9. Class of Station: 
 N       

 E       
GOVERNMENT OF AFGHANISTAN Ministry of Communications and Information Technologies State Radio Inspection Department
APPLICATION RM FOR RADIOCOMMUNICATION APPARATUS LICENSE (Applicant form)
Organization or Applicant	4. Status of Organization:	5. Nature of service:	6. Type of service:	7. OFFICE USE ONLY :	
1. Name: 	Government	Recreational x	Commercial	Aeronautical	Date of received:	
2. Address: 	Semi-government	Social welfare 	Religious	Broadcasting	Date of receipt fee:	
                   	       Private	       Political	       Fixed  x	
            	International (ISAF)x	Public entertainment	Land Mobile	Date of license issue:	
	Individual	Safety	Emergency	Maritime Mobile	   License number:	
3. Contact:  	Volunteer	Exploration		Radio determination	Payment type:	
	Other (specify)	Other (specify)		Other (specify)  x	Amount received:	
 Phone:  
Fax:					Amateur Radio	Expiry Date:	
E-mail:  							
    53. I/We ________________, the under signed hereby acknowledge the accuracy of the above information,
           and undertake any problem resulted from the shortcoming or inaccuracy of the said information’s.
 36. Name of Station: 

 37. Complete Add. Of Receiver No         .  :
 
 Phone:

T6/ or YA/

  A: Transmitter Specifications
   8. Station Name: 
  10. Complete Address of Transmitter:

  

 Province: 
City:
Address:
   Phone:  
Fax:

  Deg. min. sec.
 11. Latitude:
 12. Longitude :
 13. Height above Sea Level (m): 
 14. Call sign:   

B:Transmitter Equipment
15. Class of Emission:  A1A (CW), A3E(AM), J3E (LSB, USB), F3E (FM)

16. Transmitter output power (W):  100

X

17. Type of Power Delivered to Antenna:
                X                    Y                 Z

18. Power Delivered to Antenna (W): 90  
19. Max. Radiated Power (W): 90
20. Type of Radiated Power:

X

                                      EIRP          ERP              EMRP                   
21. Duplex type:

X

S1       
D: Receiving Zone
C: Antenna Characteristics
25. Antenna Type:   DIPOLE
26. Max. Gain (dB):  0DB
27. Gain of the Major Side Lobe (dB): 0
Fax:

180

28. Antenna Height above the ground (m): 10M
 38. Sensitivity (Microvolt): 
 39. TX and RX distance (km);
 40. Covered Area (km2):
 41. Height above See Level (m):
29. Main Lobe Azimuth (Deg.):
30. Main Lobe Elevation Angle (Deg.): 0
31. Horizontal Beam width (Deg.): 180
42. Latitude of center
	Of receiving zone:
Deg. min. sec. 

22. Manufacturer:
23.Serial No.: 24. Model:
32. Vertical Beam width (Deg.): 45

Page 1 from 1
Date: 

X

       6dB           3dB
43. Longitude of center
	Of receiving zone:
34. Polarization:
44. Radios of coverage area (km):

     H  V  SR  SL  CR  CL  D  M   L999

  

  

  

  

  

  

  

X 

	
35. Serial No.: N/A
Date and signature:  
54. Full name of the related expert:

Phone: : 
Complete
    incomplete

Date and Signature..............
55. To the Mr./Mrs.	, Take necessary action please. Date. . . . . . . .
56. Accomplished. Operator Code                Date and Signature: . . . . . . . . . . . . .
57. Remarks:
or
45. Coordination’s of   6 
      vertexes’ of receiving zone:
E: Frequency
46. Assigned HF IARU REGION III  	
Frequency MHz: 160m, 80m, 40m, 30m, 20m, 17m, 15m, 12m, 10m, 6m
47. Reference (Carrier)
	Frequency (MHz):
48. Reception
	Frequency (MHz):
(1) (2) (3) (4) (5) (6)
	Coordination’s		
Latitude( N )	longitude( E )	

						

						
49. Number of Channel(s): 
50. Band width (kHz): 6
51. Operating Hours: 24
52. Usage Season: ALL