Confidentiality request

FCC ID: 2AB73JA-1657

Cover Letter(s)

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FCCID_3614286

the wireless lab APPLICATION FOR FCC EQUIPMENT AUTHORIZATION (Form 731) Section: One Applicant’s Business Name Joint Chinese Ltd Applicant’s FRN 0023528003 MODEL NUMBER JA-1657 Request for Grantee Code FCC ID: (Grantee + Applicant Code) 2AB73JA-1657 Address line 1 Building 6, Huafeng Tech Park, Address line 2 Luotian Industrial Area, Songgang Town, Baoan City Shenzhen Zip/ Postal Code State P.O. Box Country China Phone 86-755-33180892 First Name Kathy Fax 86-755-33180893 Middle Name Email admin@jointcorp.com Last Name Zhao Mail Stop Title Export Sales Manager Section: Two Instead of Applicant, the original Grant is authorized to be mailed to (All questions regarding the application will be directed to this contact. The original grant and invoice will be sent to this contact.) Technical Contact Company Name Shenzhen Tongce Testing Lab Address 1B/F., Building 1, Yibaolai Industrial Park, Qiaotou, Fuyong, Baoan District, City Shenzhen Zip/ Postal Code State P.O. Box Country China Phone +86-0755-27673339 Contact Person Joe Zhou Fax +86-0755-27673332 Title Manager Email joe.zhou@tct-lab.com Non - Technical Contact Company Name Address City Zip/ Postal Code State P.O. Box Country Phone Contact Person Fax Title Email Section: Three Does this application include a request for Long Term Confidentiality (LTC)? see 47 CFR § 0.459? Yes No Does this application include a request for Short Term Confidentiality (STC)? Date? __________________________________ Yes No Is this application for Software Defined Radio (SDR) authorization? Yes No Is there a PBA associated with this Application? Please specify KDB number: Yes No Does the applicant request a defered Grant Date? If so, specify date: Yes No MiCOM Labs Inc, 575 Boulder Court, Pleasanton, CA 94566, USA Tel: +1 (925) 462-0304, Fax: +1 (925) 462-0306, Web: www.micomlabs.com Page 1 of 2 Doc#: MC_F_731 (Rev 4.0)

the wireless lab Is this a Modular or Limited Modular Certification? Is there a waiver associated with this filing? Yes No Yes Modular Type: (please complete if you answered “Yes“) No Single Modular Approval Waiver Number: Limited Single Modular Approval Waiver Date: Split Modular Approval Split Limited Modular Approval Description of product as it is marketed J Style Smart Sleep Belt (note: this text will appear below the equipment class on the grant) Purpose of the Application: Original equipment Change in identification of presently authorized equipment: Original FCC ID:____________________________ Original Grant Date (MM/DD/YYYY):________________________ Class II permissive change or modification of presently authorized equipment Class III permissive change to software defined radio Note: this may only be filed for applications pertaining to Software Defined Radio Equipment Specifications The equipment will be operated under FCC Rule Part(s) Rated RF Frequency tolerance Emission Designator FCC Equipment Code Frequency range in MHz power output (%, Hz, ppm) (NOT for Part 15 devices) (ex:: DTS, DSS, PCE) 2402 2480 0.00108W DTS NOTE: If additional Equipment Specifications required, please use separate page Is the equipment in this application? (a) a composite device subject to an additional equipment authorization? Yes No (b) part of a system that operates with, or is marketed with, another device that requires Yes No an equipment authorization? If either of the above questions is answered “Yes” please complete the following statement (c) The related application checked above is (Check one box only) has been granted under the FCC ID listed to the right FCC ID: is in the process of being filed under the FCC ID listed to the right ________________ is pending with the FCC under the FCC ID listed to the right MiCOM Labs Inc, 575 Boulder Court, Pleasanton, CA 94566, USA Tel: +1 (925) 462-0304, Fax: +1 (925) 462-0306, Web: www.micomlabs.com Page 2 of 2 Doc#: MC_F_731 (Rev 4.0)

the wireless lab Section: Four Name of Test Firm and contact person on file with the FCC, if different from applicant or contact person Company name Shenzhen Tongce Testing Lab Address 1B/F., Building 1, Yibaolai Industrial Park, Qiaotou, Fuyong, Baoan District, City Shenzhen Zip Postal Code State P.O. Box Country China Phone +86-0755-27673339 Contact Person Joe Zhou Fax +86-0755-27673332 Email joe.zhou@tct-lab.com FCC Registered Test Site Number (required for part 15 and 18 applications) 645098 Read each certification carefully before answering and signing this application WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503). SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION: The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a “party” for these purposes Does the applicant or authorized agent so certify? Yes No APPLICANT/AGENT CERTIFICATION: I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization issued by MiCOM Labs Certification as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC’s technical requirements. Authorizing an agent to sign this application is done solely at the applicant’s discretion; however, the applicant remains responsible for all statements in this application. If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above Section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to MiCOM Labs Certification or the FCC upon request, and that MiCOM Labs Certification or FCC reserves the right to contact the applicant directly at any time. Original written signature of Date authorized signer (Month, Day, Oct. 19, 2017 Year) Typed/printed name of authorized Title of signer Joe Zhou authorized EMC manager signer Complete items below if an agent signs the application Firm name Address City Zip/ Postal Code State P.O. Box Country Phone Contact Person Fax Title Email MiCOM Labs Inc, 575 Boulder Court, Pleasanton, CA 94566, USA Tel: +1 (925) 462-0304, Fax: +1 (925) 462-0306, Web: www.micomlabs.com Page 3 of 2 Doc#: MC_F_731 (Rev 4.0)


Document Created: 2017-10-21 18:40:11
Document Modified: 2017-10-21 18:40:11
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