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 | van Bergen, Frister |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Frister van Bergen |
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| Street Address | 33 Elm St |
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| Po Box | |
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| Locality | Lancaster |
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| County | Coos County |
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| State | NH - New Hampshire |
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| Postal Code | 03584 |
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| Zip Location | 44°29'01.9"N 71°32'45.1"W |
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| Maidenhead | FN44fl |
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| FRN | 0008849531 |
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| Geo Region | 1 / NH |
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| Licensee ID/SGIN | L00704389 / 000 |
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| Callsign | KB1KDC |
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| Last Action Date | 2003-09-05 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2003-08-18 |
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| Fee Control Num | 0308188994894762 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2003-08-18 |
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| Payment Date | 2003-08-19 |
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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 | G - General |
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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 | E - By List |
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| Fee Exempt / Waiver | N / N |
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