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Click the Pre-Fill button at the top of the page to pre-fill this page with Licensee Information from the latest Form 603 for this FCC Registration Number (FRN). If the latest Form 603 also has contact information present on it for that licensee information section, ULS will also copy that contact data to the Licensee Contact Information on this current application, which is the next page to display.
Note: If any Licensee Information exists on the page (excluding the Licensee FRN) and the Pre-Fill button is selected, all existing information on the page will be deleted and over-written.
Select the entity type of the Licensee from the pull-down menu. The following entity types are available:
Consortium
Corporation
Government Entity
Individual
Unincorporated Association
Trust
Limited Liability Company
General Partnership
Limited Partnership
Limited Liability Partnership
Other
If you select "Other," specify the entity type in the space provided.
For more information on identifying entity type, see CFC 47.
The Licensee FRN is captured as part of the login process and is not entered here.
Select the radio button corresponding to either "Licensee name (if entity)" or "Licensee name (if individual)." If you selected to enter an entity's name, enter the name in the space provided. If you selected to enter an individual's name, enter the First Name, Middle Initial, Last Name, and Suffix in the appropriate boxes.
Note: Do not use punctuation marks in any of the boxes provided. For example, "John Q. Smith, Sr." should be entered as "John Q Smith Sr" on this page.
If the licensee name is an individual, first and last name are required.
If the licensee name is an entity, the Licensee Name field is required.
The Attention To field is required.
Complete all fields in this section which apply. You must enter either a P.O. Box or a Street Address. You must enter the City. You must select a U.S. state or territory from the pull-down menu and then enter a valid zip code.
The Phone Number is required and must be 10 digits.
The demographics questions are optional. Select the check-box next to each race description that applies. Choose from the following race descriptions:
For ethnicity, select from the pull-down menu either "Hispanic or Latino" or "Not Hispanic or Latino." For gender, select "Male" or "Female" from the pull-down menu.
To clear all information from the page, click Clear at the bottom of the page.
Click Continue.
