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Approved byOMB
3060-0096
Expires 07/31/93
See FCC Form 506. page
two. for information regarding
public burden estimate
* Use this form (FCC 506A) ifyou want a temporary permit while your regular application, FCC 506, is being
processed by the FCC.
DO NOT MAILTHIS SHEET TO THE FCC
United States of America
Federal Communications Commission
Temporary Operating Authority, Ship Radio Station
*
Use this form if you are installing equipment not"shown on your current license.
* DO NOT use this temporary operating authority when renewing your ship station license.
Instructions
* DO NOT use this temporary operating authority if yo~ are applying for a fleet license.
WILLFULFALSESTATEMENTSMADEON THIS FORMARE PUNISHABLEBY FINE AND/ORIMPRISONMENT(U.S.
CODE,TITLE 18. SECTION1001). AND/ORREVOCATIONOF ANY SIATIONLICENSEORCONSTRUCTIONPERMIT
(U.S.CODE.TITLE47, SECTION312(A)(1).AND/ORFORFEITURE(U.S.CODE.TITLE47. SECTION503).
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All Applicants Must Certify:
. I am not a representative of a foreign government.
. I have applied for a Ship Station License by mailing a completed FCC506 to the
FederalCommunicationsCommission.
Certification
. I have not been denied a license or had my license re'loked by the FCC.
Read, Fill in
Blanks, and Sign
. I am not the subject of any other legal action concerning the operation of a radio station.
. I will ensure that the ship radio station will be operated by an individual holding the proper class of
license or permit required by the Commission's Rules.
. I have applied for a Restricted Radiotelephone Operator Permit by mailing a completed and signed FCC
753 or FCC 755 to the FCC, if required by the rules.
Ifyou cannot certify to the above, you are not eligible for a temporary permit.
Name
of Licensee
Date FCe Form 506
Mailed to FCC
- -- ~
Address
_..~. ~ or'
-=tGrade of Operator, If .Required
Name of Ship
Signature (Not valid unless signed)
. Complete the blocks as indicated Use this temporary call sign
until given a call sign by the FCC.
35
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For documented ships with or without an FCC call sign, your call sign will
consist of the letters "KUS" followed by your six digit documentation
number, e.g., KUS234567.
.
Temporary
Call
Sign
@JTIJJTI]
For Federal or State registered ships, the call sign will consist of the letter
"K" followed by the ship's registration number, e.g., KNY1234A.
ITIIJ
For previously documented telegraph ships, 1600 gross tons and over or
with telegraph survival craft, which will remain in documentation, the call
sign will be the four letter call sign associated with that. docIJmentation
number.
If the ship does not have a State registration or Federal documentation, the call sign will
consist of the name of the ship and the name of the licensee.
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Your authority to operate your ship radio station under this permit is subjec't to all applicable laws, treaties and
regulations and is subject to the right of control of the Government of the United States.
Limitations
THIS PERMIT IS VALIDFOR 90 DAYSFROM THE DATETHE FORM506
IS MAILEDTO THE FCC.
YOU MUST POST THIS TEMPORARY PERMIT AT YOUR SHIP RADIO
STATION LOCATION.
FCC Form 506A, Page 1
February 1991