Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Medical Amateur Radio Council |
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| Attention | ROBIN J STAEBLER |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 144 Head Of Tide Rd |
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| Po Box | |
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| Locality | Belfast |
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| County | Waldo County |
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| State | ME - Maine |
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| Postal Code | 04915 |
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| Zip Location | 44°27'48.6"N 69°02'15.3"W |
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| Maidenhead | FN54ll |
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| FRN | 0005136064 |
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| Geo Region | 1 / ME |
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| Licensee ID/SGIN | L00389050 / 000 |
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| Callsign | KB1GZI |
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| Last Action Date | 2001-08-28 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2001-08-15 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2001-08-09 |
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| Payment Date | |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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| Licensee Class | |
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| New Seq Callsign | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | D / 1 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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