Detail

Back to Revised Laws of Saint Lucia (2023)

Back to Table of Contents

Schedule 6

(Regulation 9(a))

FORM 1

Class Licence(s) Application Form – Type B Service

Under section 32 of the Telecommunications Act, Cap. 8.11

[ECTEL Member State]

Name of Applicant:________________________________

Type of Application: ⁭ New Application

⁯ Application to Modify/Amend an Existing Licence

⁭ Application to Renew Licence

Please tick (Ö) the licence that is being applied for:

Amateur Radio Licence

Citizen's Band Radio Licence

National Telecommunications Regulatory Commission

[NTRC Address]

[ECTEL Member State]

Guidance Notes

• This application form can be used for first issue and renewal of licences.

• Three (3) copies of the completed application form should be submitted in an envelope clearly marked “Telecommunications Class Licence Application” addressed to the Secretary of the [Commission], [address]

• The completed application form must be accompanied by a fee of Twenty-five Eastern Caribbean Dollars (EC$ 25.00), per licence, payable to the National Telecommunications Regulatory Commission, [Country]

• For renewal of licence(s), please attach a copy of the present or existing licence to completed application form.

Two (2) passport-sized photographs should be attached.

Documentary proof that applicant has passed the Radio Amateur

Examination must be enclosed.

For questions or sections that are not applicable, write “NOT APPLICABLE” in bold or in print.

Please note that any word, phrase or expression used herein shall have the same meaning as it has in the Telecommunications Act, Cap. 8.11.

• Applications should include schematic of the network where applicable

• Copies of technical details of equipment and approval certificates may be requested. (Photocopies of technical specifications of equipment should be attached)

1. PART 1 – The Applicant

(Please complete fully in type or block letters)

1.1 Contact Details

1.1.1 Name of applicant:

______________________________________________

1.1.2 Address of applicant:

Home/Business Address Postal Address

______________________________________________

1.1.3 Telephone number:

______________________________________________

1.1.4 Fax Number: ______________________________________

1.1.5 Email address: _____________________________________

1.1.6 Date of Birth: _____________Age on last birthday: ____________

1.1.7 Nationality _______________________________________

1.1.8 Registration Number of Identification Card (if applying for a renewal: ________________________________________

1.1.9 Passport Number: ___________________________________

1.1.10 Occupation: _______________________________________

2 PART II - Licence Details

2.1 Select as appropriate

⁯New Licence ⁯ Equipment Upgrade/Replacement

⁯Renewal ⁯ Class Upgrade

⁯Visitor

2.2 Licence No.¹ __________________________________________

2.3 Handle/Call Sign² _______________________________________

2.4 Place of Issue: _________________________________________

2.5 Date of Issue: _________________________________________

3 PART III – Technical Details

3.1 Do you own or have in your possession telecommunications equipment to engage in amateur radio operations and/or citizen band radio operations?

⁭ YES ⁭ NO

If YES, answer all sections within this Part. If NO, go to Part IV.

3.2 Details of Communication Equipment:

(please attach copies of technical specifications of equipment)

3.2.1 MOBILE

(In the event that you have more than 4 (four) mobile radios please photocopy this table or request a copy from NTRC to include the additional radios.)

	1	2	3	4
Transmit Power (W)
Band width (MHz)
Antenna Gain (dBi)
Polarization
Bands to be used
Radio Make and Model
TX Low Frequency Limit
TX High Frequency Limit
RX Low Frequency Limit
RX High Frequency Limit

__________________

1 For Renewal of licence

2 For Renewal of licence

Ant. Make and Model
Ant. EiRP (dBm)
Ant. Low limit Frequency
Ant. High limit Frequency
Ant. Type
Ant. Gain (dBi)
Polarization

3.2.2 BASE/FIXED STATIONS AND REPEATERS (If Applicable)

3.2.2.1 Site

(Indicate at the top of the columns whether the data refers to a Base station or a Repeater)

	1	2	3	4
Base Station or Repeater
Station Name/Location
Longitude
Latitude

3.2.2.2 Antenna

Ant. Make and Model
Ant. EiRP (dBm)
Ant. Low limit Frequency
Ant. High limit Frequency
Ant. Type
Ant. Gain (dBi)
Polarization

3.2.2.3 Equipment

(Indicate at the top of each column base station or repeater as appropriate)

Base Station/Repeater
Make and Model
TX Low Frequency Limit
TX High Frequency Limit
RX Low Frequency Limit
RX High Frequency Limit

3.2.2.4 Station

(Indicate at top of column “base station or repeater”)

Base Station/Repeater
Station ERP
Station TX Power
Stations Antenna height
Band width Frequency
Number of Channels

3.3 Additional Equipment and Supplementary Information

Details of additional equipment, especially, custom-built equipment and their purpose of use:

______________________________________________________

______________________________________________________

______________________________________________________

Note: For custom-built equipment, photographs may be requested.

Please furnish any other details and supplementary information:

______________________________________________________

______________________________________________________

______________________________________________________

4 PART IV - DECLARATION³

(Delete the option that does NOT apply)

(Delete the option that does NOT apply)

On behalf of the applicant, I declare that the information provided is accurate and complete in all respects.

Signed

______________________________________________________

Full name of signatory: Position held:

_______________________ _______________________

Date: ______________________________________________

FOR OFFICIAL USE ONLY:

Examination Required:

⁭ YES ⁭ NO

Examination Details (If Applicable)

Call Sign Issued:	Date:
Signed

³This declaration must be signed:

(a) in the case of an individual, by the person in whose name the application is made;

(b) in the case of a sole proprietorship, by the sole proprietor, or

(d) in the case of a company or other body corporate, by a director, company secretary or other authorized officer signed.

FORM 2

Class Licence(s) Application Form - Type B Service

Under section 32 of the Telecommunications Act, Cap. 8.11

[ECTEL Member State]

Name of Applicant:_________________________________________

Type of Application: ⁭ New Application

⁯ Application to Modify/Amend an Existing Licence

⁯ Application to Renew Licence

Please tick (Ö) the licence that is being applied for:

⁯ Aeronautical Mobile Radio Licence

⁯ Land Mobile Radio Licence

⁯ Maritime Mobile Radio Licence

National Telecommunications Regulatory Commission

[NTRC ADDRESS]

[ECTEL Member State]

Guidance Notes

• This application form can be used for first issue and renewal of licences.

• The completed application form must be accompanied by a fee of Two Hundred Eastern Caribbean Dollars (EC$200.00), per licence, payable to the National Telecommunications Regulatory Commission, [Country]

• For renewal of licence(s), please attach a copy of the present or existing licence to completed application form.

• For questions or sections that are not applicable, write “NOT APPLICABLE” in bold or in print.

• Please indicate which, if any, information provided by the applicant in this application is confidential.

• Please note that any word, phrase or expression used herein shall have the same meaning as it has in the Telecommunications Act 2000.

• Applications should include schematic of the network where applicable

• Copies of technical details of equipment and approval certificates may be requested. (Photocopies of technical specifications of equipment should be attached).

1. PART 1 – The Applicant

(Please complete fully in type or block letters)

1.1 Contact Details

1.1.1 Name and address of applicant ___________________________

1.1.2 Address of Applicant:

Business/Home Address Postal Address:

1.1.3 Licence No: - _____________________________________.

1.1.4 Designated contact person: ______________________________

1.1.5 Telephone number: ___________________________________

1.1.6 Fax Number: ______________________________________

1.1.7 Email address: _____________________________________

1.1.8 Website: _________________________________________

1.1.9 State whether the licence is required for a (registered) business:

[ ] YES [ ] NO

If YES answer (a) and (b) below if NO proceed to question 1.1.10
1. (a) State whether the applicant is a company, partnership, sole proprietorship
1. __________________________________________
1. (b) Business's registration number. (Please supply a copy of the Business Registration Certificate and/or Certificate of Incorporation):
1. __________________________________________

1.1.10 If a licence is being applied for personal use, please answer the following questions:

Date of Birth: ____________Age on last birthday: ____________

Nationality _______________________________________

Registration Number of Identification Card: ___________________

Passport Number: ___________________________________

Occupation: _______________________________________

2. PART II - Licence Details

2.1 Select as appropriate

⁭ New Licence ⁯ Equipment Upgrade/Replacement

⁭ Renewal

2.2 Licence No.1 ______________________________________

2.3 Place of Issue: _____________________________________

2.4 Date of Issue: ______________________________________

3. PART III – Technical Details

3.1 Frequency Band:-

LF - Low Frequency VHF - Very High Frequency

MF - Medium Frequency UHF - Ultra High Frequency

HF - High Frequency SHF - Super High Frequency

EHF - Extra High Frequency

3.2 Class of Station:-

Aeronautical Mobile Radio

Land Mobile Radio

Maritime Mobile Radio

3.3 Details of Communication Equipment:

3.3.1 MOBILE

(In the event that you have more than 4 (four) mobile radios please photocopy this table or request a copy from NTRC to include the additional radios.)

	1	2	3	4
Transmit Power (W)
Band width (MHz)
Antenna Gain (dBi)
Polarization
No: of channels (indicate simplex or duplex)
General Area of Use
Radio Make and Model
TX Low Frequency Limit
TX High Frequency Limit
RX Low Frequency Limit
RX High Frequency Limit
Ant. Make and Model
Ant. EiRP (dBm)
Ant. Low limit Frequency
Ant. High limit Frequency
Ant. Type

3.3.2 BASE/FIXED STATIONS AND REPEATERS (If Applicable)

3.3.2.1 Site

(Indicate at top of columns Base station or Repeater)

Base Station or Repeater	1	2	3	4
Station Name/Location
Longitude
Latitude

3.3.2.2 Antenna

(Indicate at top of columns Base station or Repeater)

Base Station/Repeater
Ant. Make and Model
Ant. EiRP (dBm)
Ant. Low limit Frequency
Ant. High limit Frequency
Ant. Type
Ant. Gain (dBi)
Polarization

3.3.2.3 Equipment

(Indicate at top of columns Base station or Repeater)

Base Station/Repeater
Make and Model
TX Low Frequency Limit TX High Frequency Limit
RX Low Frequency Limit
RX High Frequency Limit

3.3.2.4 Station

(Indicate at top of columns Base station or Repeater)

Base Station/Repeater
Station ERP
Station TX Power
Stations Antenna height
Band width Frequency
Number of Channels

3.4 Frequencies requested

Specific Frequency/Frequencies Required: ________________________

Nature of Service: _______________________________________

Number of Channels Required: Simplex __________ Repeater _________

Voice: ___________ VFT2:_________ Data: ______ Others: ______

Details of Communication Points:-

(If this space is not sufficient, please use extra paper to indicate the stations)

Type of Station	Location of Station or/Registration No. of Vehicle/Boat/Aircraft	Number of Units	Call Sign
Base/Fixed
Mobile
Portable / Handheld
Repeater Any Other Equipment

Name and address of the manufacture of Equipment:

___________________________________________________

PART IV - DECLARATION1

(Delete the option that does NOT apply)

On behalf of the applicant, I declare that the information provided is accurate and complete in all respects.

Signed _____________________________________________

Full name of signatory:__________________ Position held:__________

Date:-___________________________

______________________

²VFT-Voice Frequency Telegraphy

³This declaration must be signed:

(a) in the case of an individual, by the person in whose name the application is made;

(b) in the case of a sole proprietorship, by the sole proprietor, or

(d) in the case of a company or other body corporate, by a director, company secretary or other authorised officer.

FORM 3

Class Licence(s) Application Form – Type B Service

Under section 32 of the Telecommunications Act, Cap. 8.11

[ECTEL Member State]

Name of Applicant: _________________________________________

Type of Application: ⁯ New Application

⁭ Application to Modify/Amend an Existing Licence

⁭ Application to Renew Licence

Please tick (Ö) the licence that is being applied for:

⁯ Family Radio Service Licence

National Telecommunications Regulatory Commission

[NTRC ADDRESS]

Guidance Notes

This application form can be used for first issue and renewal of licences.

Three (3) copies of the completed application form should be submitted in an envelope clearly marked “Telecommunications Class Licence Application” addressed to the Secretary, National Telecommunications Regulatory Commission, [NTRC ADDRESS]

The completed application form must be accompanied by a fee of Twenty-five Eastern Caribbean Dollars (EC$25.00), per licence, payable to the National Telecommunications Regulatory Commission, [ECTEL Member State].

For renewal of licence(s), please attach a copy of the present or existing licence to completed application form.

For questions or sections that are not applicable, write “NOT APPLICABLE” in bold or in print.

• Photocopies of the technical specifications of the equipment must be furnished.

• Please note that any word, phrase or expression used herein shall have the same meaning as it has in the Telecommunications Act, Cap. 8.11.

1. PART 1 – The Applicant

(Please complete fully in type or block letters)

1.1 Contact Details

Name of applicant: ______________________________________

1.1.1 Address of applicant:

Home/Business Address Postal Address

1.1.2 Telephone number: __________________________________

1.1.3 Fax Number: ______________________________________

1.1.4 Email address: _____________________________________

1.1.5 Date of Birth: _______________Age on last birthday: __________

1.1.6 Nationality _______________________________________

1.1.7 Registration Number of Identification Card: ___________________

1.1.8 Passport Number: ___________________________________

1.1.9 Occupation: _______________________________________
Make Model Serial No Type Approval
Agency Reference No

1.1.10 Number of FRS units: _________________________________

1.1.11 Frequencies and/or number of channels on each unit: ______________

______________________________________________

1.1.12 Purpose for which the units will be used:

______________________________________________

______________________________________________

______________________________________________

2 PART II – Technical Details

2.1 Do you own or have in your possession telecommunications equipment to engage in amateur radio operations and/or citizen band radio operations?

⁭ YES ⁯ NO

If YES, answer all sections within this Part. If NO, go to Part III.

2.2 Details of Communication Equipment:

2.2.1 MOBILE

	1	2	3	4
Transmit Power (dBm)
Band width (MHz)
Antenna Gain (dBi)
Polarization
No: of channels (indicate simplex or duplex)
General Area of Use

PART III - DECLARATION1

(Delete the option that does NOT apply)

On behalf of the applicant, I declare that the information provided is accurate and complete in all respects.

Signed _____________________________________________

Full name of signatory:______________ Position held: _____________

Date:-______________________________________________

__________________

¹This declaration must be signed:

(a) in the case of an individual, by the person in whose name the application is made;

(b) in the case of a sole proprietorship, by the sole proprietor, or

(d) in the case of a company or other body corporate, by a director, company secretary or other authorized officer.

FORM 4

Class Licence(s) Application Form – Type B Service

Under section 32 of the Telecommunications Act, Cap. 8.11

[ECTEL Member State]

Name of Applicant: __________________________________________

Type of Application: ⁭ New Application

⁭ Application to Modify/Amend an Existing Licence

⁯ Application to Renew Licence

Please tick (Ö) the licence that is being applied for:

⁭ Aircraft Station Radio Licence

[ECTEL Member State]

National Telecommunications Regulatory Commission

[NTRC ADDRESS]

Guidance Notes

• This application form can be used for first issue and renewal of licences.

• Three (3) copies of the completed application form should be submitted in an envelope clearly marked “Telecommunications Class Licence Application” addressed to the Secretary, National Telecommunications Regulatory Commission, [NTRC ADDRESS].

• For questions or sections that are not applicable, write “NOT APPLICABLE” in bold or in print.

• For renewal of licence(s), please attach the following documents to the completed application form:

A copy of the present or existing

• Aircraft Station Radio Licence,

• Equipment Installation Certificate

• Radio Operator's Certificate

• Ship's Registration Certificate issued by the Registrar of Ships.

1. PART I – AIRCRAFT DETAILS

1.1 Name of aircraft: ____________________________________

1.2 Country of registration: ________________________________

1.3 Name of the owner: __________________________________

1.4 Address of owner: ___________________________________

Home/Business Address Postal Address

1.5 Name of Agent: ____________________________________

1.6 Address of the Agent: _________________________________

Home/Business Address Postal Address

1.7 Name of Accounting Authority: ___________________________

1.8 Address of Accounting Authority: _________________________

Home/Business Address Postal Address

1.9 Accounting Authority Identification Code: ____________________

1.10 Class of aircraft: ____________________________________

1.11 Gross Tonnage: ____________________________________

1.12 Size of aircraft: ____________________________________

1.13 Distance of operation from nearest land mass: __________________

2 PART II – DETAILS OF PRESENT AIRCRAFT STATION LICENCE

(Certified copy of the aircraft station license should be attached)

2.1 Call Sign: ________________________________________

2.2 MMSI/DSC Number: _________________________________

2.3 Inmarsat ID: _______________________________________

2.4 Country of Issue: ____________________________________

2.5 Country of Registration: _______________________________

2.6 Period of Validity: __________________________________

2.7 Public Correspondence Category: _________________________

2.8 Supplemental Information: ______________________________

______________________________________________

______________________________________________

3.4 Details of Radio Operator's Certificates ______________________

______________________________________________

______________________________________________

3 PART III – EQUIPMENT INSTALLATION

(Certified copy of the installation certificate should be attached)

EQUIPMENT TYPE	MAKE & MODEL	Tx POWER (Watts)	CLASS OF EMMISSION	FREQUENCY BANDS
HF Transceiver
VHF Transceiver
ADF Transceiver
EPIRB
Marker Receiver
VHF NAV Receiver
Glide Slope Receiver
DME TX
DME RX
ATC TX
ATC RX
WRT – C Band
WRT - X Band
GPC RX
Radio Altimeter
Transceiver
Other

4 PART IV - DECLARATION1

Delete the option that does NOT apply)

On behalf of the applicant, I declare that the information provided is accurate and complete in all respects.

Signed _____________________________________________

Full name of signatory:_____________ Position held:_______________

Date:_______________________________________________

________________________

1 This declaration must be signed:

(a) in the case of an individual, by the person in whose name the application is made;

(b) in the case of a sole proprietorship, by the sole proprietor, or

(d) in the case of a company or other body corporate, by a director, company secretary or other authorised officer.

FORM 5

Class Licence(s) Application Form – Type B Service

Under section 32 of the Telecommunications Act, Cap. 8.11

[ECTEL Member State]

Name of Applicant: __________________________________________

Type of Application: ⁭ New Application

⁯ Application to Modify/Amend an Existing Licence

⁭ Application to Renew Licence

Please tick ( ) the licence that is being applied for:

⁯ Ship Station Radio Licence

National Telecommunications Regulatory Commission

[NTRC ADDRESS]

Guidance Notes

• This application form can be used for first issue and renewal of licences.

• For questions or sections that are not applicable, write “NOT APPLICABLE” in bold or in print.

• For renewal of licence(s), please attach the following documents to the completed application form:

A copy of the present or existing

• Ship Station Radio License,

• Equipment Installation Certificate

• Radio Operator's Certificate

• Ship's Registration Certificate issued by the Registrar of Ships.

1. PART I – SHIP DETAILS

1.1 Name of ship/vessel: _________________________________

1.2 Country of Registration: ______________________________

1.3 Name of the owner: _________________________________

1.4 Address of owner: __________________________________

Home/Business Address Postal Address

1.5 Name of Agent: ____________________________________

1.6 Address of the Agent: ________________________________

Home/Business Address Postal Address

1.7 Name of Accounting Authority: __________________________

1.8 Address of Accounting Authority: ________________________

Home/Business Address Postal Address

1.9 Accounting Authority Identification Code: ____________________

1.10 Class of Ship/Vessel: _________________________________

1.11 Gross Tonnage: ____________________________________

1.12 Size of Ship/Vessel: _________________________________

1.13 Distance of operation from nearest land mass: __________________

2 PART II – DETAILS OF PRESENT SHIP STATION LICENCE

(Photocopy of the ship station license should be attached)

2.1 Call Sign: _______________________________________

2.2 MMSI/DSC Number: _________________________________

2.3 Inmarsat ID: ______________________________________

2.4 Country of Issue: ___________________________________

2.5 Country of Registration: _______________________________

2.6 Period of Validity: __________________________________

2.7 Public Correspondence Category: _________________________

2.8 Supplemental Information:

______________________________________________

______________________________________________

______________________________________________

2.9 Details of Radio Operator's Certificates

______________________________________________

______________________________________________

______________________________________________

3 PART III – EQUIPMENT INSTALLATION

(Certified copy of the installation certificate should be attached)

EQUIPMENT TYPE	MAKE & MODEL	Tx POWER (Watts)	CLASS OF EMMISSION	FREQUENCY BANDS
MF/HF
MF/HF DSC
VHF
VHF DSC
HAND VHF
INMARSAT
E.P.I.R.B
RADAR
SART
EGC
WATCH Rx
GPS
DIRECTON FINDER
NAVTEX
SATNAV
OTHER