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 | Forsyth Amateur Radio Technical Society |
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| Attention | Phillip C Faulkner |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | |
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| Po Box | 3000 |
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| Locality | Cumming |
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| County | Forsyth County |
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| State | GA - Georgia |
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| Postal Code | 30028 |
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| Zip Location | 34°17'35.4"N 84°10'33.3"W |
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| Maidenhead | EM74vh |
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| FRN | 0013331764 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L01005435 / 000 |
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| Callsign | KI4JSU |
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| Last Action Date | 2005-05-20 |
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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 | G - Granted |
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| Entered Timestamp | 2005-05-02 |
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| Fee Control Num | 0505028994890155 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2005-05-02 |
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| Payment Date | 2005-05-03 |
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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 | |
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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 | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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