Regulation 16(a)
Bidder’s full name:
Bidder address:
Telephone number:
Fax number:
E-mail address:
Password allocated by the Office of Communications (“OFCOM”):
| Licence in respect of: | Bid amount (in words) | Bid amount (in figures) | |
| 1. | Frequency lot A: | ||
| 2. | Frequency lot B: | ||
| 3. | Frequency lot C: | ||
| 4. | Frequency lot D: | ||
| 5. | Frequency lots A and B: | ||
| 6. | Frequency lots A and C: | ||
| 7. | Frequency lots A and D: | ||
| 8. | Frequency lots B and C: | ||
| 9. | Frequency lots B and D: | ||
| 10. | Frequency lots C and D: | ||
| 11. | Frequency lots A, B and C: | ||
| 12. | Frequency lots A, B and D: | ||
| 13. | Frequency lots A, C and D: | ||
| 14. | Frequency lots B, C and D: | ||
| 15. | Frequency lots A, B, C and D: |