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 | MADLEM, THOMAS D |
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| Attention | THOMAS D MADLEM |
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| First Name / Middle Init / Last Name / Name Suffix | THOMAS D MADLEM |
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| Street Address | 11850 LOUGHLIN DR |
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| Po Box | |
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| Locality | MISHAWAKA |
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| County | St. Joseph County |
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| State | IN - Indiana |
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| Postal Code | 46545 |
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| Zip Location | 41°41'36.6"N 86°08'47.6"W |
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| Maidenhead | EN61wq |
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| FRN | 0021714589 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L01705723 / 000 |
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| Callsign | KC9VWK |
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| Last Action Date | 2012-07-03 |
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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 | 2012-06-27 |
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| Fee Control Num | 1206189097839003 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2012-06-13 |
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| Payment Date | 2012-06-27 |
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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 | 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 | C / 9 |
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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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