GMDSS Renewal Applications
GMDSS Renewal Applications
GMDSS Renewal Applications
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GOVERNMENT OF INDIA
MINISTRY OF COMMUNICTIONS & INFORMATION TECHNOLOGY
(Wireless Planning & Coordination Wing)
2.
Postal address in full : HOUSE NUMBER 176, SECTOR 15, PANCHKULA, HARYANA134113.
CONTACT NUMBER : +91-172-2593789, +91 9872215176
EMAIL : gavakshbhatnagar@yahoo.com
(Contact No. and E-Mail address, if any)
3.
4.
Particulars of the State Bank of India Draft enclosed with the application
5.
Amount
6.
Details of experience during the last three years:
From
To
Designation of the post Name and address of the
Held
Employer
DECLARATION
1.
2.
3.
I hereby solemnly declare that the foregoing facts are true and correct and
nothing is false therein and nothing material has been concealed therefrom. I also
agree that in case any information given by me herein before is found false at
later date, the certificate and licence to operate, if granted, will be cancelled.
I further solemnly give an undertaking that I will not either directly or indirectly
divulge to any person, except when lawfully authorised or directed to do so, the
purport of any message which I may transmit or receive by means of any wireless
apparatus operated by me or which may come to my knowledge in connection
with the operation of the said apparatus.
I have carefully read and understood the rules contained in the Indian Wireless
Telegraphy (Commercial Radio Operators Certificates of Proficiency and licence
to operate Wireless Telegraphy) Rules, 1954 and undertake to abide by them.
Date
Signature of applicant
Name (in Block Letters)
2
Designation
Office Stamp