Exhibit 1 (related to Articles 7 and 13-2)
 |
|
Revenue
stamp
(Note 1) |
Application For Attested Private Inspector,Etc |
Date: |
Director-General of (name of region) Bureau of Telecommunications (Note 2)
| Applicant (note 3) | Postal code |
|
| Address |
| Name | Seal |
| Telephone number |
The application is made as shown below to obtain the authorization under para. or 1 of Article 24-2/para. 1 of Article 24-9 (note 4) of the Radio Law.
Classification of
application (note 5) |
Type of radio station with radio equipment, etc. or type of Specified Radio Equipment to be tested (note 6) |
| |
|
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| Short side |
JIS standard A4 |
Notes:
- Affixing stamps If there are too many stamps to affix on this column, any blank space or the reverse side may be used for such affixing.
- Head of Okinawa Office of Posts and Telecommunications, in case of Okinawa Office of Posts and Telecommunications
- The description shall be made as follows:
- (1)
- As for address, a place of residence or a location of a headquarter or main office shall be described in case of a natural person or of a juridical person, respectively; and
- (2)
- As for name, in the case where an applicant is a natural person, a full name shall be described, and seal may be omitted when the name is written by autograph. In the case where an applicant is a juridical person or organization, a trade name or name and the representative's title and name shall be described with the representative's seal.
- Unnecessary letters shall be deleted.
- The classification of inspection business for which the authorization is sought shall be described in this column.
- A type of radio station or the classification of designation set forth in Article 8 of the Certification Regulations on which the inspection is contemplated shall be described in this column.