0007-EX-MN-2016

Filing overview

442 application form

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

NO

442 application form - Application for Medical Testing License

Applicant (Company) Name:

Medical TestingDY

Applicant's FCC Registration Number (FRN):

0004979480

Attention To:

John Doe

City:

Washington

Country (If not the United States):

US

E-mail Address:

john.doe@gmail.com

State:

Dist of Columbia

Street Address:

445 12th St.

Zip Code:

20554

442 application form - Authorized Party to Sign

Signature Date:

2016-10-13 14:34:04.53

Signature of Applicant (Authorized person filing application):

John Doe

Title of Person Signing Application:

Engineer

442 application form - Eligibility Questions

Applicant affirms that they are a health care facility as defined in section 95.1103(b) of the Commission ’s rules

YES

Will this license involve clinical testing trials

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

John

Last Name:

Doe

Phone Number:

2025551212

Title:

Engineer

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2016-10-13 15:00:59.13

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

Medical testing

442 application form - Location Information

North Latitude:

33 ° 12 ' 25 "

Street Address:

445 12th St., S.W.

West Longitude:

125 ° 23 ' 26 "

442 application form - Medical Testing License Questions

Do you intend to operate on commercial mobile radio service (CMRS)?

NO

Do you intend to operate on public safety frequencies?

NO

Do you intend to use any of the federal exclusive and shared frequencies?

NO

Notes

Documents