Attestation - Ad Hoc Declaration

FCC ID: B3QT77H298

Attestation Statements

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FCCID_1695937

                                                      BROTHER INDUSTRIES, LTD.
                                                      15—1, Naeshiro—cho
                                                      Mizuho—ku, Nagoya 467—8561,
                                                      Japan
                                                      Phone   +81 52 824 2345
                                                      Fax     +81 52 824 2734




                     BROTHER INDUSTRIES, LTD.
                   15—1, Naeshiro—cho,Mizuho—ku,Nagoya, Aichi,Japan.




Date: 2012/04/25


                       GENERAL DECLARATION


We, BROTHER INDUSTRIES, LTD. declares that device does not have "Ad Hoc on
non—US frequencies" while applying for the follow product.

FCC ID: B3QT77H298

If you have any questions regarding the authorization, please don‘t hesitate to contact
us. Thank you!




               \       %   _

Signature:   \/_     /4
Takashi Fujiwara /f/
Manager
BROTHER INDUSTRIES, LTD.
TEL: +81—52—824—2348
FAX: +81—52—824—2734
E—mail: takashi. fujiwara@brother.co.jp



Document Created: 2012-05-08 17:46:07
Document Modified: 2012-05-08 17:46:07

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