Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696591051085.pdf (Zimbabwe)
Postal and Telecommunications Regulatory Authority of Zimbabwe PMR 001 30 The Chase, Emerald Business Park P.O.
Box MP 843, Mount Pleasant, Harare, Zimbabwe Tel: +263 4 333032, Fax: +263 4 333041 Website: www.potraz.gov.zw Email: the.regulator@potraz.gov.zw Creating a level playing field PRIVATE MOBILE RADIO NETWORK APPLICATION FORM (To be completed in duplicate- one copy to be retained by applicant) SECTION A: GENERAL INSTRUCTIONS Please read the following conditions carefully before completing the application form.

A1.

A2.

A3.

A4.
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A2.

A3.

A4.

An application form must be completed in duplicate and all appropriate fields answered in full.

The answers given form the basis on which a licence is issued and the conditions of that licence.

Use block letters, where not applicable, insert N/A.

If any detail of your proposed system is not covered by this form, please attach a separate letter detailing your requirements.
The proposed radio communication service may not be bought into service, nor may alteration be made to an existing licensed network without written authority from POTRAZ.

Assistance should be sought from authorised radio Dealer in completing the field on the technical aspects of the radio system.
The following documents are required on presentations of the application forms:- (a) Companies (i) Certified copies of Certificate of Incorporation and CR 14 list of Directors (ii) Proof of residence of one of the directors (iii) Certified copies of National Identity (i) Certified copy of National Identity (ii) Proof of residence (b) Individual (c) NGO and Diplomatic Mission (I)Memorandum of Agreement with the Government of Zimbabwe (d) Residents Association (e) Farmers Association (i) Proof of residence of Chairman, Secretary and Treasurer.
(ii) Certified copies of National Identity of Chairman, Secretary and Treasurer (iii) Memorandum of Agreement with Zimbabwe Republic Police (local office) (i) Proof of residence of Chairman, Secretary and Treasurer.

(ii) Memorandum of Agreement with Zimbabwe Republic Police (local office) (f) Government Departments (i) Current Zimbabwe Act which establishes the Government Institution.
(ii) Certified copy of National Identity of Chairman / Director / CEO (iii) Proof of residence of Chairman / Director / CEO A6.

Non Refundable Application fee A7.

The Completed application form should be submitted to: Or deliver by hand to: 30 The Chase, Block A, Emerald Business Park, Mount Pleasant, Harare Page 1 of 4 The Director General POTRAZ P.O.

Box MP 843 Mount Pleasant Harare POTRAZ New Service Licence Modification PMR 001 Date Application No Licence No 1.
Client Information Status: Approved Rejected Name of Applicant Postal Address Physical Address Telephone No.

Mobile No.

Citizenship of Applicant Nature of Business Contact Person National ID Address Technical Contact Agent Mobile No.

Fax E-mail Tel E-mail Tel Fax Government Department Diplomatic Mission Public Company Private Company Government Institution Private Institution Farming Individual Other (Specify) 2.
Licence Type VHF HF UHF Amateur Radio Radio Guidance CB Radio Telemetry Alarms Other (Specify) Approximate Daily Usage Time Hrs To Hrs Service Area Purpose of Station Other Licensed Network Owned: Number Licence Number Exclusive frequency Shared frequency 3.

Repeater Station Site Details (Please attach network diagram) Station Name Site Owner Longitude Latitude Aerial Type Type of Terrain Station Class e.g Land Mobile Physical Address Degrees Minutes Seconds hem (E/S) UTM Duplex/Simplex Freq.
Model Gain dBi Effective Height Directivity m Map Number Used 4.

Base Station Site Details (Please attach network diagram) Station Name Site Owner Longitude Latitude Aerial Type Type of Terrain Station Class e.g Land Mobile Physical Address Degrees Minutes Seconds hem (E/S) UTM Duplex/Simplex Freq.

Model Gain dBi Effective Height Directivity m Map Number Used Page 2 of 4 POTRAZ 5.
Mobile/ Remote Site Equipment PMR 001 Vehicle Registration Numbers / Portable Make and Type of Equipment Serial Number of Equipment 6.

Transceiver Details (Repeater / Base Station) (Please make separate copy of relevant page/s if you are using different types of radios networks) Callsign Make Model Country of Origin Proposed Freq.

Band (Civil, military, mixed) Deployed Type Use of Tones e.g.

ctss 7.
ctss 7.

Transmitter Tx Power Tunability (W) range Antenna Gain (dBi) EIRP (W) Operation Frequency Range (MHz) Function Nomenclature (Voice, Data, etc) Local supplier/dealer Local Supplier ID No.

Serial No.

(Base Station/ Repeater Station) Type Approved Yes/No Necessary Bandwidth (MHz) Tx Emission Class Channel Separation (MHz) to Page 3 of 4 POTRAZ 8.
Receiver Operation Frequency Range (MHz) to Channel Separation (MHz) Intermediate Frequency (MHz) Necessary Bandwidth (MHz) IF Bandwidth (MHz) Emission Class Signal-to-Noise Ratio (dB) Sensitivity (dB V) µ Addition Chn Selectivity (dB) PMR 001 Applicant Signature Position Held Date 9.

For Potraz Use Only Licence Number Type of Radio System Base Station e.r.p.
Base Station Transmit Frequency (MHz) Mobile Station Transmit Frequency W (MHz) Tone Code Permitted Yes No If Yes, Tone Code Frequencies Used Channel Spacing KHz Bandwith KHz Sharing with 1 2 3 4 Fee Class Application Fee Receipt No.

SpecFee = (No.

Of Chn) RFWB SpecUnit x(ReUsefactor)x (SharingFactor)x(ServiceFactor)x(UnitSpectrumCharge)x(SatelliteServiceFactor) Spectrum User Fee = x x x x S x = $ Receipt No.

Approved Date: Remarks Approving Officer R E P C A M S Page 4 of 4