MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C5DE14.E340E3C0" Bu belge Web Arşivi olarak da bilinen Tek Dosyalı Web Sayfasıdır. Bu iletiyi görüyorsanız tarayıcınız veya düzenleyiciniz Web Arşivi dosyalarını desteklemiyor demektir. Lütfen Microsoft Internet Explorer gibi Web Arşivlerini destekleyen bir tarayıcı yükleyin. ------=_NextPart_01C5DE14.E340E3C0 Content-Location: file:///C:/28995615/tk1formu.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" muracaat formu

 

T.C.

TELEKOMÜNİKASYON KURUMU

 

 

FORM

TK-1

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          KARA TELSİZ SİSTEMİ MÜRACAAT FORMU<= /span>

1    Müracaat Sahibi= ne Ait Bilgiler        &nbs= p;           İlk Müracaat       &nbs= p;            &= nbsp;           &nbs= p;          İlav= e       &nbs= p;            &= nbsp;           &nbs= p;             Değişiklik    

       &nbs= p;            &= nbsp;       Ger&ccedi= l;ek Kişi       &nbs= p;            &= nbsp;           &nbs= p;          &Ou= ml;zel Tüzel Kişi       &nbs= p;           Kamu Kuruluşu       &nbs= p;            &= nbsp;           &nbs= p;    Diğer .......................................................= .............)

Adı ve Soyadı  Daimi Ad= r    (farkl= 05; ise doldurulur)

       &nbs= p;            &= nbsp;            &nbs= p;            &= nbsp;  

Yazışma Adresi        &nbs= p; İlçe      

       &nbs= p;            &= nbsp;         İl ve P.Ko= d.    V.D.

İlçe       &nbs= p;              Tel= efon No1       &nbs= p;            &= nbsp;      Vergi Hes No   &nb= sp;   

İl ve Post.Kod.             &nbs= p;            <= /span>2       &nbs= p;            &= nbsp;       Faks No    &n= bsp;          

KURULMAK   İSTENEN   SİSTEME   AİT   BİLGİLER

2    Frekans Bandı            &nbs= p;     1.5-30 MH= z       &nbs= p;            &= nbsp;          146-174  MHz       &nbs= p;            &= nbsp;         400-470  MHz       &nbs= p;            &= nbsp;        Diğer (..................................................)zMH

3 Cihaz Miktarı (Adet)    Tekrarlayıcı    Sabit     Verici    Araç     El     Alıcı   Diğer(................)

Tekrarlayıc= 5; , Sabit ve Verici Telsizlerin  (*)

4       &nbs= p;            Adres veya mevki       &nbs= p;                  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      Coğrafi Koordinatlar       &nbs= p;            &= nbsp;           &nbs= p;         Tekrar. (T)

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;               &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     Rakım       Sa= bit (S)

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        Enlem(N)       &nbs= p;            Boylam(E)       &nbs= p;  (Metre)    &n= bsp; V erici (V)

      

      

        

        

        

        

        

=   (*) Cihaz miktarının daha fazla olması halinde iki= nci form doldurulur.

5       &nbs= p;            &= nbsp;    Anten Bilgileri

 

Yayın Yönü Yüksek,(M) Kazanc(db) Polarizasyon  Kodu

=                    &nbs= p;       

=                    &nbs= p;       

=                    &nbs= p;       

=                    &nbs= p;       

=                    &nbs= p;       

=                    &nbs= p;       

=                    &nbs= p;       

=  

=   6

=   Cihaz Çıkış=  

       Gücü       &nbs= p;        

 

 

 

 

 

 

   

 

7    Müracaat Sahibi= nin Beyanı  

1. Bu formdaki ve ekli belgelerdeki bilgi ve beyanların doğruluğunu, müracaatın Telsiz Yönetmeliğin= de belirtilen şartlara uygun olarak yapıldığını= ;, TK' ca talep edilmesi halinde bu hususu belgelendirmeyi,

2. Sistemi Telsiz Yönetmeliğinde belirtilen şartla= ra, işletme usul ve esaslara ve izin verilen kullanma amacına uygun olarak kullanmayı, izin verilen sistemle ilgili miktar, yer ve teknik özelliklerle diğer özel sınırlamalara uymayı izin almaksızın hiçbir ilave ve değişiklik yapmamayı,

3. Sistemin tamamen veya kısmen kurulmasını müteakip bir ay içinde TK' ya bildirimde bulunmayı, TK' = ca 2813 sayılı Telsiz Kanunu gereğince tahakkuk ettirilecek ücretleri zamanında ödemeyi,

4. Yukarıdaki  beyanların aksinin tespiti halinde TK' ca Telsiz Kanununun 32= nci ve Telsiz Yönetmeliklerinin ilgili maddeleri gereğince işl= em yapılacağının tarafım(ız)ca bilindiğin= i kabul, beyan ve taahüt ederim(ederiz).

 

       &nbs= p;      Sorumluların ünvan, isi= m ve soyadları       &nbs= p;            &= nbsp;           &nbs= p;        Kuruluş veya firmanın mühür ve veya kaşesi

       &nbs= p;            &= nbsp;           &nbs= p;         (imza)  

 

 

 

 

 

 

 

 

 

 

 

 

Kullanıcı Kodu:........................       &nbs= p;            &= nbsp;           &nbs= p;     İZİN VERİLEN SİSTEME AİT BİLGİLER       &nbs= p;            &= nbsp;                 

8     Teknik ve Genel Özellikler

 RF Çıkış Gücü              El       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  Frekans Kontrolu     Kristalli=        &nbs= p;            &= nbsp;           &nbs= p;        Kanal Aralığı            

       &nbs= p;            &= nbsp;                Araç       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   Sentezörlü       &nbs= p;            &= nbsp;       Haberleşme mesafesi  

       &nbs= p;            &= nbsp;                 Diğer(..................)       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     Diğer(....................)<= span style=3D'mso-spacerun:yes'>       Ba= nd Gen. ve Emis.Tipi         &nbs= p;            &= nbsp;           &nbs= p;           = Haberleşme Türü    Telefon       &nbs= p;  Sistem Statüsü   Özel=        &nbs= p;            &= nbsp;           İzin Türü  Daimi       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   Devre Tipi  

       &nbs= p;            &= nbsp;           Data             &nbs= p;            &= nbsp;           &nbs= p;  Ortak Kullanım       &nbs= p;            &= nbsp;          Geçici       &nbs= p;            &= nbsp;           &nbs= p;      Süre Bitim Tarihi

       &nbs= p;            &nbs= p;           Teleks       &nbs= p;            &= nbsp;           &nbs= p;     Trunking<= span style=3D'mso-spacerun:yes'>       &nbs= p;            &= nbsp;  TYK Kat.        &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        Kurma İzin No  

       &nbs= p;            &= nbsp;            Fak= s       &nbs= p;            &= nbsp;           &nbs= p;       Community Rep.       Çağrı Adı   1       &nbs= p;

       &nbs= p;            &= nbsp;           Diğer(.....................)=        &nbs= p;        Diğer(.....................)=        &nbs= p;           2   &nbs= p; Ort.Kul. İşleticisi

9     &nbs= p;    Tahsis = Edilen Frekanslar

       &nbs= p;       Gönderme(*)       &nbs= p;            &= nbsp;           &nbs= p;   Alma(*)       &nbs= p;            &= nbsp;           &nbs= p;       Taşıyıcı       &nbs= p;            &= nbsp;           &nbs= p;  Alt Taşıyıcı       &nbs= p;            &= nbsp;             &nbs= p; Ton       &nbs= p;             İzin Sür.Bit.Tar.(**)           &nbs= p;            &= nbsp;           &nbs= p;                                                           

                                                  

                                                  

                                                  

                                                  

                                                  

                                                  

 (*) Roleli sistemlerde role esas alınmıştır. (**) Süre bitiminde yenileme talebin= de bulunulmadıkca otomatik iptal işlemi uygulanır.

10 Cihaz Miktarı (Adet)   Tekrarlayıcı   Sabit   Araç   El    Alıcı &= nbsp;  Verici    Diğer(………&= #8230;)

 

Satıcı Firma

İmza
 

 

Satıcı Firma

İmza
 

 

Satıcı Firma

İmza
 
11     Satılan C= ihaz Miktarı         &nbs= p;Tarih ..../..../20...       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            Tarih ..../..../20...       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      Tarih ..../..../20...      <= /p>

Tek= rarlayıcı  1       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; 2       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           3       &nbs= p;            

Sab= it

Ara= ç       

El<= o:p>

Al&= #305;cı

Verici

12    Açıklamalar   = 1= . Formun (1) (2) (3) (4) ve (7) Nolu bölümleri müra= caat sahibi, (11) nolu bölümü telsiz satıcısı firmalar, diğer bölümleri=   TK tarafından doldurulur.

2. Bölüm (4) deki sabit istasyon mahallerinde telefon varsa, bu bölümde  yandaki boş alanda her istasyon için ayrı ayr= 5; gösterilir.

3.  Bu telsiz sistemi için verilen frekansların tahsis süresi ....... gündür. Sistem kurulmadığında frekanslar otomatikman iptal edilir

4. Sistemde yapılacak ilave değişiklik ve iptaller= de mutlaka kullanıcı kodu ve sistem ruhsat numarası belirtilmelidir.

5.Satıcı firma tarafından satılan cihazlara a= it miktarlar(11) nolu bölümde gösterilmelidir. İlgili bölümlere tarih, imza atılmalı ve kaşe basılmalıdır.

6.Tanımlar: m:Miliwatt,  W:Watt,  K:Kilowatt, H:Hz,  K:KHz,  M:MHz, G:GHz

13    Onay   Müracaat formund= aki bilgiler incelenmiş, sistemin kurulmasında yasal bir engel görülmemiştir. Sistemin, yukarıda gösterilen özelliklere uygun olarak satın alınması, tesisi, montajı ve her türlü kalibrasyon ayarından sonra TK ca yapılacak teknik kontrol sonucunda uygunluğunun tesbit edilmesi halinde ruhsatname ve işletme izni verilmesine ..../..../20….<= span style=3D'mso-spacerun:yes'>  tarihinde karar verilmiştir= .

 

 

 

 

 

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