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 | FORT WORTH CERT RADIO CLUB |
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| Attention | DAVID R BERNHEISEL |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 10013 BRANGUS DR |
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| Po Box | |
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| Locality | CROWLEY |
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| County | Tarrant County |
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| State | TX - Texas |
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| Postal Code | 76036 |
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| Zip Location | 32°34'51.8"N 97°25'10.5"W |
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| Maidenhead | EM12gn |
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| FRN | 0028319333 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L02250915 / 000 |
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| Callsign | KI5DTS |
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| Last Action Date | 2019-04-09 |
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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 | 2019-03-22 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2019-03-22 |
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| Payment Date | |
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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 | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | N2DPF |
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| Trustee Name | BERNHEISEL, DAVID R |
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| ULS Group / ULS Region | C / 5 |
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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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