Form FCC Form 601-2.0 FCC Form 601-2.0 FCC Application for Radio Service Authorization Wireless

FCC Form 601-2.0 Data Collection

OMB Control: 3060-XXXX

Estimated Time Per Response: 0.5 hours

Not Yet Approved by OMB

Edition Date: April 2021

Initial Information

Radio Service Code

Question Text
Select a Radio Service Code

Instructions
Select the Radio Service Code for which the applicant is applying.

Purpose

Question Text
Select a Purpose (Select only one):

NE - New, MD - Modification, AM - Amendment, RO - Renewal Only, RM -

Renewal/Modification, CA - Cancellation of License, AU - Administrative Update, WD -

Withdrawal of Application

Instructions
Indicate the purpose of the application.

Call Sign

Question Text
If this application is for a Modification, Renewal Only, Renewal/Modification, Cancellation of License, or Administrative Update, enter the call sign of the existing FCC license.

Instructions
Select the call sign of the existing FCC license that this application modifies, renews, cancel or updates.

Applicant

FRN

Question Text
FRN

Instructions
Select the applicant’s ten-digit FRN which has been assigned by the Commission Registration System (CORES).

Applicant Legal Entity Type

Question Text
Legal Entity Type

Instructions
Select the legal entity type of the applicant on your profile. Profile information can be used in later applications.

Other Description

Question Text
Other Description

Instructions
When selecting ‘Other’ for the legal entity type, provide a description of the legal entity.

Applicant Entity Name

Question Text
Entity Name

Instructions
If the applicant is not an individual, add the name of the legal entity to your applicant profile. Profile information can be used in later applications.

Individual First Name

Question Text

First Name (if individual)

Instructions

If the applicant is an individual, add the individual’s name to your profile. Profile information can be used in later applications.

Individual Middle Initial

Question Text

MI

Instructions
If the applicant is an individual, add the individual’s name to your profile. Profile information can be used in later applications.

Individual Last Name

Question Text
Last Name

Instructions
If the applicant is an individual, add the individual’s name to your profile. Profile information can be used in later applications.

Individual Suffix

Question Text
Suffix

Instructions
If the applicant is an individual, add the individual’s name to your profile. Profile information can be used in later applications.

Applicant Attention To

Question Text
Attention To

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant Address Line 1

Question Text
Address 1

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant Address Line 2

Question Text
Address 2

Instructions
Enter the applicant’s address, fax number, and telephone number on your profile. Profile information can be used in later applications.

Applicant City

Question Text
City

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant State

Question Text
State

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant Zip

Question Text
Zip Code

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant Phone

Question Text
Telephone Number

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant Fax

Question Text
Fax Number

Instructions
Add the applicant’s address, fax number, and telephone number to your profile. Profile information can be used in later applications.

Applicant E-Mail Address

Question Text
E-mail Address

Instructions
Add the applicant’s e-mail address to your profile. Profile information can be used in later applications.

FCC correspondence will be sent to this email address. Failure to respond to FCC correspondence sent to the email address of record may result in dismissal of an application, liability for forfeiture, or revocation of an authorization.

Licensee Name Update

Question Text
If the Licensee name is being updated, is the update a result from the sale (or transfer of control) of the license(s) to another party and for which proper Commission approval has not been received or proper notification not provided?

Instructions
Answer, "Yes" if the new Licensee name change is due to a change in ownership, corporate structure or entity. If you answer this item as "Yes", you must file an application for an Assignment of Authorization or a Transfer of Control before any modifications can be done to the license. Otherwise, answer, "No" and continue.

Real Party in Interest

RPI FRN

Question Text
FCC Registration Number (FRN) of Real Party in Interest

Instructions
Enter the ten-digit FRN assigned by the Commission Registration System (CORES) for the Real Party in Interest. If the applicant is also the real party in interest, enter the applicant’s FRN. If a party other than the applicant is the real party in interest (e.g., a parent or other controlling entity), enter that party's FRN. If there is more than one real party in interest, attach an exhibit detailing all parties in interest.

Applicant Real Party in Interest

Question Text
Name of Real Party in Interest of Applicant (if different from Applicant)

Instructions
This field is populated with the CORES name associated with the Real Party in Interest FRN.

Point of Contact

Contact First Name

Question Text
First Name

Instructions

Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Middle Initial

Question Text
MI

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Last Name

Question Text
Last Name

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Suffix

Question Text
Suffix

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Company

Question Text
Company Name

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact ATTN

Question Text
Attention to

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Address Line 1

Question Text
Address 1

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Address Line 2

Question Text
Address 2

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact City

Question Text
City

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact State

Question Text
State

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Zip

Question Text
Zip

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Phone

Question Text
Telephone Number

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Fax

Question Text

Fax

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Contact Email

Question Text
E-mail Address

Instructions
Enter the point of contact’s name, address, telephone number, fax number and email address on your profile. Profile information can be used in later applications.

If there is a question about the application, an FCC representative will communicate with the applicant’s contact representative. The contact representative may be the applicant, headquarters offices of a large company, the law firm or other representative of the applicant, or the person or company that prepared or submitted the application on behalf of the applicant.

Demographics

Applicant Demographics Race

Question Text
Race: American Indian or Alaska native, Asian, Black or African- American, Native Hawaiian or Other Pacific Islander, White

Instructions
Select the race of the applicant. This information is optional and is requested for informational purposes only. Responses to this item will in no way affect the processing of applications.

Applicant Demographics Ethnicity

Question Text
Ethnicity: Hispanic or Latino, Not Hispanic or Latino

Instructions
Select the ethnicity of the applicant. This information is optional and is requested for informational purposes only. Responses to this item will in no way affect the processing of applications.

Applicant Demographics Gender

Question Text
Gender: Male, Female

Instructions
Select the gender of the applicant. This information is optional and is requested for informational purposes only. Responses to this item will in no way affect the processing of applications.

General Information

STA

Question Text
Apply for a new STA

Instructions
Indicate if the application is for a Special Temporary Authorization (STA). If the application is for an STA, attach an exhibit with a description of the nature of the extraordinary circumstance, equipment to be used, type of operation to be conducted, and an explanation of how the facilities will be used, times and dates of operation.

Emergency STA

Question Text
Is the application for a Special Temporary Authority (STA) due to an emergency situation?

Instructions
If you are requesting a Special Temporary Authority (STA) due to an emergency or other urgent condition, select ‘Yes’ and attach an exhibit describing the emergency. Otherwise select ‘No’. Refer to Rule 1.915 for an explanation of situations considered to be an emergency.

Regulatory Status

Question Text
Regulatory Status: C (Common Carrier), N (Non-Common Carrier), P (Private, Internal Communication), B (Broadcast Svcs), BM (Band Manager)

Instructions
Select all types of radio service offerings that apply. Note: Broadcast Services is for the direct dissemination to the public. File an Modification (MD) purpose application to change or add radio service offerings...

Type of Radio Service

Question Text
Type of radio service:

F (Fixed), M (Mobile), R (Radiolocation), S (Satellite), B (Broadcast Svcs)

Instructions
Select all types of radio services, as applicable. Note: Broadcast Services is for the direct dissemination to the public.

Interconnection

Question Text
Does the Applicant propose to provide service interconnected to the public telephone network?

Instructions
If the applicant plans to provide interconnected service to the public switched telephone network as defined in the FCC rules select ‘Yes’. Otherwise, select ‘No’.

Application Fee Exempt

Question Text
Is the applicant exempt from FCC application fees?

Instructions
If the applicant is exempt from FCC application fees select ‘Yes’. Otherwise, select ‘No’. An attachment is required for any ‘Yes’ response.

Rule Waiver

Question Text
Does this application include a request for a Waiver of the Commission's Rule(s)?

Instructions
If the filing is a request for a waiver of the Commission’s Rules, enter ‘Yes’ and attach an exhibit that lists the rule section(s) of the affected rules and explains the circumstances. Otherwise, enter ‘No’.

Number of Waived Rules

Question Text
Total number of rule sections involved in this waiver request.

Instructions
Enter the number of rule sections for the fee calculation. Do not enter the Rule Section, only the number of Rule Section(s).

Alien Ownership and Basic Qualifications

Foreign

Question Text

Is the applicant a foreign government or the representative of any foreign government?

Instructions

Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether an applicant is eligible under § 310(a) and (b) of the Communications Act of 1934, as amended, to hold a station license. The FCC cannot grant an authorization to a foreign government or the representative of a foreign government. Therefore, if the true and correct answer this item is ‘Yes’, the applicant is not eligible to hold a license and the FCC will dismiss the application, if filed, without further consideration.

Alien

Question Text
Is the applicant an alien or the representative of an alien?

Instructions

Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether an applicant is eligible under § 310(a) and (b) of the Communications Act of 1934, as amended, to hold a station license. The FCC cannot grant an authorization to provide common carrier or aeronautical en route service to any applicant for which the true and correct answer to this item is ‘Yes’ Any applicant that answers ‘Yes’ must provide an attachment explaining why the requested license(s) is exempt from the prohibitions contained in Section 310(b)(1)-(2) of the Communications Act, 47 U.S.C. § 310(b)(1)-(2). The FCC will otherwise dismiss the application without further consideration.

Foreign Organized

Question Text
Is the applicant a corporation organized under the laws of any foreign government?

Instructions

Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether an applicant is eligible under § 310(a) and (b) of the Communications Act of 1934, as amended, to hold a station license. The FCC cannot grant an authorization to provide common carrier or aeronautical en route service to any applicant for which the true and correct answer to this item is ‘Yes’. Any applicant that answers ‘Yes’ must provide an attachment explaining why the requested license(s) is exempt from the prohibitions contained in Section 310(b)(1)-(2) of the Communications Act, 47 U.S.C. § 310(b)(1)-(2). The FCC will otherwise dismiss the application without further consideration.

One-Fifth Alien

Question Text
Is the applicant a corporation of which more than one-fifth of the capital stock is owned of record or voted by aliens or their representatives, or by a foreign government or representative thereof, or by any corporation organized under the laws of a foreign country?

Instructions
Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether an applicant is eligible under § 310(a) and (b) of the Communications Act of 1934, as amended, to hold a station license. Enter ‘Yes’ if the applicant is a corporation of which more than one-fifth of the capital stock is owned of record or voted by aliens or their representatives, or by a foreign government or representative thereof, or by any corporation organized under the laws of a foreign country. Otherwise, enter ‘N0’. If the answer is ‘Yes’, and if the requested license(s) would allow for the provision of a common carrier service, it is necessary for the applicant to have or obtain Commission approval. See 47 CFR § 1.990(a)(2). If the answer is ‘Yes’, and if the requested license(s) would allow for the provision of aeronautical en route service, the applicant must provide an attachment explaining why the requested license(s) is exempt from the prohibitions contained in Section 310(b)(3) of the Communications Act, 47 U.S.C. § 310(b)(3).

One-Fourth Alien

Question Text
Is the applicant directly or indirectly controlled by any other corporation of which more than one-fourth of the capital stock is owned or record or voted by aliens or their representatives, or by a foreign government or representative thereof, or by any or by any corporation organized under the laws of a foreign country?

Instructions

Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether an applicant is eligible under § 310(a) and (b) of the Communications Act of 1934, as amended, to hold a station license. Enter ‘Yes’ if the applicant is directly or indirectly controlled by any other U.S.-organized entity of which more than one-fourth of the capital stock is owned of record or voted by aliens or their representatives, or by a foreign government or representative thereof, or by any corporation organized under the laws of a foreign country. Otherwise, enter ‘No’. If the answer is ‘Yes’, and if the requested license(s) would allow for the provision of a common carrier or aeronautical en route service, it is necessary for the applicant to have or obtain Commission approval of the foreign ownership of its direct and/or indirect controlling U.S.-organized parent company(ies) pursuant to Section 310(b)(4) of the Communications Act of 1934, 47 U.S.C. § 310(b)(4). See 47 CFR § 1.990(a)(1); Foreign Ownership Second Report and Order, 28 FCC Rcd at 5759-5763, ¶¶ 30-37. If the requested license(s) would allow for the provision of a common carrier service, any applicant that answers ‘Yes’ to this item must provide an attachment consisting of one of the showings specified below.

Alien Exemption or Declaratory Ruling

Question Text
If the answer to either of the previous two questions (51-one-fifth alien, 52-one-fourth alien) is 'Yes' select one of the choices below:

- The applicant is exempt from the provisions of Section 310(b).

- The applicant has received a declaratory ruling(s) approving its foreign ownership, and the application involves only the acquisition of additional spectrum for the provision of a wireless service in a geographic coverage area for which the applicant has been previously authorized.

- The applicant: (i) has received a declaratory ruling(s) approving its foreign ownership, but is not able to make the certification specified immediately above; or (ii) is an “affiliate” of a licensee or lessee/sublessee that received a declaratory ruling(s) under

47 CFR § 1.990(a) and is relying on the affiliate’s ruling for purposes of filing this application as permitted under the affiliate’s ruling and 47 CFR § 1.994(b).

- The applicant has not received a declaratory ruling approving its foreign ownership and is requesting a declaratory ruling under 47 CFR § 1.990(a) in a petition filed contemporaneously with the Commission.

Instructions
Any applicant that has answered either of the preceding questions as 'Yes' indicating they are a corporation of which more than one-fifth of the capital stock is owned of record or voted by aliens or one-fourth of the capital stock is owned of record or voted by aliens is required to respond to this item. This information will be saved to your profile which can be used in later applications.

This item enables the FCC to determine whether the applicant has attached to its application the appropriate foreign ownership showing required by the Commission’s Foreign Ownership Second Report and Order, IB Docket No. 11-133, FCC 13-50, and the foreign ownership rules adopted in that Order, 47 CFR §§ 1.990-1.994.

Revoked

Question Text
Has the applicant or any party to this application had any FCC station authorization, license, or construction permit revoked or had any application for an initial, modification or renewal of FCC station authorization, license, or construction permit denied by the Commission?

Instructions
Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

If the answer to this basic qualification questions is ‘Yes’, attach as an exhibit a statement explaining the circumstances and a statement giving the reasons why the applicant believes that grant of the application would be in the public interest notwithstanding the actual or alleged misconduct. If the applicant responds ‘Yes’ to this question and has previously provided a statement and explanation regarding the circumstances as an attachment to a prior application filed in ULS, and the facts and circumstances are unchanged, the applicant may refer to the previous application by identifying the application file number and indicating the disposition of the prior application.

Felony

Question Text
Has the applicant or any party to this application, or any party directly or indirectly controlling the applicant, ever been convicted of a felony by any state or federal court?

Instructions
Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

If the answer to this basic qualification questions is ‘Yes’, attach as an exhibit a statement explaining the circumstances and a statement giving the reasons why the applicant believes that grant of the application would be in the public interest notwithstanding the actual or alleged misconduct. If the applicant responds ‘Yes’ to this question and has previously provided a statement and explanation regarding the circumstances as an attachment to a prior application filed in ULS, and the facts and circumstances are unchanged, the applicant may refer to the previous application by identifying the application file number and indicating the disposition of the prior application.

Monopoly

Question Text
Has any court finally adjudged the applicant or any party directly or indirectly controlling the applicant guilty of unlawfully monopolizing or attempting unlawfully to monopolize radio communication, directly or indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement, or any other means or unfair methods of competition? If the answer to any of the basic qualification questions is ‘Yes’, attach an exhibit explaining the circumstances."

Instructions
Respond to this question if this application is for a New, Amendment, Modification, Renewal or Renewal/Modification; and the answers have changed from those previously provided. This information will be saved to your profile which can be used in later applications.

If the answer to this basic qualification questions is ‘Yes’, attach as an exhibit a statement explaining the circumstances and a statement giving the reasons why the applicant believes that grant of the application would be in the public interest notwithstanding the actual or alleged misconduct. If the applicant responds ‘Yes’ to this question and has previously provided a statement and explanation regarding the circumstances as an attachment to a prior application filed in ULS, and the facts and circumstances are unchanged, the applicant may refer to the previous application by identifying the application file number and indicating the disposition of the prior application.

Ownership and Qualifications Certification

Question Text
The applicant certifies that all statements made in this section and in the exhibits, attachments, or documents incorporated by reference are material, true, complete, and made in good faith.

Instructions
Check the box to certify that the responses to the Alien Ownership and Basic Qualification questions are material, true, complete, and made in good faith.

Multichannel Programming

Question Text
Will the requested facilities be used to provide multichannel video programming service?

Instructions
Select ‘Yes’ if the requested Broadband Radio Service facilities will be used to provide multichannel video programming service. Otherwise select ‘No’. This item enables the FCC to determine whether an Applicant has complied with 47 CFR § 27.1202

Attributable Interest

Question Text
If the answer to the previous question, 57-Multichannel Programming is 'Yes', does the Applicant operate, control or have an attributable interest (as defined in 47 CFR 27.1202) in a cable television system whose franchise area is located within the geographic service area of the requested facilities?

Instructions
If the he applicant operates, controls or has an attributable interest (as defined in 47 CFR 27.1202) in a cable television system whose franchise area is located within the geographic service area of the requested facilities select ‘Yes’ and attach an exhibit explaining how the Applicant complies with 47 CFR § 27.1202 or request a waiver of that rule. Otherwise, select ‘No’.

Market and Channel Block

Market Type

Question Text
Market Type

Instructions
Select the requested geographic licensing scheme from the drop-down menu.

Market Designator

Question Text
Market Designator

Instructions
Select the requested market(s) from the drop-down menu.

Channel Block - Frequency Range

Question Text
Channel Block

Instructions
Select the requested channel block(s)/frequency range(s) from the drop-down menu.

Geographic Service Area

Question Text
Select Entire Market Area or Partial Market Area

Instructions
Indicate if the application is for the entire selected market(s) or a portion of the selected market(s),

Geographic Service Area Shape

Question Text
Shape File: Please upload a .zip file

Instructions
If the application is for a portion of the selected markets, upload a shape file of the geographic service area. The shapefile must contain all markets selected and is limited to those market areas.

Certifications and Signature

General Certifications

Question Text
1) The applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and requests an

authorization in accordance with this application.

2) The applicant certifies that grant of this application would not cause the Applicant to be in violation of any pertinent cross-ownership or attribution rules.*

*If the applicant has sought a waiver of any such rule in connection with this application, it may make this certification subject to the outcome of the waiver request.

3) The applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith.

4) The applicant certifies that neither the applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to § 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under § 1.2002(c) of the rules, 47 CFR § 1.2002(c). See 47 CFR § 1.2002(b) for the definition of "party to the application"; as used in this certification.

5) The applicant certifies that it either (1) has current required ownership data on file with the Commission, (2) is filing updated ownership data simultaneously with this application, or (3) is not required to file ownership data under the Commission's Rules.

6) The applicant certifies that the facilities, operations, and transmitters for which this authorization is hereby requested are either: (1) categorically excluded from routine environmental evaluation for RF exposure as set forth in 47 CFR § 1.1307(b); or, (2) have

been found not to cause human exposure to levels of radiofrequency radiation in excess of the limits specified in 47 CFR §§ 1.1310 and 2.1093; or, (3) are the subject of one or more Environmental Assessments filed with the Commission.

7) The applicant certifies that it has reviewed the appropriate Commission Rules defining eligibility to hold the requested license(s) and is eligible to hold the requested license(s).

8) The applicant certifies that it is not in default on any payment for Commission licenses and that it is not delinquent on any non-tax debt owed to any federal agency.

9) The applicant certifies that the Applicant and all of the related individuals and entities required to be disclosed on this application and FCC Form 602 (FCC Ownership Disclosure Information for the Wireless Telecommunications Services) are not person(s) who have been, for reasons of national security, barred by any agency of the Federal Government from bidding on a contract, participating in an auction, or receiving a grant. This certification applies only to applications for licenses for spectrum that is required by Sections 6103, 6401-6403 of the Middle Class Tax Relief and Job Creation Act of 2012, codified at 47 U.S.C. §§ 309, 1413, 1451-1452, to be assigned by a system of competitive bidding under 47 U.S.C. § 309(j).

Instructions
By signing this form, the applicant certifies that the statements listed in this section are true, complete, correct, and made in good faith. General Certification (9) is required for applications for licenses for spectrum that is required by Sections 6103, 6401-6403 of the Middle Class Tax Relief and Job Creation Act of 2012, codified at 47 U.S.C. §§ 309, 1413, 1451-1452, to be assigned by a system of competitive bidding under 47 U.S.C. § 309(j) (e.g., radio service AH (AWS-H Block at 1915-1920 MHz and 1995-2000 MHz), radio service AT (AWS-3, 1695-1710 MHz, 1755-1780 MHz and 2155-2180 MHz), and radio service WT (600 MHz Band)). For purposes of this certification, the term “reasons of national security” means matters relating to the national defense and foreign relations of the United States.

Signature First Name

Question Text
First Name

Instructions
Applications and amendments must be signed in accordance with Part 1 of the FCC rules. The signor must be a person authorized to sign the application. For interactive ULS-2.0 filings, the electronic signature shall consist of the signor’s name typed on the application as a signature.

Signature Middle Initial

Question Text
MI

Instructions
Applications and amendments must be signed in accordance with Part 1 of the FCC rules. The signor must be a person authorized to sign the application. For interactive ULS-2.0 filings, the electronic signature shall consist of the signor’s name typed on the application as a signature.

Signature Last Name

Question Text
Last Name

Instructions
Applications and amendments must be signed in accordance with Part 1 of the FCC rules. The signor must be a person authorized to sign the application. For interactive ULS-2.0 filings, the electronic signature shall consist of the signor’s name typed on the application as a signature.

Signature Suffix

Question Text
Suffix

Instructions
Applications and amendments must be signed in accordance with Part 1 of the FCC rules. The signor must be a person authorized to sign the application. For interactive ULS-2.0 filings, the electronic signature shall consist of the signor’s name typed on the application as a signature.

Signature Title

Question Text
Title

Instructions
Applications and amendments must be signed in accordance with Part 1 of the FCC rules. The signor must be a person authorized to sign the application. For interactive ULS-2.0 filings, the electronic signature shall consist of the signor’s name typed on the application as a signature.

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