Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
|---|
| Entity Type | L - Licensee or Assignee |
|---|
| Entity Name | VAN DER BURGT, MARTIN J |
|---|
| Attention | MARTIN J VAN DER BURGT |
|---|
| First Name / Middle Init / Last Name / Name Suffix | MARTIN J VAN DER BURGT |
|---|
| Street Address | 3020 DOROTHY LN |
|---|
| Po Box | |
|---|
| Locality | RICHMOND |
|---|
| County | Wayne County |
|---|
| State | IN - Indiana |
|---|
| Postal Code | 473746740 |
|---|
| Zip Location | 39°49'51.9"N 84°53'23.0"W |
|---|
| Maidenhead | EM79nt |
|---|
| FRN | 0002695450 |
|---|
| Geo Region | 9 / IN |
|---|
| Licensee ID/SGIN | L00153731 / 000 |
|---|
| Callsign | KA9MSR |
|---|
| Last Action Date | 2002-04-10 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | MD - Modification |
|---|
| App Source | M - Manual |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2002-03-22 |
|---|
| Fee Control Num | 0203208130850010 |
|---|
| Orig Purpose | MD - Modification |
|---|
| Receipt Date | Mon 2002-03-18 |
|---|
| Payment Date | 2002-03-23 |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | C - 1x3 |
|---|
| Licensee Class | E - Amateur Extra |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | C / 9 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | Parent |
|---|
| Vanity Type | B - Relative of Deceased |
|---|
| Fee Exempt / Waiver | N / N |
|---|