REGULATION Mobile Phone Jammers Regulation ANNEX A APPLICATION FORM REQUESTING TRA APPROVAL FOR USE OF A MOBILE PHONE JAMMER Name and address of the Person applying: Name and telephone number of the appropriate contact person within the organisation if applicable: Serial number and type of the Jammer: The output power (or range output power) of the Jammer: The frequencies on which Jammer will be operating: of the The full technical specification of the Jammer as supplied by the manufacturer (this may be attached as a separate document): The estimated volume of space around the Jammer in which mobile phones will be prevented from operating: The exact position that the Jammer will be put during its period of Use: The reasons why a Jammer is required (supported by documentary evidence in support of the application which may be attached as separate documents to this Application): The proposed date(s) and exact time period(s) that the Jammer will be in operation: Ref: MOU/RN/010 Telecommunications Regulatory Authority Date: 8th November 2004 Page 5 of 6 Issue 1.0