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 | Jackson, Douglas M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Douglas M Jackson |
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| Street Address | 4735 LAVISTA RD |
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| Po Box | |
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| Locality | TUCKER |
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| County | DeKalb County |
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| State | GA - Georgia |
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| Postal Code | 30084 |
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| Zip Location | 33°51'14.7"N 84°12'58.2"W |
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| Maidenhead | EM73vu |
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| FRN | 0006377881 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L00467469 / 000 |
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| Callsign | KI4BNH |
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| Last Action Date | 2024-02-24 |
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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 | 2024-02-23 |
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| Fee Control Num | PGC4454157 |
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| Orig Purpose | |
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| Receipt Date | Fri 2024-02-23 |
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| Payment Date | 2024-02-23 |
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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 | E - Amateur Extra |
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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 / 4 |
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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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