ПРЕДВАРИТЕЛЬНЫЙ ПРОСМОТР
Operation purpose(name of events): |
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For period from/to |
с
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по
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Information about the person concerned |
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Name of company: |
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Address: |
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Numbers of contact phones (fax): |
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e-mail: |
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Bank details: |
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Last name, first name, patronymic (if any) and position of applicant: |
Information about REF or HFD:
№ |
Type of REF: |
Pattern of REF or HFD: |
Frequency band: |
Tx power, (W, dBW, dBm): |
Quantity: |
1 |
2 |
3 |
4 |
5 |
6 |
Information about REF or HFD
№ |
Installation site (name of site, address): |
Accommodation (indoor/ outdoor): |
Type: |
Pattern: |
e-mail: |
Requested radio frequencies (frequency bands): |
Numbers of radio frequencies: |
Tx power, (W, dBW, dBm): |
Class of emission: |
Antenna gain (dB): |
Additional information (if needed): |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |