COMPLIANCE RETURN FORM BROADCASTING SIGNAL DISTRIBUTION SERVICES
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1 CA/F/MMS/COMP-01 COMPLIANCE RETURN FORM BROADCASTING SIGNAL DISTRIBUTION SERVICES PURSUANT TO THE PROVISIONS OF THE KCA 1998, KC (A) A, 2009, KIC (A) A, 2013, AND THE LICENSE CONDITIONS 1. GENERAL INFORMATION 1.1 Licnsing information Nam of broadcast signal distributor (Exactly as licnsd): Idntity of th broadcast signal distributor brand nam (call sign): Licns Typ: Slf-provision broadcast signal distribution Common carrir Broadcast signal distribution 1.2 Priod undr rviw YEAR : July to Jun (Tick against appropriat quartr) Quartr 1 (1 st July 30 th Sp) Quartr 2 (1 st Oct 31 st Dc) Quartr 3 (1 st Jan 31 st Mar) Quartr 4 (1 st Apr 30 th Jun) 1.3 Addrss: 1. Physical Addrss: Town Strt/Road LR No. Floor No. Room No. Nam of Building 2. Postal Addrss: P. O. Box Postal Cod Post Offic Town 3. Phon and Fax Contact: Tl. No. Mobil No. 4. and Wb Addrss: Othr Tl. Nos. Fax. No. addrss: Wb Addrss:
2 Did any of th addrss information chang during th quartr? (Tick as appropriat) Ys No 1.4 Contact Dtails Nam of Chif Excutiv Officr (CEO): Titl of CEO: Nam of contact prson: Dsignation: Tlphon: (a) Landlin (b) Mobil: Fax: Wb addrss: Signatur of submitting contact prson: Dat 1.5 Instructions 1. Th form has provision for both quartrly and annual rturns. 2. Plas provid information in th spac providd, you may insrt additional rows and pags as rquird. PART A: QUARTERLY REPORTING SECTION (Information to b submittd at th nd of vry Quartr) 2. SERVICES PROVIDED UNDER THIS BROADCAST LICENSE 2.1 Rturns On Multiplx Dtails Location of aggrgation cntr/multiplxing cntr Multiplx No/ID:.., Mux Typ/Mak/Modl: MU X ID or No. DVBT systm config Modulation FEC cod rat Rcption mod Mux capacity (Mbps) Contnt (No. of SDTV, HDTV, radio, tc) Mux B/W Carrirs FFT Guard Intrval (GI) For ach MUX, list also supplmntary srvics supportd and any local channl insrts at th transmittrs 2.2 Rturns On Digital Transmittr Rollout
3 a. List of nw sits oprationalizd during th quartr and/or upgradd or installd with local insrt facility (Complt tabl for ach transmittr) (a) Sit charactristics Sit nam Sit coordinats (longitud and latitud) Altitud abov sa lvl ASL (m) (b) Emission charactristics Transmittr mak & Modl Transmittr srial No. Assignd (Mid) frquncy (MHz) TV Channl Numbr Transmittr max powr rating (Watts) Transmittr carrir powr (watts) Antnna Gain (dbi) Maximum radiatd powr ERP (watts) Antnna dirctivity Polarisation Antnna hight abov ground lvl (m) Max. Effctiv antnna hight (m) (c) Effctiv antnna Hight at intrvals of 10 dg (0, 10, dg) (d) Antnna attnuation in db at intrvals of 10 dg (0, 10, dg) for dirctional radiation () Administrativ & Othrs Dat frquncy brought into us
4 Carrir systm typ (satllit, microwav, fibr, tc) Carrir frquncy(s), B/W and capacity If carrir is lasd, nam of providr Nam and addrss of BSD BSD Contact Prson nam, tl no, mail (f) List of aras/nvirons sufficintly covrd by digital signal of th abov DVB-T2 transmittr 2.3 Rturns On Contnt Srvic Providrs Accommodatd Kindly provid sparat tabls for: a) Th numbr and List of TV channls/radios addd to th platform during quartr, indicating whthr is local insrt (whr) or at MUX cntr b) Th Numbr and List of TV channls/radios REMOVED from th platform during QTR and rasons for rmoval (Complt tabl blow for all channls currntly hostd on DTT platform) MUX ID. Slot No. TV channl ID CSP Nam & Addrss FTA or PAY Sits on air Dat channl 1 st activatd 2.4 Viwrship/Listnrship Lvl (Applicabl only to th slf-provision BSD)
5 What ar your avrag quartrly audinc/subscribr numbrs for your srvics (whr applicabl)? Fr to Air (Avrag Numbr of Audinc) Subscription/Pay Srvics (Avrag Numbr of Subscriptions) 2.5 Information about customr car outlts: Location of customr car outlts Srvics offrd Hours of Opration PART B: ANNUAL REPORTING SECTION (Information to b submittd at th nd of th Quartr nding 30 th Jun) 1. SHAREHOLDING INFORMATION Plas attach a copy of th currnt crtificat of sharholding. 2. FINANCIAL DATA Spcify th start and nd dats of your firm s financial yar blow. Financial Yar Start Dat: End Dat: Plas attach th following; I. A copy of your Annual Auditd Accounts for th prcding yar. II. Valid tax complianc crtificat. 2.1 Plas indicat blow your rvnu and invstmnt in th last fiv yars (whr applicabl) from th following catgoris: Itm Yr. Yr. Yr. Yr. Yr. Advrtising Program sals Grants and Donations Subscription/ mmbrship fs Invstm nt Invstm nt Invstm nt Invstm nt Invstm nt
6 Itm Yr. Yr. Yr. Yr. Yr. Publishing/Mr chandising Infrastructur Othr(Plas spcify Invstm nt Invstm nt Invstm nt Invstm nt Invstm nt 3. STAFF 3.1 Staff Information Staff Catgory Local (Knyan Citizns) Expatriats Mal Fmal Mal Fmal Tchnical Prmannt Contract Tmporary Non-Tchnical Prmannt Contract Tmporary Total 3.2 Trainings carrid out Typ of training cours Numbr of prsons traind within th country Numbr of prsons traind outsid country 4. COMPLAINTS HANDLING Complaint (i.. Customr Billing tc.) Catgory Contnt, Srvic, Numbr complaints Rcivd of Numbr complaints Rsolvd of Turnaround tim (Numbr of days) Numbr complaints rsolvd of not
7 5. COMMENTS/ SUGGESTIONS Plas indicat challngs and suggstions to improv th rgulatory nvironmnt Signd Company Stamp Hr Nam.. Titl Dat. (NB: Whr nil rturns ar providd an xplanation must b providd undr th Commnts/Suggstions sction of this form) THANK YOU FOR COMPLETING THE FORM
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