STV Operator Licence Application Form

Name of licensed Subscriber Television (STV) provider *

Name of Company

Trading Name of STV Service *

CONTACT PERSON REPRESENTING THE APPLICANT/LICENSEE

Name *

Title/Position *

Email *

Company Mailing Address *

Address Line 1

City

State / Province / Region

Country

Telephone No. *

Mobile No. *

Fax No.

Company TRN *

Broadcasting Commission Issued Licence No *

Number of Zones Operated *

Duration of Licence

Issue Date *

Expiration Date *

Is There a Pending Application for Additional Zones *

Yes
No

Subscriber Base

January *

February *

March *

April *

May *

June *

July *

August *

September *

October *

November *

December *

Use the same subscriber figures as submitted by you to the Broadcasting Commission.

Packages Offered

Basic Package

Average # Subscribers Per Month *

Monthly Fee (Without GCT) *

Other Packages

Package Name

Average # Subscribers Per Month

Monthly Fee (Without GCT)

Annex A

License Type

Hardwire
Wireless
Other

Service Area/s (Parish/es) *

No. of Households served *

No. of Channels offered *

Zones *

Number of Television Sets connected *

No. of Packages offered *

Annex B

‘Must Carry’ Channels

Other Local Channels

Total Number of foreign radio stations re-transmitted via your channels *

Please note that this application form does not constitute any form of JAMMS approval or licence for your service and does not place JAMMS under any obligation to grant such approval or licence.

By submitting this form you assert that the information entered here is accurate and true. *

By submitting this form you assert that the information entered here is accurate and true.

I have read and agree with the Jamaica Music Society Privacy Policy