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 | Fortin, Brian G |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Brian G Fortin |
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| Street Address | 11246 Jason Dr |
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| Po Box | |
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| Locality | Pass Christian |
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| County | Harrison County |
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| State | MS - Mississippi |
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| Postal Code | 39571 |
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| Zip Location | 30°25'12.2"N 89°16'30.2"W |
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| Maidenhead | EM50ik |
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| FRN | 0026100313 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L02069066 / 000 |
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| Callsign | AG5IB |
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| Last Action Date | 2016-12-09 |
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| Radio Service | HA - Amateur |
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| App Purpose | NE - New |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2016-12-09 |
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| Fee Control Num | |
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| Orig Purpose | NE - New |
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| Receipt Date | Fri 2016-12-09 |
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| Payment Date | |
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| Is From Vec | · Y |
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| Is Trustee | |
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| Operator Group | A - 1x2, 2x1, 2x2 |
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| Licensee Class | E - Amateur Extra |
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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 | A / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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