7754 Vol 2 Flyleaf - ICAO Public Maps

Appendix to Attachment G
APPLICATION FORM FOR THE ALLOCATION OF A MODE S INTERROGATOR CODE
Your application reference
Mode S IC Allocation Cell reference
Field in italics is reserved for the Mode S IC Allocation Cell.
A
Focal Point
Organisation
Name
Responsibility Area
Address
Phone Number
Fax Number
e-mail address
Fields in italics only need to be filled once, for the first application.
B
Operator
Organisation
Name of point of contact
Address
Phone Number
Fax Number
e-mail address
Filling in this table is optional.