Image result for Barbados coat

Telecommunication Act – 2001

(Act 2001-36)

FORM 15

IMPORTANT INFORMATION

1. Payment of licence fees may be made by cash or cheque.

2. Where supporting documents are required, applicant is required to send documents by mail to the -

Telecommunications Unit

Ministry responsible for Telecommunications

“The Business Centre”

Upton,

ST. MICHAEL

Telephone No. 246-430-2251 | Fax No: 246-426-0960

3. It is a condition of every General Radio-Communication Station Licence that the licensee shall, if required by the Ministry in the interest of radio frequency spectrum economy or for any other reason, work with a common base station operated or licensed by the Ministry or to share a radio frequency with other stations, subject to any condition which the Ministry may impose.

4. Fees Payable

Licence fee: Base or Fixed Station

$72 per annum per station

Mobile or Handportable Station

$54 per annum

Fixed Link or Repeater System

See Regulations Licence Fees

Radio Telephone

$180 per annum

Ship Fixed Station (Coast Station)

$200 per annum

Aeronautical Station

Mobile: $400 per annum

Fixed Ground-to-Air: $200 per annum

Frequency Fee: Depending on the bandwidth of the frequencies.

Application Fee: Depending on the bandwidth of the frequencies.

5. Equipment

All radio equipment must be type approved by the Ministry responsible for Telecommunications in Barbados.

NOTES

1. This Application Form must be completed in its entirety and submitted to the Ministry with the prescribed application fee in accordance with the instruction provided below.

2. The Minister may request the applicant to provide additional information not contained in this application form.

3. Applicants are responsible for complying with the application procedures and requirements set forth in the Telecommunications (Public Telecommunications) (Licensing) Regulations, 2003 issued by the Minister.

4. Applicants are responsible for complying with other Government requirements regarding construction and use of the proposed network facilities (e.g. Town and Country Planning legislation).

5. To be eligible for filing an application, applicant must comply with all legal requirements for hold a licence.

6. Applicants providing false or misleading information will be subject to penalties in accordance with section 92 of the Telecommunications Act 2001-36.

7. A brief description of the proposed network, but not the submitted application, will be made available for public inspection. Information provided in this application will be treated as confidential.

8. Grant of licence is at the discretion of the Minister. Application fees are not refundable.

9. This application is only for a licence to construct, operate, and maintain a telecommunications General Radio Communication Station. A separate application and licence is required for use of spectrum. The applicant must have both licences before the applicant can operate the network or use the spectrum required to operate the proposed telecommunications network. The applicant is urged to submit this application and the application for a Spectrum Licence at the same time to expedite the processing. The application form for a Spectrum Licence may be obtained from the Ministry.

10. Persons operating without the required licences are subject to the fines and penalties set out in the Telecommunications Act 2001-36.

11. Applicants granted a licence by the Minister will be responsible for paying an annual licence fee in accordance with the Telecommunications (Licence Fees) Regulations, 2003.

12. This form may be used also to modify a pending application for a mobile telecommunications network or for an application to modify an existing Mobile Telecommunications Network Carrier Licence. In such cases, the Ministry should be consulted to determine the appropriate modification fee to be submitted.

General Filing Instructions

1. If this is a request for modification for an application pending or modification of a licence, applicant must consult the Ministry for the appropriate modification fee.

2. To be accepted for filing, applications must be signed by a person authorized by the applicant. By signing, the applicant certifies that the information submitted is true, complete, correct, and made in good faith.

3. The applicants shall pay the application fee to:

The Chief Telecommunications Officer

Telecommunications Unit

Ministry responsible for Telecommunications

Barbados

Part A: Applicant Information

Applicants must identify a real party (parties) in interest if different from the applicant. If the applicant is the real party in interest, enter the applicant’s name. If not, enter the real party in interest (e.g. a parent or other controlling entity) and any other person with an ownership interest over 10%.

The members of the Caribbean Community or CARICOM are: Antigua and Barbuda, Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Montserrat, St. Kitts and Nevis, Saint Lucia, St. Vincent and the Grenadines, Suriname, and Trinidad and Tobago.

Part B: Technical Information

Items are self-explanatory

Part C: Documentary Evidence

Items are self-explanatory

Part D: Certification Statement

Items are self-explanatory

APPLICATION FOR TELECOMMUNICATIONS GENERAL RADIO-COMMUNICATION STATION LICENCE

PART A: APPLICANT INFORMATION

1. Name

2. Nationality

3. Address of Applicant (registered office or principal place of business)

4. Mailing Address (if different from registered office address)

5. Applicant is a (n)

Individual

Corporation

Unincorporated Association

Partnership

Please indicate whether this is: a new application

a new application

an application to modify an existing licence

6. Telephone No.

7. Facsimile No.

8. “E-mail” address

9. Name of Manager of entity

10. Person in Barbados to be contacted in absence of Manager

Name

Address

Telephone No.

Email Address

11. Facsimile No

12. Mobile No.

13. Billing Address (if it is different from Mailing Address

14. Pager/Cellphone Number:

15. Is Application Submitted with Cheque?

Yes

16. Equipment Purchased From

17. Name of Dealer

18. Dealer’s Licence No.

19. Dealer’s Address

20. Dealer’s Contact Person

21. Dealer’s Telephone Number

Application Information

Application Date (DD/MM/YYYY)

Client’s/Reference

System Description

Proposed Use of System

Type of Licence

PART B: TECHNICAL INFORMATION

BASED OR FIXED STATION

Station I Information

Call-sign

Location

Station Address

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

RF Emission Information

Building Heights (metres)

Antennae Structure Height (metres)

Elevation (metres above mean sea level)

Transportable

Yes

Type of Emission (AM, FM, pulse etc.)

Radius of Operation (Km)

Station 2 Information

Call-sign

Location

Station Address

Latitude in Degrees-Hour-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Building Heights (metres)

Antennae Structure Height (metres)

Elevation (metres above mean sea level)

Transportable

Yes

Radius of Operation (Km)

Station 3 Information

Call-sign

Location

Station Address

Latitude in Degrees-Hour-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Building Heights (metres)

Antennae Structure Height (metres)

Elevation (metres above mean sea level)

Transportable

Yes

Radius of Operation (Km)

Station 4 Information

Call-sign

Location

Station Address

Latitude in Degrees-Hour-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Building Heights (metres)

Antennae Structure Height (metres)

Elevation (metres above mean sea level)

Transportable

Yes

Radius of Operation (Km)

Frequency Information

Station Name

Usage Period

Start Time

Stop Time

Desired Frequency

Transmit

Receive

Feeder Line Type

Transmit

Receive

Feeder Line Length (metres)

Transmit

Receive

Feeder Line Loss (dB)

Transmit

Receive

Bandwidth

Transmit

Receive

Emission

Transmit

Receive

Coverage/Link Information

Coverage Area

Centre Latitude in Degrees-Hours- Minutes (N/S) (e.g. 120-45-30 N)

Centre Longitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 E)

Coverage Area

Radius (Kms)

Link Location

Link to Station

Main Link

Call Sign

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Aux Link 1

Call Sign

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Aux Link 2

Call Sign

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Aux Link 3

Call Sign

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Link to Geographical Point

Main Link

Call Sign

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Link Location

Radio Equipment Information

Station Name

Manufacturer

Transmitter

Receiver

Model

Transmitter

Receiver

Serial No.

Transmitter

Receiver

Transmitter Power (watts)

Transmitter

Receiver

Antennae Information

Manufacturer

Transmitter

Receiver

Model

Transmitter

Receiver

Antennae Displacement from Station Location

North Latitude Displacement (m)

Effective Height (m)

East Longitude Displacement (m)

Effective Height (m)

Height Above Ground Level (m)

Gain (dB0

Elevation Angle (degrees)

MOBILE STATION APPLICATION

Station Information

Number of Mobiles

Mobiles Communicate with

Base

Mobiles

Coverage Information Tuned

Nation-wide

Limited Coverage

Centre of Coverage Area

Latitude in Degrees-Hours-Minutes (N/S) (e.g. 120-45-30 N)

Longitude in Degrees-Hours-Minutes (E/W) (e.g. 120-45-30 E)

Radius (Km)

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Mobile Vehicle/Vessel Registration Nos.

Manufacturer

Model

Serial No.

Frequency Information

Desired Frequency (MHz)

Transmit

Receive

Bandwidth (KHz)

Transmit

Receive

Emission

Transmit

Receive

PART C: DOCUMENTARY EVIDENCE

The applicant also must provide the following documents:

(a) Copies of certificate of incorporation or business registration certificate - Upload File(s)

Click Here to Upload

(b) Most recent annual audited financial report - Upload File(s)

Click Here to Upload

(c) Documentary evidence to demonstrate the financial capability of the company for the first 2 years of operation - Upload File(s)

Click Here to Upload

(d) Performance Bond or Bank Guarantee for payment of licence fees for the first two years of the licence. - Upload File(s)

Click Here to Upload

PART D: CERTIFICATION STATEMENT

We declare that we have not commenced provision or operation of any of the telecommunication stations or networks applied for in this application and all the information in this application form is true and correct. We understand that approval from the Ministry for this application is based on information as declared in this application. We further acknowledge that, should any of the information declared herein be found to be untrue, inaccurate or incorrect, any licence granted by the Ministry will be rendered null and void. The Ministry reserves its right to impose penal sanctions against us under any applicable laws and regulations in force and this is without prejudice to any civil remedies that the Ministry has against us if any of the information declared in the application be found to be untrue, inaccurate or incorrect.

Name/ Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.