Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
|---|
| Entity Type | L - Licensee or Assignee |
|---|
| Entity Name | PERTUBAL, EDWIN D |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | EDWIN D PERTUBAL |
|---|
| Street Address | 3626 MISTY WOODS CIRCLE |
|---|
| Po Box | |
|---|
| Locality | PACE |
|---|
| County | Santa Rosa County |
|---|
| State | FL - Florida |
|---|
| Postal Code | 32571 |
|---|
| Zip Location | 30°40'23.8"N 87°11'45.1"W |
|---|
| Maidenhead | EM60jq |
|---|
| FRN | 0025246265 |
|---|
| Geo Region | 4 / FL |
|---|
| Licensee ID/SGIN | L01999140 / 000 |
|---|
| Callsign | KM4QQM |
|---|
| Last Action Date | 2020-05-08 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | MD - Modification |
|---|
| App Source | I - Online |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2020-04-19 |
|---|
| Fee Control Num | |
|---|
| Orig Purpose | MD - Modification |
|---|
| Receipt Date | Mon 2020-04-20 |
|---|
| Payment Date | |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | C - 1x3 |
|---|
| Licensee Class | G - General |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | C / 4 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | E - By List |
|---|
| Fee Exempt / Waiver | N / N |
|---|