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 | Derks, Jason C |
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| Attention | Jason Derks |
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| First Name / Middle Init / Last Name / Name Suffix | Jason C Derks |
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| Street Address | 1111 W 10TH ST APT 104 |
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| Po Box | |
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| Locality | Austin |
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| County | Travis County |
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| State | TX - Texas |
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| Postal Code | 78703 |
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| Zip Location | 30°17'35.8"N 97°45'57.8"W |
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| Maidenhead | EM10ch |
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| FRN | 0031821234 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L02516527 / 000 |
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| Callsign | KI5THS |
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| Last Action Date | 2022-02-15 |
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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 | D - Dismissed |
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| Entered Timestamp | 2022-01-26 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2022-01-26 |
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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 | G - General |
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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 | D / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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