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 | Cornelissen, Jason D |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Jason D Cornelissen |
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| Street Address | 2 FLANDERS RD |
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| Po Box | |
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| Locality | MEREDITH |
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| County | Belknap County |
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| State | NH - New Hampshire |
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| Postal Code | 03253 |
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| Zip Location | 43°37'52.4"N 71°29'54.9"W |
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| Maidenhead | FN43gp |
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| FRN | 0004919841 |
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| Geo Region | 1 / NH |
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| Licensee ID/SGIN | L00347755 / 000 |
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| Callsign | KB1GQN |
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| Last Action Date | 2021-08-20 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2021-08-19 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Thu 2021-08-19 |
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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 | D - 2x3 |
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| Licensee Class | T - Technician |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | D / 1 |
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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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