e-form

Notification form to Add or Reduce Radio Links Licensed Under a 'Nationwide' Licence (MCA/10/25)

1. The purpose of this notification is to notify amendments made in relation to a radio frequency licensed for the provision of nationwide radio links.

2. Completed forms must be sent to the MCA at the address indicated in this form. Incomplete forms will be returned to the applicant.

3. Prior completing this form you are requested to review the guidance notes published in the Authority’s website (MCA/10/22)

4. You may send any additional details vie email on rcl@mca.org.mt.

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 1 of 7

A.1 General Information

Full Name of the Entity holding the 'Nationwide' Radio Link Licence

Name and Surname of the Principal contact person

Telephone

Mobile

E-mail

B.1 Please indicate the scope of the notification

B.2 Please sate the relevant frequency information

Assigned radio frequency

Radio frequency bandwidth of the signal

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 2 of 7

Site A

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 3 of 7

Site B

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

Link ID

Geo. Coordinates
latitude

Geo. Coordinates
longitude

Address

Height of antenna agl

Equipment
Manufacture

Equipment
Model

Equipment
Serial No.

Polarisation

Power
e.i.r.p.

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 4 of 7

Site A

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 5 of 7

Site B

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

Link ID

Address

Equipment Manufacture

Equipment Model

Equipment
Serial No.

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 6 of 7

a. Granting my explicit consent to the MCA to process my personal information solely for the purpose of processing this application, in line with the requirements of the Data Protection Act (Cap. 586 of the Laws of Malta) and the General Data Protection Regulation (Regulation (EU) 2016/679). The information submitted in this application will be collected, held and handled in accordance with the MCA’s Data Protection Statement found on www.mca.org.mt.

b. Declaring that the information provided in this application is accurate and complete in all respects.

Date of notification (DD/MM/YYYY)

Full name of signatory

ID Card or Passport No

Designation

On behalf of (if applicable)

For further information, you are kindly requested to contact:
Malta Communications Authority,
Valletta Waterfront, Pinto Wharf, Floriana FRN 1913
Tel: (+356) 21 336 840 Fax: (+356) 21 336 846
Email: rcl@mca.org.mt Website: www.mca.org.mt

Page 7 of 7