Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Gjelsten, Glenn R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Glenn R Gjelsten |
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| Street Address | 204 Fourth St SE #B4 |
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| Po Box | |
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| Locality | Ft Walton Beach |
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| County | Okaloosa County |
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| State | FL - Florida |
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| Postal Code | 32548 |
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| Zip Location | 30°23'43.5"N 86°43'14.9"W |
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| Maidenhead | EM60pj |
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| FRN | 0006279087 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00400683 / 000 |
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| Callsign | KG4PHM |
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| Last Action Date | 2002-02-28 |
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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 | G - Granted |
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| Entered Timestamp | 2002-02-05 |
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| Fee Control Num | 0110268130512008 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2001-10-25 |
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| Payment Date | 2002-02-06 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | T - Technician |
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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 | C / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Grandparent |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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