, equipment, antenna)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO THE BEST OF MY
KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT WILL BE USED ONLY FOR THE
PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Mobile Service Form 1/1

 APPENDIX F
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Broadcasting Service Application Form
 RSAD/AAP-F06

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(BROADCASTING SERVICE)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
Callsign: RM60
Client Assignment
Existing apparatus per application
ID no.: no.(s):
To be used when applying for broadcasting service apparatus assignment (s)
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:
Telephone (office/home): Fax: E-mail:
Company /
Contact person:
Business reg. no.:
Nature of business: NRIC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:
3. GEOGRAPHIC AREA INFORMATION
Location name:
Site address:
Town / State: Postal code:
Apparatus name:
Latitude (ºN):
Ground elevation:
(metres above mean sea level)
Structure height (m):
Building height (m):
Transportable: Yes No Radius of operation (km):

4. FREQUENCY INFORMATION
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Bandwidth (MHz): Emission:
5. COVERAGE INFORMATION
Center of coverage area: Latitude (ºN): Longitude (ºE):
Radius (km):
Note: Please attach coverage area map.

Broadcasting Service Form 1/5

RSAD/AAP-F06

6. ANTENNA INFORMATION
Manufacturer and model:
Antenna gain (dB): Polarization (vertical, horizontal etc):
Azimuth of main beam (0º-omni, 360º- directional north):
Elevation angle (º): Height above ground (m):
Antenna displacement (m):
Latitude (ºN): Longitude (ºE):
For antenna farm only
7. APPARATUS INFORMATION
Manufacturer (Transmitter): Model (Transmitter) / Serial no.:
Manufacturer (Receiver): Model (Receiver) / Serial no.:
Transmitter power (watts): Type approval no.:
Transmission line length (m) Line type (RG8, RG213 etc):

8. FILTER INFORMATION
Manufacturer/Model:
Insertion loss (dB): Tuned frequency (MHz):
Manufacturer/Model:
Insertion loss (dB): Tuned frequency (MHz):
Note: If necessary, please attach Technical Specifications & Brochure for items 6 (antenna pattern), 7 and 8 together with the form.

9. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT
1998? IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

YES (DETAILS ATTACHED)

10. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date: 15 JUNE 2018
Date required ______________ (Please state the date)
Period (from 3 months to 1 year):

11. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Broadcasting Service Form 2/5

RSAD/AAP-F06

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:

Broadcasting Service Form 3/5

RSAD/AAP-F06

INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.1 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) BROADCASTING SERVICE FORM.

1.2 The BROADCASTING SERVICE FORM is to be completed by the applicant and submitted to the Malaysian
Communications and Multimedia Commission office for the following types of Broadcasting service apparatus:-

1) Broadcasting Repeater Station

2) Broadcasting Transmitter Station

1.3 Please complete one BROADCASTING SERVICE FORM per station. A station is defined as being one or more
transmitters, receivers, or a combination of both belonging to a single application at a location identified by one set of
geographical coordinates.

1.4 Application Fee is RM 60.00 per application.

1.5 Please submit the annual fee associated with the services of which you are applying along with the application.
Assignments will not be issued until full payments of all appropriate fees have been received.

1.6 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.7 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES

Each application contains 11 sections which can be selected according to the services.

Section 1 for client information

Section 2 for application information
Section 3 for geographic area information
Section 4 for frequency information
Section 5 for coverage information
Section 6 for antenna information
Section 7 for apparatus information
Section 8 for filter information
Section 9 for comments and remarks
Section 10 for validity date and period
Section 11 for the applicant’s certification & signature

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have licensed transmitters or repeaters at the
location, please indicate this by checking the “New apparatus” box. NOTE: If the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s
information.

2.2 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license/assignment, in the
appropriate fields on the form.

2.3 Client Information

This section requests particular information on the applicant (individual, business or company).

2.3.1 Addresses

Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.
Broadcasting Service Form 4/5
RSAD/AAP-F06

2.3.2 Contact

This section informs MCMC now on how and who to contact for more information on the application to avoid any
delay.

2.4 Application Information

This section requests information on the proposed use of the apparatus or system and a brief description of the actual
system. If more space is required, please provide attachment.

2.5 Geographic Area Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus.

2.6 Frequency Information

Please enter the frequency on which communications are desired.

2.6.1 Bandwidth and Emission

Please complete the necessary bandwidth and emission of the transmitter equipment. This data may not be
readily available, in which case the applicant should contact its supplier.

2.7 Coverage Information

This section requests the applicant to complete the appropriate fields depending on the type of system for which the
applicant is applying, e.g. Broadcasting station communicating with another Broadcasting station. Broadcasting station
communicating with mobile stations, etc. All fields should be completed if the system is a combination of the broadcasting
and mobile stations. Please attach the Antenna Radiation Pattern or Coverage map of the system.

2.8 Antenna Information

Please provide information on the make, model of the antenna as well as the technical characteristics such as the gain
(referenced to a half-wave dipole or quarter-wave whip), polarization employed (vertical, horizontal, etc.), the direction
from true north of the main beam (north=360, east=90, south=180, west=270, etc) if the antenna is directional, the
elevation angle (level=0), and the height of the antenna above the ground.

2.9 Apparatus Information

Please provide information on the make, model and serial number of the transmitter, repeater, or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.10 Filter Information

This section is to be completed only when the applicant is planning to install any ancillary devices such as band-pass
filters, band-pass/band reject duplexers, isolators, multi-couplers, etc. in the transmission line between the
transmitter/receiver and the antenna. Please provide information on the make, model, insertion loss, and the frequency to
which the device is to be tuned. The field for the tuned frequency may be left blank. A diagram showing the system layout
from the transmitter/receiver to the input of the antenna should be included with the application to assist MCMC in
determining the system configuration. Please attach technical specifications and brochure of the equipment.

2.11 Comments / Remarks

Please provide details of existing license/assignment under the Communications and Multimedia Act 1998. Please enter
any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required, please
provide attachments.

2.12 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated. The name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Broadcasting Service Form 5/5

 APPENDIX G
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Amateur Station Application Form
 RSAD/AAP-F07

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(SERVICE: AMATEUR STATION)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
Callsign: RM60
Client Assignment
Existing apparatus per application
ID no.: no.(s):
To be used when applying for amateur station apparatus assignment(s) except for amateur repeater station
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:
Billing address:
(if different from above) Postal code:
E-Mail: Telephone: Fax: Occupation:
Passport / IC No.: Date of birth: Place of birth:
Citizenship: Malaysian Commonwealth Other, please specify __________________
2. APPLICATION INFORMATION
Class (A/B)
3. GEOGRAPHIC AREA INFORMATION
Location name:
If mobile, enter the vehicle registration no.
Site address:
Town / State: Postal code:
Ground elevation:
Apparatus name:
(metres above mean sea level)
Number of mobiles /
Hand-carried portable (Y/N):
hand-carried portables:
Geographic area of operations: Coverage radius (km):
Centre of area of operations
Longitude (ºE):
Latitude (ºN):
Structure height (m): Building height (m):

4. APPARATUS INFORMATION
Use (transmitter,
Manufacturer / Model / Serial no.: Power: Emission: Frequency band:
receiver etc)

5. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT 1998?
IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

Amateur Service: Amateur Station Form 1/7

RSAD/AAP-F07
6. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required __________________(Please state the date)
Period (from 3 months to 5 years):

7. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

If applicant is under 21 years of age, counter signature of parent or guardian is required:

Note: Please enclose the following:

1. A sketch of the aerial(s) to be used;

2. A copy of applicant’s identification card or passport;
3. A copy of Radio Amateur Examination (RAE) result for Class B license
application/ a copy of Morse Code result for Class A license application.
(Printed copy of RAE result from MCMC’s website is also acceptable);
4. Letter of reference by two members of MARTS or Class A amateur radio
holders as shown in Appendix A;
5. Statutory declaration form signed by Justice of the Peace/ Magistrate/ a Commissioner of
Oaths as shown in Appendix B; and
6. List of 3 preferable call signs as shown in Appendix C. MCMC reserves the right to assign
any call sign in the event the preferred call sign are not available.
7. A copy of existing AA certificate/ a copy of RAE or Morse Code result (for re-application)

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:

Amateur Amateur
Service: Service
AmateurForm
Station
2/4Form 2/7
RSAD/AAP-F07 APPENDIX A

Chairman
Malaysian Communications and Multimedia Commission
MCMC Tower 1
Jalan Impact
Cyber 6
63000 Cyberjaya
Selangor

RE : APPLICATION FOR AMATEUR RADIO STATION ASSIGNMENT (CLASS A/B *)

We, the undersigned being authorized persons of MARTS / holders of Class A Amateur assignment hereby
certify that (Name)________________________________________
(NRIC)_________________________________ is known to us and is of good character.

*He has also demonstrated practical skills to us for the operation and use of amateur radio station apparatus.

Thank you.

Signed

1.__________________________________

Name: ______________________________

Call Sign: ___________________________

2.__________________________________

Name: ______________________________

Call Sign: ___________________________

*delete where appropriate.

Amateur Service: Amateur Station Form 3/7

RSAD/AAP-F07 APPENDIX B

STATUTORY DECLARATION REGARDING SECRECY OF WIRELESS COMMUNICATIONS.

To be included with applications for land and mobile amateur stations.

I, _____________________________________________________________
Of ____________________________________________________________

IDENTITY CARD No./PASSPORT No.__________________ do solemnly and sincerely

declare:

1. That I will hold strictly secret all wireless telegraphic or telephonic or other communications
that may pass through my hands or come to my knowledge in the execution of the wireless or
telephonic duties entrusted to me.

2. That I will not directly divulge to any person (other than a properly authorized official or
Malaysia or a competent legal tribunal), or make any use whatever of any message or information
coming to my knowledge by reason of the licensed installation. If employed as an operator at a
station licensed to conduct commercial wireless traffic I will not give any information directly or
indirectly respecting such message or communications are intended and/or to any authorized official
of Malaysia or authorized official of my employer.

3. That I will not transmit or cause to be transmitted by wireless telegraphy or telephony any
message received by me for transmission or deliver or cause to be delivered to any person any
message received by me by wireless telegraphy or telephony, unless the delivery of such message
has been approved by the Malaysian Communications and Multimedia Commission or its duly
authorized official.

And I make this solemn declaration conscientiously believing the same to be true and by virtue of the
provisions of the Statutory Declarations 1960.

Subscribed and solemnly declared by }

The above named_________________________ }
_______________________________________ }
at _____________________________________ }
this _________day of___________,20________ }

Signature:______________________

Before Me,

Signature:______________________

NOTE: To be signed before Justice of the Peace, Magistrate or a Commissioner of Oaths. Any
person who makes a false statement in a statutory declaration is guilty of an offence and is liable to
imprisonment for three years and is also liable to a fine.

Amateur Service: Amateur Station Form 4/7

RSAD/AAP-F07 APPENDIX C

Applicant's Name: _____________________________

I/C No: _____________________________

My call sign choices:

Choice Call sign

First

Second

Third

If all my choices are not available please contact me at:

Tel No: _______________________________

I understand that MCMC reserves the right to assign any call sign

in the event the preferred call sign are not available.

……………………………………………….
Signature

Amateur Service: Amateur Station Form 5/7

RSAD/AAP-F07

INSTRUCTIONS ON COMPLETING THE FORM

1. INTENT

1.1 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) AMATEUR RADIO STATION FORM.
1.2 The AMATEUR RADIO STATION FORM is to be completed by the applicant and submitted to the Malaysian
Communications and Multimedia Commission office for the following types of Amateur services apparatus:-
1) Amateur Station (Class A)
2) Amateur Station (Class B)
1.3 Please complete one Amateur Radio Station Application Form per type of station indicated above. An Amateur station is
define as being one or more transmitters, receivers, or a combination of both belonging to a single applicant at a specified
location. An application for an amateur repeater station must be made on the MOBILE SERVICES FORM.
1.4 The application fee is RM 60.00 per application.
1.5 Cheques, postal orders or money orders should be made payable to the “ Suruhanjaya Komunikasi dan Multimedia
Malaysia “ or by online payment through MCMC’s website at www.mcmc.gov.my.
1.6 Print clearly – illegible, unclear or incomplete application forms may delay processing.

2. PROCEDURES

2.1 Each application contains 7 sections which can be selected according to the services.

Section 1 for client information

Section 2 for application information
Section 3 for geographical Area information
Section 4 for apparatus information
Section 5 for information on existing license or assignment.
Section 6 for validity period (3 months up to 5 years)
Section 7 for the applicant’s certification & signature

The information in each of those sections is required to properly analyse the application. Failure to complete portions of
the application could result in a delay in the assignment of a frequency.

2.2 New Apparatus

If the application is for a new station, i.e. the applicant does not already have any apparatus assignment at the location,
then the applicant should indicate this by checking the “New apparatus” box. NOTE: If the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s file.

2.3 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license/assignment, in the
appropriate fields on the form.

2.4 Client Information

This section requests particular information on the applicant (individual, business or company).

2.4.1 Addresses

Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.

2.4.2 Contact

This section informs MCMC on how and who to contact for more information on the application to avoid any
delay.

Amateur Service: Amateur Station Form 6/7

RSAD/AAP-F07

2.5 Geographic Area Information

This section pertains to the actual location of the station. These four fields detail the location name and a site address if
the location of the station is not the same as the mailing address above. If the station is portable or mobile then the
registration number of the vehicle in which the unit will be employed should be indicated in the “Location name field”.

2.6 Apparatus Information

Please provide information on the make, model and serial number of the apparatus being employed at the station.
Included are fields requesting the transmitter output power, the emissions and frequency bands to be employed and the
use of the equipment, e.g; transmitter, receiver, transceiver.

2.7 Comments / Remarks

Please provide details of your existing license/assignment under the Communications and Multimedia Act 1998. Please
enter any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required,
please provide attachments.

2.8 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated. The name and I.C. number of the
signatory should be PRINTED clearly where indicated.

Amateur Service: Amateur Station Form 7/7

 APPENDIX H
GUIDELINES FOR APPARATUS ASSIGNMENT
Sample of Amateur Repeater Station Application Form
RSAD/AAP-F08

Suruhanjaya Komunikasi dan Multimedia Malaysia

Malaysian Communications and Multimedia Commission
MCMC Tower 1, Jalan Impact, Cyber 6
63000 Cyberjaya, Selangor Darul Ehsan
Tel: 6 03-86888000 Fax: 6 03-86881000 http://www.mcmc.gov.my

APPLICATION FOR APPARATUS ASSIGNMENT(S)

(AMATEUR REPEATER: AMATEUR REPEATER STATION)

Application
New apparatus Type of apparatus (Please refer to instructions): Fee
RM60
Client Assignment Callsign:
Existing apparatus per application
ID no.: no.(s):
To be used when applying for amateur repeater station apparatus assignment(s)
1. CLIENT INFORMATION
Organisation name:
Applicant name:
Business / Residential
address:
Town / State: Postal code:

Billing address:
(if different from above) Postal code:

Telephone (office/home): Fax: E-mail:

Company /
Contact person:
Business reg. no.:
Nature of business: IC no.:

2. APPLICATION INFORMATION
Proposed use of system /
System description:
3. GEOGRAPHIC AREA INFORMATION
Location name:
Site address:
Town / State: Postal code:
Ground elevation:
Apparatus name:
(metres above mean sea level)
Number of mobiles / Hand-carried portable
Hand-carried portables: (Y/N):
Geographic area of operations: Coverage radius (km):
Centre of area of operations
_ _ °_ _ ’ _ _ ” Longitude (ºE): _ _ _ °_ _ ’ _ _ ”
Latitude (ºN):
Structure height (m): Building height (m):

4. FREQUENCY INFORMATION
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Communication desired with:
Desired transmit frequency (MHz): Desired receive frequency (MHz):
Communication desired with:
Bandwidth (MHz): Emission:
Amateur Repeater Station Form 1/5
RSAD/AAP-F08

5. COVERAGE INFORMATION

Center of coverage area: Latitude (ºN): _ _ °_ _ ’ _ _ ” Longitude (ºE): _ _ _ °_ _ ’ _ _ ”

Radius (km):

6. ANTENNA INFORMATION

Manufacturer and model:

Antenna gain (dB): Polarization (vertical, horizontal etc):
Azimuth of main beam (0º-omni, 360º- directional north): Beamwidth (º):
Elevation angle (º): Height above ground (m):
Antenna displacement (m):
Latitude (ºN): Longitude (ºE):
For antenna farm only

7. FILTER INFORMATION
Manufacture/Model:
Insertion loss (dB): Tuned frequency (MHz):
Manufacture/Model:
Insertion loss (dB): Tuned frequency (MHz):

8. APPARATUS INFORMATION
Manufacturer (Transmitter): Model (Transmitter) / Serial no.:
Manufacturer (Receiver): Model (Receiver) / Serial no.:
Transmitter power (watts): Type approval no.:

9. DO YOU HAVE A LICENCE / ASSIGNMENT UNDER THE COMMUNICATIONS AND MULTIMEDIA ACT 1998?
IF SO, PLEASE PROVIDE DETAILS OR A COPY OF YOUR LICENCE / ASSIGNMENT.

10. PLEASE STATE THE REQUIRED VALIDITY DATE AND PERIOD.

Date assignment is issued OR

Date:
Date required _______________________________(Please state the date)
Period (from 3 months to 1 year):

Amateur Repeater Station Form 2/5

RSAD/AAP-F08

11. I CERTIFY THAT THE STATEMENTS MADE IN THIS APPLICATION ARE COMPLETE AND CORRECT TO
THE BEST OF MY KNOWLEDGE, THE APPARATUS IS TYPE APPROVED FOR USE IN MALAYSIA AND IT
WILL BE USED ONLY FOR THE PURPOSES AUTHORIZED BY THE MINISTER OF COMMUNICATIONS
AND MULTIMEDIA MALAYSIA.

Signature: Date:

Name of signatory: I.C. no.:

Business / Company
stamp:

Note: Please enclose the following:

1. A letter using the club’s letter head and describe the purpose of application and its usage;
2. Copy of applicant’s identification card;
3. Certified of the club registration with Registrar of Society; and
4. A copy of the approval letter from Local Authority on the installation of Amateur Repeater structure.

FOR MCMC USE ONLY

Fee paid:
Cheque or Bank in slip no.:
Receipt no. / date:
Spectrum Plan checked:

Amateur Repeater Station Form 3/5

RSAD/AAP-F08
INSTRUCTIONS ON COMPLETING THE FORM

2. INTENT

1.15 The intent of this document is to provide applicants with instructions to assist them in properly completing the
APPARATUS ASSIGNMENT(S) AMATEUR REPEATER STATION FORM.

1.16 Please complete one AMATEUR REPEATER STATION FORM per station. A station is defined as being one or more
transmitter, receivers, or a combination both belonging to a single application at a location identified by one set of
geographical coordinates.

1.17 Application Fee is RM60.00 per application (for non-government applicant only).

1.18 The applicants are requested to submit the annual fee associated with the services for which you are applying along with
the application. Assignments will not be issued until full payments of all appropriate fees have been received.

1.19 Cheques, postal orders or money orders should be made payable to the “Suruhanjaya Komunikasi dan Multimedia
Malaysia“ or by online payment through MCMC’s website at www.mcmc.gov.my.

1.20 Print clearly – illegible, unclear or incomplete application forms may delay processing.

3. PROCEDURES

Each application contains 11 sections which can be selected according to the services.

Section 1 for client information Section 7 for filter information

Section 2 for application information Section 8 for apparatus information
Section 3 for geographical area information Section 9 for comments and remarks
Section 4 for frequency information Section 10 for validity date and period
Section 5 for coverage & link information Section 11 for the applicant’s certification & signature
Section 6 for antenna information

2.1 New Apparatus

If the application is for a new station, i.e. the applicant does not already have any licensed transmitters or receivers at the
location, please indicate this by checking the “New apparatus” box. NOTE: if the client has existing license(s) /
assignment(s), then the client ID number field should be completed to assist MCMC staff in locating the applicant’s
information.

2.18 Change to Existing Apparatus Assignment

Please indicate if the application is for a change in an existing apparatus assignment, such as a change of frequency, the
addition of new frequency or a change of location. Please indicate this by checking the “Existing apparatus” box, entering
the client ID number, the assignment number, and the callsign, found on the existing license / assignment, in the
appropriate fields on the form.

2.19 Client Information

This section requests particular information on the applicant (individual, business or company).

2.19.1 Addresses

Please indicate your Business / Residential address for assignments and other correspondence. Please indicate
if a separate address is needed for all billing correspondence.

2.19.2 Contact

This section informs MCMC on how and who to contact for more information on the application to avoid any
delay.

2.20 Application Information

This section requests information on the proposed use of the apparatus or system and a brief description of the actual
system. If more space is required, please provide attachment. The other application information in section 9 is only
applicable to amateur repeater station.

Amateur Repeater Station Form 4/5

RSAD/AAP-F08

2.21 Geographic Area Information

The information requested in this section pertains to the physical characteristics of the location of the apparatus.

2.22 Frequency Information

Please enter the frequency on which communications are desired.

2.22.1 Bandwidth and Emission

Please complete the necessary bandwidth and emission of the transmitter equipment. This data may not be
readily available, in which case the applicant should contact its supplier.

2.23 Coverage Information

This section requests the applicant to complete the appropriate fields depending on the type of system for which the
applicant is applying.

2.24 Antenna Information

Please provide information on the make and model of the antenna as well the technical characteristics such as the gain
(referenced to a half-wave dipole or quarter-wave whip), polarization employed (vertical, horizontal, etc), the direction from
true north of the main beam (north=360, east=90, south=180, west=270, etc) if the antenna is directional, the elevation
angle (level-0), and the height of the antenna above the ground.

2.25 Filter Information

This section is to be completed only when the applicant is planning to install any ancillary devices such as band-pass
filters, band-pass/band reject duplexers, isolator, multi-couplers, etc. in the transmission line between the
transmitter/receiver and the antenna. Please provide information on the make, model, insertion loss, and the frequency to
which the device is to be tuned. The field for the tuned frequency may be left blank. A diagram showing the system layout
from the transmitter/receiver to the input of the antenna should be included with the application to assist MCMC in
determining the system configuration. Please attach technical specifications and brochure of the equipment.

2.26 Apparatus Information

Please provide information on the make, model and serial number of the transmitter, receiver, or transceiver being
employed at the station. Included are fields requesting the transmitter output power and type approval number. Please
attach technical specifications and brochure of the equipment.

2.11 Comments / Remarks

Please provide details existing license/assignment(s) under the Communications and Multimedia Act 1998. Please enter
any comments or remarks that may assist MCMC in processing the application in an efficient manner. If required, please
provide attachments.

2.12 Certification and Signature

Please READ CAREFULLY the certification, sign and date the form where indicated, the name and I.C. number of the
signatory should be PRINTED clearly where indicated, and the business or company chop should be placed at the bottom
of the page.

Amateur Repeater Station Form 5/5