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BTRC Application form

The document is an application form for a radio communication apparatus license submitted by Abu Bakkar Sidique for communication among volunteers in the Mahfil area of Bangladesh. It includes details about the applicant, equipment specifications, and terms and conditions for using wireless equipment. The applicant certifies the accuracy of the information provided and agrees to comply with the licensing conditions set by the Bangladesh Telecommunication Regulatory Commission (BTRC).

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Mohammad Anwar Shikdar
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38 views

BTRC Application form

The document is an application form for a radio communication apparatus license submitted by Abu Bakkar Sidique for communication among volunteers in the Mahfil area of Bangladesh. It includes details about the applicant, equipment specifications, and terms and conditions for using wireless equipment. The applicant certifies the accuracy of the information provided and agrees to comply with the licensing conditions set by the Bangladesh Telecommunication Regulatory Commission (BTRC).

Uploaded by

Mohammad Anwar Shikdar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bangladesh Telecommunication Regulatory Commission (BTRC)


Application Form for License of Radio Communication Apparatus
1. Name of Applicant: ABU BAKKAR SIDIQUE
2. Present Postal Address: Char Dakkhin Bari Sonapur, Post: Sonapur, P.S: Baliakandi, Dist: Rajbari.
3. Name of Contact Person: Md. Shahab Uddin Qureshi Designation: ………… ….
Mobile: +880-1711-942758 Telephones: N/A, Fax: N/A E-mail: [email protected]
4. Nationality: Bangladeshi (By Birth).
5. Name and Address of Local Agent: Shanto Electronics Works & Telecommunication, Dhaka.
6. Purpose of License: For communication between volunteers’ for performing duties in the Mahfil area.
7. If Frequency Allocated, Please Mentioned: N/A.
8. Equipment information, Class of station (Please tick): Fixed/Base/Repeater/Land Mobile/√Walkie- Talkie/ Satellite
Phone/SNG/DSNG/TerrestrialTV/VSAT/Amateur/Paging/Trunking/SST/ISM/Data/ Broadband /Broadcast/Radar/
Telemetry/Cordless/Other (Vehicular Radio).
9. Equipment Information:

Sl No Class of Station Type/Model of Tx/Rx No of Sets Frequency Range Power output, W, Class of Modulation
with Manufacturer Name From To Mw, dbm emission

01. SBR Brand Walkie Talkie Aircom (SBR Brand)


Color Walkie Talkie, 245 MHz 246 MHz 1 Watt F3E FM
model: AC 379L range
02.

03.

10. Equipment Information:

Sl No Simplex/ XTL/ Source of B/W or TX/RX Type of Antenna Antenna Height of Minimum
Duplex Synthesized Power, Bat/ Chl Separation Antenna Polarizati gain (dbi) Antenna code speed
Gen Spacing on V/H from Sea for Amateur
level
01. Simplex Synthesized Battery 2.5 KHz - Omni V 0dBi N/A N/A
02.
03.

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

Sl No Exact location of the station Class of Latitude Longitude Azimuth Remarks


with postal address Station for Point
to Point
D M S D M S Link
01. Char Dakkhin Bari SBR Brand Walkie N/A
Sonapur, Post: Sonapur, Talkie
P.S: Baliakandi, Dist:
Rajbari.

P.T.O
P a g e | 02
8. 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).

9. 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/Land Mobile/√Walkie-Talkie/ Satellite phone/ SNG/
DSNG/TerrestrialTV/VSAT/Amateur/Paging/Trunking/SST/ISM/Data/Broadband/Broadcast/Radar/
Telemetry/Cordless/Others (indicate)...............

10. 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 Counter signed by
(seal) (seal) (seal)

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