GOVERNEMENT OF PAKISTAN
FREQUENCY ALLOCATION BOARD
Headquarters, Plot No. 112, H-10/4, Islamabad
http:// www.fab.gov.pk
APPLICATION FORM
FOR THE GRANT OF AMATEUR WIRELESS STATION
LICENCE TO A FOREIGN NATIONAL
1.
Name of Applicant
:
2.
List other names (if any)
:
3.
Date of Birth
:
4.
Place of birth i.e.
where your birth was recorded
:
and nationality
5.
Father’s name and home
address
6.
:
Present occupation (major work
for profession for which you
receive money or activity
which occupies the majority of
your time).
:
7.
Qualification:
8.
Address at which
you will receive mail in
Pakistan.
:
Mailing address of your
country.
:
9.
10. (a) Period of your
:
proposed operation in Pakistan
(b) Purpose of your visit
to Pakistan
11. i) Visa details
ii) Passport details
Beginning
Ending
:
:
Type
Date of issue
Date of Expiry
:
Passport No.
Place where issued
Date of expiry
Date of Issue
12. i) License No. of amateur radio operator and station license issued to you by your
country
(enclose a photocopy)
ii) Date of expiry of license
iii) Call-sign
13. i) Name of country which issued your amateur radio license
ii) Are you a citizen of that country?
14. List of addresses of each location (if any) at which you will reside or operate in Pakistan
Location:
Dates of Stay
Ending
Beginning
15. Briefly describe your proposed itinerary while in Pakistan.
16. Particulars of previous applications, if any, made by the applicant for issue of amateur
license.
17. Particulars of apparatus to be used
:
i) Transmitting
:
ii) Receiving
:
iii) Particulars of aerials proposed to be
:
used
18. Frequency bands desired to be used and types of modulations desired to be
used.
19. Class of
Station
a) Type / Model
of Tx./Rx with
Maufac. Name
1)
2)
3)
e)
j)
Mode of
Operation
Simplx/Duplex
1)
2)
3)
1)
2)
3)
Point
where to
be
measured
1)
2)
3)
f)
k)
Voltage
1)
2)
3)
Nos. of
Sets
c)
1)
2)
3)
1)
2)
3)
emission
Class of
b)
g) Channel
Nos. of
equipment
Ampere
1)
2)
3)
d)
1)
2)
3)
h)
XTL of
Synthesized
m)
Bandwidth
&
Seperation
1)
2)
3)
Power
Output
1)
2)
3)
i)
1)
2)
3)
1)
2)
3)
l)
Frequency
Range
Source
of
Power
1)
2)
3)
n)
Max.
watts to
be taken
by the
Tx.
1)
2)
3)
o)
Type of
Antenna
p) Antenna Gain
1)
2)
3)
20.
1)
2)
3)
q) Height of
Antenna
1)
2)
3)
r)
Min. code
speed H.F.
for Amateur
1)
2)
3)
DECLARATION
1. I hereby certify that the information given in the application is correct and nothing has been
concealed therefrom.
I undertake to observe the conditions prescribed in PTA Amateur Radio Service Regulations 2004 for the
grant of this license and hereby certify that the apparatus herein described will be operated in
accordance with this license. I further declare that I shall observe in letter and spirit the international code
of conduct of Amateur Radio and shall abide by the rules and regulations as defined in the procedures. In
case of any default, I shall be liable for any action taken by the FAB/ PTA as per the Pakistan Telecom
(Re-Organization) Act 1996 against me.
2.
Place:
Date:
Signature of Applicant . . …………………………