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 | PETAL HS HAM RADIO CLUB |
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| Attention | Jeremy Bollinger |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 1145 HWY 42 |
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| Po Box | |
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| Locality | PETAL |
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| County | Forrest County |
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| State | MS - Mississippi |
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| Postal Code | 39465 |
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| Zip Location | 31°20'22.5"N 89°11'17.4"W |
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| Maidenhead | EM51ji |
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| FRN | 0031022080 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L02456559 / 000 |
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| Callsign | KI5QFN |
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| Last Action Date | 2021-06-09 |
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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 | 2021-06-09 |
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| Fee Control Num | |
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| Orig Purpose | NE - New |
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| Receipt Date | Wed 2021-06-09 |
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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 | D - 2x3 |
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| Licensee Class | trustee: T - Technician |
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| New Seq Callsign | |
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| Trustee Callsign | N5JBO |
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| Trustee Name | Bollinger, Jeremy |
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| ULS Group / ULS Region | D / 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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