3. REQUIRED ITEMS (i) (ii) (iii) (iv) (v) 4. Sample of equipment/instrument model complete with associated accessories and attachments. Technical Manuals (Operation, Programming, specifications). Non-refundable approval/acceptance fee of Kshs.............vide Receipt No.………………...........of……………................. Maintenance contract letter from registered Contractor (where applicable). Copy of purchase/import ownership documents DECLARATION I hereby apply for authority to use the equipment specified above in Kenya. I certify that all information I have given in the form is correct to the best of my knowledge. Applicant’s Name..........................................Sign.........................Date...................... ......... Contact Tel No.......................................... 5. FOR OFFICIAL USE ONLY (i) Case No............................................. (ii) Evaluating officers name...........................Sign............................. (iii) Approval Recommend/Not Recommended (Delete where not applicable). (i) TAC No..................................Approved/Not Approved/Deferred (Delete where applicable). Form No.5 Regulation 18 COMMUNICATIONS COMMISSION OF KENYA APPLICATION FOR FREQUENCY ASSIGNMENT AND LICENCE IN RADIO COMMUNICATION SERVICE 82