Date of notice:

Issued under section 128B of the Radiocommunications Act 1989

Enforcement Authority: Ministry of Business, Innovation, and Employment

• To

  [full name]

• [full address]

Date of birth:

You are alleged to have committed an infringement offence against regulation . of the Radiocommunications Regulations 2001, as follows:

Nature of infringement:

Location:

Date:

Approximate time:

The fee for this infringement is $

The infringement fee is payable to the chief executive of the Ministry of Business, Innovation, and Employment within 28 days after [date notice served].

The infringement fee may be paid to the chief executive of the Ministry of Business, Innovation, and Employment at [address].

Payments by cheque or money order should be crossed “a/c payee”.

To the Registrar of Radio Frequencies

I, [full name], chief executive of the Ministry of Business, Innovation, and Employment, apply for a record of management rights to be recorded for the radio frequencies specified in the Schedule of this application.

The record of management rights is to specify, for those frequencies, the particulars specified in the Schedule.

C = the value of y where x = 0 (the y intercept).

C = the value of y where x = 0 (the y intercept).

C = the value of y where x = 0 (the y intercept).

Note: This application must be signed in duplicate.

I, [full name], being the manager for the range of frequencies specified in record of management rights number [specify reference number], in consideration of the sum of $[specify amount excluding goods and services tax], transfer to [full name] of [full address], the management rights for—

*Delete if inapplicable.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

[If the notice of transfer of management rights transfers the management rights for only part of the range of frequencies specified in a record of management rights, the manager must complete the Schedule.]

C = the value of y where x = 0 (the y intercept).

Note: This notice must be signed in duplicate.

This notice must be accompanied by a rightholder’s consent if section 42(2) of the Radiocommunications Act 1989 applies.

To the Registrar of Radio Frequencies

I, [full name], manager under record of management rights number [specify first reference number] and record of management rights number [specify second reference number], being management rights that share a common boundary and have the same expiry date, request that the management rights be aggregated.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

Date on which manager would like the management rights to be aggregated:

(Note: this date is not guaranteed)

Note: This application must be signed in duplicate.

To the Registrar of Radio Frequencies

We, [full name], chief executive of the Ministry of Business, Innovation, and Employment, and [full name], manager under record of management rights number [specify reference number], have agreed to modify the power floor level that applies to that record of management rights.

We give notice that the power floor level specified in the Schedule applies, under that agreement, to that record of management rights from the date specified in the Schedule.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of chief executive of the Ministry of Business, Innovation, and Employment]:

in the presence of:

Witness name:

Occupation:

Full address:

C = the value of y where x = 0 (the y intercept).

Note: This notice must be signed in duplicate.

To the Registrar of Radio Frequencies

We, [full name], chief executive of the Ministry of Business, Innovation, and Employment, and [full name], manager under record of management rights number [specify reference number], have agreed to modify the protection limit that applies to that record of management rights.

We give notice that the protection limit specified in the Schedule applies, under that agreement, to that record of management rights, from the date specified in the Schedule.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of chief executive of the Ministry of Business, Innovation, and Employment]:

in the presence of:

Witness name:

Occupation:

Full address:

C = the value of y where x = 0 (the y intercept).

Note: This notice must be signed in duplicate.

To the Registrar of Radio Frequencies

We, [full name], manager under the record of management rights specified in clause 1 of the Schedule, and [full name], manager under the record of management rights specified in clause 2 of the Schedule (the adjacent manager), have agreed to modify the adjacent frequencies emission limit that applies to a frequency falling within the range of frequencies specified in the adjacent manager’s record of management rights.

We give notice that the adjacent frequencies emission limits specified in clause 3 of the Schedule apply, under that agreement, to the record of management rights specified in clause 1 of the Schedule from the date specified in the Schedule.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of adjacent manager]:

in the presence of:

Witness name:

Occupation:

Full address:

[Repeat if necessary for all relevant adjacent managers.]

C = the value of y where x = 0 (the y intercept).

Note: This notice must be signed in duplicate.

I, [full name], being the manager for the range of frequencies specified in record of management rights number [specify reference number], give notice that I intend to—

*the right to transmit radio waves on the frequencies specified in clause 3 of the Schedule, and the right to have no harmful interference from co-channel emissions on those frequencies in the protection location(s) or area specified in clause 7 of the Schedule (Type A licence).

*the right to transmit radio waves on the frequencies specified in clause 3 of the Schedule (Type B licence).

*the right to have no harmful interference from co-channel emissions on the frequencies specified in clause 3 of the Schedule in the protection location(s) or area specified in clause 7 of the Schedule (Type C licence).

*Delete if inapplicable.

The terms and conditions of the licence are set out in the Schedule.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

[All clauses of the Schedule apply to Type A licences. All clauses of the Schedule apply to Type B licences except clause 7. All clauses of the Schedule apply to Type C licences except clauses 4, 5, and 6.]

[Repeat clauses 3 and 4 if necessary for multiple frequency licences or multiple frequency band licences.]

C = the value of y where x = 0 (the y intercept).

*Delete if inapplicable.

Note: Before this licence may be registered, the Registrar must receive a certificate from an approved radio engineer under section 25(4) of the Radiocommunications Act 1989.

If a characteristic frequency is not specified in clause 3 of the Schedule, the centre frequency of the frequency band will be entered into the Register for reference purposes.

This notice must be accompanied by an acknowledgement of the mortgagee’s consent if section 26 of the Radiocommunications Act 1989 applies.

This licence must be signed in duplicate.

To the Registrar of Radio Frequencies

*I, [full name], being the rightholder for spectrum licence number [specify reference number], being a licence that section 57 of the Act applies to, give notice that the spectrum licence is modified in accordance with the Schedule.

*I, [full name], being the manager under record of management rights number [specify reference number] in relation to spectrum licence number [specify reference number], being a licence that section 57A of the Act applies to, give notice that the spectrum licence is modified in accordance with the Schedule.

*We, [full name], being the rightholder for spectrum licence number [specify reference number], and [full name], being the manager under the record of management rights number [specify reference number], in respect of that spectrum licence, being a licence that section 57B of the Act applies to, have agreed that the spectrum licence is modified in accordance with the Schedule. We give notice that the spectrum licence is modified in accordance with the Schedule.

*Delete if inapplicable.

Date:

Signed by [name of rightholder]:

in the presence of:

Witness name:

Occupation:

Full address:

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

*I, [full name], being the manager under record of management rights number [specify reference number], consent to the modification of the licence as specified in this notice, for the purposes of section 57C of the Act.

*Delete if inapplicable.

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

[Repeat if necessary for all relevant managers.]

Note: Before this notification may be registered, the Registrar may require a certificate from an approved radio engineer to be provided in accordance with section 57D of the Radiocommunications Act 1989.

If the authorities in the licence require the manager’s or managers’ approval of a modification of the licence, this notice must be signed by every manager that has a record of management rights, including any of the frequencies within the bandwidth of the licence.

This notice must be accompanied by an acknowledgment of a mortgagee’s consent if section 26 of the Radiocommunications Act 1989 applies.

This notice must be signed in duplicate.

I, [full name], being the rightholder for spectrum licence number [specify reference number], in consideration of the sum of $[specify amount excluding goods and services tax], transfer the spectrum licence to [full name], of [full address].

Date:

Signed by [name of rightholder]:

in the presence of:

Witness name:

Occupation:

Full address:

Date on which the transfer of spectrum licences will take effect [which should not be more than 1 month after the date of the notice]:

Note: This notice must be signed in duplicate.

This notice must be accompanied by a consent from all relevant managers if section 56(2) or (3) of the Radiocommunications Act 1989 applies.

*I, [full name], being the rightholder for spectrum licence number [specify reference number], being a licence that section 57 of the Act applies to, give notice that the spectrum licence is cancelled.

*I, [full name], being the manager under record of management rights number [specify reference number] for spectrum licence number [specify reference number], being a licence that section 57A of the Act applies to, give notice that the spectrum licence is cancelled.

*We, [full name], being the rightholder for spectrum licence number [specify reference number], and [full name] being the manager under record of management rights number [specify reference number] for that spectrum licence, being a licence that section 57B of the Act applies to, have agreed that the spectrum licence be cancelled. We give notice that the spectrum licence is cancelled.

*Delete if inapplicable.

The date from which the cancellation will apply is [specify date].

Date:

Signed by [name of rightholder]:

in the presence of:

Witness name:

Occupation:

Full address:

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This notice must be signed in duplicate.

Mortgage number: [specify reference number].

The mortgagor covenants with the mortgagee as set out above.

The mortgagor acknowledges receipt of the principal sum.

For the better securing of the principal sum, interest, and other moneys, the mortgagor mortgages to the mortgagee all of the interest of the mortgagor in the *record of management rights [or] *licence described above.

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This memorandum must be signed in duplicate.

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

Mortgage number: [specify reference number].

Mortgagor: [specify full name and address].

Mortgagee: [specify full name and address].

The principal sum intended to be secured by—

*the mortgage described above [or]

*the attached mortgage—

is *increased [or] *reduced to $[specify amount], from the date of this memorandum.

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: It is not necessary for a mortgagor to sign a memorandum of reduction of the mortgage debt, or for a mortgagee to sign a memorandum of increase of the mortgage debt.

This memorandum must be signed in duplicate.

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

Mortgage number: [specify reference number].

Mortgagor: [specify full name and address].

Mortgagee: [specify full name and address].

The rate of interest payable under—

*the mortgage described above [or]

*the attached mortgage—

is *increased [or] *reduced to [specify new rate] per annum from the date of this memorandum.

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: It is not necessary for a mortgagor to sign a memorandum of reduction of the rate of interest payable under a mortgage, or for a mortgagee to sign a memorandum of increase of the rate of interest payable under a mortgage.

This memorandum must be signed in duplicate.

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

Mortgage number: [specify reference number].

Mortgagor: [specify full name and address].

Mortgagee: [specify full name and address].

The term (or currency) of—

*the mortgage described above [or]

*the attached mortgage—

is *renewed [or] *shortened [or] *extended to: [specify date].

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This memorandum must be signed in duplicate.

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

Mortgage number: [specify reference number].

Mortgagor: [specify full name and address].

Mortgagee: [specify full name and address].

The covenants, conditions, and powers contained or implied in—

*the mortgage described above [or]

*the attached mortgage—

are varied from the date of this memorandum as follows: [specify variations].

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This memorandum must be signed in duplicate.

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

Mortgage number: [specify reference number].

Mortgagor: [specify full name and address].

Mortgagee: [specify full name and address].

The priority of the following mortgages, in so far as they affect the—

*record of management rights [or] *spectrum licence—

described above is varied, from the date of this memorandum, as follows:

[Insert additional particulars if there are more than 2 mortgages]

*Delete if inapplicable.

Date:

Signed by [name of mortgagor]:

in the presence of:

Witness name:

Occupation:

Full address:

Signed by [name of second mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This memorandum must be signed by the mortgagor, and by the mortgagee under every mortgage that, by the memorandum, is postponed to any mortgage over which it previously had priority.

This memorandum must be signed in duplicate.

Mortgage number: [specify mortgage number].

*Record of management rights number: [specify reference number].

*Spectrum licence number: [specify reference number].

*Delete if inapplicable.

To [full name and last-known residential or business address of mortgagor].

Default

I [full name of mortgagee], being the mortgagee under the mortgage described above, gives you notice that you are in default under the mortgage as follows:

Remedy

You are required to remedy the default(s) described above as follows:

*Delete if inapplicable.

[If the default complained of is incapable of remedy, omit this paragraph and substitute the words “The default described above is incapable of remedy.”]

Consequences

If you do not remedy each default before [specify date, which must not be earlier than 1 month from the date of service of the notice], the mortgagee will have the right to [specify the rights that the mortgagee will be entitled to exercise if the default is not remedied within the specified period].

[If the default complained of is incapable of remedy, omit the words “If you do not remedy each default before”, and substitute the words “On and after”.]

Date:

Signed by, or on behalf of, the mortgagee:

in the presence of:

Witness name:

Occupation:

Full address:

This notice is given by [full name], whose address for service is [specify address].

Copy to: [each subsequent mortgagee of whose name and address the mortgagee has actual notice].

The mortgagee acknowledges that mortgage number [specify reference number] is discharged *wholly [or] *partially to the following extent [specify the extent of the discharge].

*Delete if inapplicable.

Date:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This memorandum must be signed in duplicate.

To the Registrar of Radio Frequencies

I, [full name], of [address], apply to be registered as *manager for the radio frequencies described in record of management rights number [specify reference number] [or] *rightholder for spectrum licence number [specify reference number].

*Delete if inapplicable.

I believe that I am entitled to be registered by operation of law for the following reasons: [specify sufficient information to inform the Registrar of the facts relied on to support the application].

The following persons have an interest in this application: [list names and addresses of persons who have an interest in the application and who should be given notice of it, including persons who may oppose the application].

The following evidence accompanies this application: [list the evidence that accompanies the application in order to establish the applicant’s entitlement to be registered as manager or rightholder].

Signature of applicant:

in the presence of:

Witness name:

Occupation:

Full address:

Date:

Note: This application must be accompanied by the evidence in support of the application that is necessary to establish the applicant’s entitlement to be registered as manager or rightholder.

To the Registrar of Radio Frequencies

I, [full name], of [address],—

*Delete if inapplicable.

I therefore forbid you to make any entry on the Register having the effect of—

*charging, modifying, or transferring the management rights relating to this caveat, or creating any licence under those management rights.

*charging, modifying, or transferring the licence relating to this caveat.

I believe that I am entitled to lodge this caveat because [specify the grounds on which the caveat is lodged].

I appoint [specify an address] as the place at which notices relating to this caveat may be served.

*Delete if inapplicable.

Date:

Signed by [name of caveator]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This caveat must be signed in duplicate.

Caveat number: [specify reference number].

To the Registrar of Radio Frequencies

I, [full name], having lodged caveat number [specify reference number] for—

*record of management rights number [insert reference number] [or]

*spectrum licence number [insert reference number],

withdraw that caveat as to—

*the whole of the *management rights [or] *spectrum licence protected by the caveat [or]

*the following part of the *management rights [or] *spectrum licence protected by the caveat: [here specify that part of the management rights or licence for which the caveat is withdrawn].

*Delete if inapplicable.

Date:

Signed by [name of caveator]:

in the presence of:

Witness name:

Occupation:

Full address:

Note: This withdrawal of caveat must be signed in duplicate.

To the Registrar of Radio Frequencies

I, [full name], request that the record on the Register of the particulars set out in the instrument described below be corrected on the grounds recorded below.

Instrument relating to this application: [specify the instrument].

*Record of management rights relating to the instrument: [specify reference number].

*Spectrum licence relating to the instrument: [specify reference number].

Details of correction requested: [specify the correction requested].

Grounds for correction: [specify the grounds for the correction].

*Delete if inapplicable.

Signature of applicant:

in the presence of:

Witness name:

Occupation:

Full address:

Date:

Note: This application must be accompanied by a copy of the certificate issued under section 17(b) of the Radiocommunications Act 1989 that relates to the record on the Register that is relevant to this application.

This application must be signed in duplicate.

I, [full name], being the rightholder under spectrum licence number [specify reference number] consent to the transfer of management rights as specified in the Schedule.

Date:

Signed by [name of rightholder]:

in the presence of:

Witness name:

Occupation:

Full address:

I, [full name], being the mortgagee under mortgage number [specify reference number], for record of management rights number [specify reference number], acknowledge that I have consented to—

*the grant of the spectrum licence *attached [or] *as specified in the Schedule.

*the modification of spectrum licence number [specify reference number] *as specified in the attached Notice of modification of spectrum licence [or] *as specified in the Schedule.

*Delete if inapplicable.

Date:

Signed by [name of mortgagee]:

in the presence of:

Witness name:

Occupation:

Full address:

The details of the *spectrum licence [or] *modifications that apply to the spectrum licence are [specify details of the spectrum licence or modifications using, where appropriate, the format set out in the prescribed form for spectrum licences (Form 7)].

*Delete if inapplicable.

I, [full name], being the manager under record of management rights number [specify reference number], consent to the transfer of spectrum licence number [specify reference number] to [full name] of [full address].

Date:

Signed by [name of manager]:

in the presence of:

Witness name:

Occupation:

Full address:

[Repeat if necessary for all relevant managers.]

To the chief executive of the Ministry of Business, Innovation, and Employment

I, [full name], being the rightholder for spectrum licence number [specify reference number] (or the holder of radio licence number [specify reference number] or the owner of the radionavigation or safety receiver described as [specify description of receiver]), request under section 108(6) (or section 108(7)) of the Radiocommunications Act 1989 that the chief executive of the Ministry of Business, Innovation, and Employment refer the matter described below to arbitration under section 109 of that Act.

*Delete if inapplicable.

Date:

Signed by [name of claimant]:

in the presence of:

Witness:

Occupation:

Address:

Note: This request must be accompanied by a copy of the notice given under section 108(1) of the Radiocommunications Act 1989. This request (together with any supporting documentation) should be sent, as soon as practicable, to the respondent by the claimant.