INFORMATION AND COMMUNICATION
TECHNOLOGIES AUTHORITY (ICTA)
Level 12, The Celicourt 6, Sir Celicourt Antelme Street Port Louis, Mauritius
Tel.: (230) 211 5333/4 Fax: (230) 211 9444 email: icta@[Link]
APPLICATION FORM FOR RADIO TELEMETRY SYSTEM LICENCE
Application made on behalf of a body corporate should be signed by a person duly authorised by the body corporate.
Please complete in BLOCK letters.
Section 1, Section 2 and the Declaration Section are to be filled by all applicants.
SECTION 1: PARTICULARS OF APPLICANT
1.1 Company Name and Incorporation Number:- 1.2. Trading Name (if any):-
(or partnership, sole trader, individual)
1.3. (a) Registered address (b) Business address (for correspondence)
1.4 Details of contact person for official communication
(a) Name:- (d) Mobile No.:-
(b) Designation:- (e) Fax No.:-
(c) Day time Tel. No.:- (f) Email:-
SECTION 2: APPLICATION INFORMATION
2.1 Please Specify the number of telemetry devices to be operated:
2.2 Scope and purpose of service:
2.3 Licence requirements -
Temporary licence From Date: To Date:
Permanent licence (Yes/No):
Expansion Modification Migration
2.4 Please attach a diagram showing the network, clearly identifying the links.
2.5 Please provide the link budget for each link.
SECTION 3: EQUIPMENT INFORMATION
3.1 R.F equipment manufacturer:
3.2 R.F equipment make & model:
3.3 R.F equipment type approval reference:
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SECTION 4: LINK INFORMATION
Note: A separate Section 4 is required for each link (A link is equivalent to 2 devices)
4.1 Link From (SITE 1 ): To (SITE 2 ):
4.2 Hop length: km 4.3 Hours of operation:
SITE 1 SITE 2
4.4 Location of device:
4.5 Geographical co-ordinates of device -
Latitude: (in Deg./Min./Sec. South )
Longitude: (in Deg./ Min./ Sec. East )
SECTION 5: TRANSMITTING DETAILS
Note: A separate Section 5 is required for each link SITE 1 SITE 2
5.1 Height of antenna site above sea level (m) (±5m):
5.2 Proposed carrier frequencies/Frequency band (MHz):
5.3 Total transmitted bandwidth (MHz):
5.4 Modulation scheme:
5.5 Multiple access scheme:
5.6 Maximum transmitter power:
5.7 Designation of emission:
5.8 Fixed loss between transmitter and antenna (dB):
5.9 Transmit antenna beamwidth (-3 dB Points):
5.10 Maximum gain of antenna (dBi):
5.11 Maximum EIRP:
SECTION 6: RECEIVING DETAILS
6.1 Maximum receive gain of antenna (dBi):
6.2 Fixed loss between antenna and receiver (dB):
6.3 Minimum Receive Carrier Sensitivity Level(dBm):
DECLARATION
I declare that we have not commenced provision/operation of any of the telecommunication stations/networks applied for in
this application and all information in this application form is true and correct. I agree to comply with any terms, conditions or
restrictions which the Information and Communication Technologies Authority may impose and to be bound by the laws and
regulations in force.
Company’s stamp
Applicant’s signature:
Signatory’s name:
Date:
FOR OFFICE USE
Amount received: Licence Registration No:
Special comments:
Date approved: Signature:
For Director of Engineering/Licensing
(Information & Communication Technologies Authority)
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