Canadian Radio-television and Telecommunications Commission | Conseil de la radiodiffusion et des télécommunications canadiennes
 

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Application to Renew a Broadcasting Licence for a Radiocommunication Distribution Undertaking (RDU)

GENERAL INSTRUCTIONS


 
1.
 		 FILING
 
 
 		 •
 		 File electronically via Epass by attaching the application to the Cover Page, which is available on our web site under "File, Register and Epass". Epass allows secure transmissions to the Commission and also authenticates your identity. A signature is not required when using Epass. For more information, see Broadcasting Circular CRTC 2005-466, Electronic filing of applications.
 
 
 		 •
 		 When filing your application, please ensure that the file name of the documents attached to your application form reflects the ascending order in which they should appear on the public file and that each file name include a brief description of the document content. For example, "Doc1-brief description of document"; "Doc2-brief description of document", and so forth. This will ensure that the application and all related documents are presented in the correct order once they are made available for public viewing.
 
 
 		 •
 		 Applicants who are unable to file their application using Epass should contact the Commission’s Specialist, External Liaison, at (819) 953-4405, for information on alternate filing options.
 
2.
 		 INSTRUCTIONS
 
 
 		 •
 		 The following questionnaire is in HTML format and may be downloaded to the word processing software of your choice.  This enables you to complete the downloaded questionnaire by inserting your response in bold letters immediately following the question.  You may add lines to the tables if necessary but do not alter or delete any text from the questionnaire.
 
 
 		 •
 		 You must file the Application Brief, which includes the questions and responses, and the Book of Supporting Documents, identified as Appendices in the questionnaire.
 
 
 		 •
 		 The Application Brief, filed electronically or otherwise, must be divided into sections, and include the numbered questions, as set out in the questionnaire, each followed by the corresponding response.
 

 		 •
 		 If any changes are made to the technical facilities or if you wish to enhance or clarify your application, such information should be filed as a Supplementary Brief identified as APPENDIX 1A in the Book of Supporting Documents.
 
3.
 		 PUBLIC EXAMINATION FILE
 

 		 •
 		 Copies of the Commission's letters requesting further information and copies of your replies form part of the application and must be available for examination by the public.
 

For Commission's use

Application number

Canadian Radio-television and Telecommunications Commission

Application to Renew a Broadcasting Licence for a
Radiocommunication Distribution Undertaking (RDU)

1. GENERAL INFORMATION


 
1.1
 		 IDENTIFICATION OF LICENSEE
NAME:
ADDRESS:
FAX:
E-MAIL:

CONTACT PERSON REPRESENTING THE LICENSEE
(if there is no appointed agent under question 1.2)

NAME:
TITLE:
TELEPHONE:

Please indicate the E-Mail address and FAX number that should be specified in a Public Notice.

FAX:
E-MAIL:
 
1.2
 		 APPOINTMENT OF AGENT

I, _________________________, the licensee, hereby appoint _____________________ as my agent for and on my behalf and in my name to sign, file and complete (if necessary) an application with the Canadian Radio-television and Telecommunications Commission and to sign and file a reply with respect thereto and I do hereby ratify, confirm, and adopt as my own act, such application and all replies made thereto.

Date:
At:
Signature:
ADDRESS OF AGENT:
TITLE:
TELEPHONE:
FAX:
E-MAIL:
 
1.3
 		 DECLARATION OF THE LICENSEE OR ITS APPOINTED AGENT 
 

 		 I, ___________________________________ SOLEMNLY DECLARE THAT:
 

 		 a)
 		 I am the ___________________________ (representative/appointed agent) of the licensee named in this application brief and as such have knowledge of all matters declared therein.
 

 		 b)
 		 The statements made in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) to the best of my knowledge and belief true in all respects.
 

 		 c)
 		 The opinions and estimates given in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) based on facts as known to me.
 

 		 d)
 		 I have examined the provisions of the Broadcasting Act and the broadcasting regulations relevant to this application.
 

 		 AND I HAVE SIGNED

Signature:

Date:

WITNESSED BY

Signature:

Name (Printed):

Date:

At:
 
1.4
 		 EXAMINATION BY THE PUBLIC

Indicate a location, within the area served, where the application may be examined by the general public.  If several transmitters are in use, indicate a location within the area served by each transmitter.

ADDRESS(ES):
 
1.5
 		 SAME TERMS AND CONDITIONS

Unless otherwise specified in this application, the licensee proposes to operate this undertaking under the same terms and conditions as specified in the current licence and in the last renewal decision or, if there has been no renewal, in the initial licensing decision, and in any subsequent written approvals granted during the term of its current licence.

Date:
At:
Signature:
 


 

2.  OWNERSHIP


 

SECTION 2 - NOT APPLICABLE TO THE CANADIAN BROADCASTING CORPORATION.
 
2.1
 		 If no changes or amendments were done to the constituting documents (for example, Letters Patent, By-Laws, etc.) of the licensee since the last renewal, please sign the following attestation:

I hereby declare that no changes were done since the last renewal.

Signature of Licensee or its appointed agent:
 
2.2
 		 Complete the following table relating to the directors and officers, including the Chief Executive Officer, of the licensee.  Please note that all sections must be completed.
 

DIRECTORS AND OFFICERS

Name

Complete Home Address

Citizenship

Position Held

Directors:
Date and Term of
Appointment
         
         

SUPPORTING DOCUMENT TO BE APPENDED:
 
APPENDIX 2A
 		 All changes or amendments to the constituting documents (for example, Letters Patent, By-Laws, etc.) of the licensee.
 

3.    TECHNICAL / PROGRAMMING INFORMATION


 
3.1
 		 Provide the following information for each service distributed.
 
1)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

2)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

3)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

4)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

5)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

6)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

7)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

8)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

9)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

10)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

11)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

12)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

13)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


14)

Location

Call Sign

Service Type (Radio/TV)
       
 

Frequency / Channel

Transmitter Power (T) /
Effective Radiated Power (ERP)

Programming Source
       


 

BOOK OF SUPPORTING DOCUMENTS


 

APPENDIX NUMBER AND NAME

APPENDED
(Yes or No)

E-FILED
(Yes or No)

SECTION 1:  GENERAL INFORMATION

1A

 Supplementary Brief    

SECTION 2:  OWNERSHIP

2A

 Amendments to constituting documents    


This document is available in alternative format upon request.
CRTC 117 (2006-03-02) - Renewal - Radiocommunication (RDU)
version française disponible

 

***End of Document***