Form FCC Form 422-IB FCC Form 422-IB Application for Renewal of an International Broadcast St

Federal Communications Commission Washington, D.C. 20554

FCC 422-IB APPLICATION FOR RENEWAL OF AN INTERNATIONAL BROADCAST STATION LICENSE

Approved by OMB 3060-1054

File No.

1. Name of Applicant

2. Name and address of person to whom communications should be sent, if different from applicant.

Street Address

Street Address

City

State

ZIP Code

City

State

ZIP Code

Telephone (include area code)

FCC Registration Number

Telephone (include area code)

3. Renewal requested for following facilities:

Type of Station

Call Sign

Transmitter Location

Frequency

Antenna input power

Hours of Operation

4. When reference is made to information filed in prior application (see Instruction E.) give proper reference:

Paragraph No.

File or Form No.

Date Filed

Have there been any substantial changes in the information incorporated in this application by reference in this paragraph?

Yes No

5. Is applicant, or any person directly or indirectly controlling applicant, party to a suit in any Federal Court involving the monopolizing, or an attempt to monopolize radio communication directly or indirectly through control of the manufacture or sale of radio apparatus, by exclusive traffic arrangement or by any other means, or of using unfair methods of competition? (If “Yes,” attach as an Exhibit a full description of the proceeding, identifying the court and showing where records of the proceeding may be obtained. See Section 313 of the Communications Act of 1934, as amended.)

Yes No

Exhibit No.

6. Have there been any changes in ownership since the filing of the last application for construction permit or renewal of license, or in the case of an International Station, is the information shown in applicant’s Ownership Reports, now on file with the Commission, true and correct as of this date? (If “No,” attach as an Exhibit an Ownership Report supplying full information to bring such data up to date.)

Yes No

Exhibit No.

7. Has there been any change in the citizenship of the applicant?

Yes No

8. Is the applicant a representative of an alien or foreign government?

Yes No

9. Are there any documents, instruments, contracts or understandings relating to ownership, management, use or control of the stations or facilities, or any right of interest therein? (If “Yes,” attach as an Exhibit copies of all such documents, instruments or contracts and state the substance of oral contracts or understandings.)

Yes No

Exhibit No.

FCC 422-IB

INSERT DATE

10. Attach as an Exhibit a complete report of experimentation conducted during the present license period including therein the number of hours of operation, full data on research and experimentation conducted including the type of transmitting and studio (if any) equipment used and their mode of operation, data on expense of research and operation during the period covered, data on any measurements, tests, or observations conducted and description of the apparatus employed, estimated degree of public participation (solicited or unsolicited), complete details of any reported interference and steps taken to eliminate such interference, conclusions, tentative and final, program for further research experimentation requiring additional time and estimate of additional time required to complete the experimentation and terminate operation, and full details of developments and major changes in equipment. (Not required of International Broadcast Stations.)						Exhibit No.
11. In what respects, if any, does the apparatus, antenna, or operation differ from that described in the last application for license or renewal of license?
12. Applicant certifies that it is filing simultaneously with this application an Equal Employment Opportunity Program Report on FCC Form 396.					Yes No
13. The applicant certifies that neither applicant nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862.					Yes No
THE APPLICANT hereby waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.)
THE APPLICANT represents that this application is not filed for the purpose of impeding, obstructing, or delaying determination on any other application with which it may be in conflict.
THE APPLICANT acknowledges that all the statements made in this application and attached exhibits are considered material representations, and that all the exhibits are a material part hereof and are incorporated herein as it set out in full in the application.
CERTIFICATION
I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.
Date		Title of Person Signing
Name of Applicant		Signature
WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).
FCC 422-IB INSERT DATE