Modular Approval letter

FCC ID: COFWMSGSM42

Cover Letter(s)

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FCCID_3311912

"\ 775 Montague Expressway ’fl Milpitas, CA 95035 sl EM I C Tel: 408—526—1188 Fax: 408—526—1088 stom tesniss comnoinons Email: TCB@siemic.com Modular Approval Declaration Letter Revision History Reason for Amendment (current / obsolete) From To Approved Date Initial Release (Obsolete) 1.0 10 Dec—04—2006 Added IC Modular Letter (Obsolete) 1.0 20 Feb 16 2009 Add LMA and MA option (Obsolete) 20 30 April 14 2010 Revised per RSS Gen issue 3.0 (Obsolete) 3.0 40 Jan 12 2011 Remayed Foot(2) (obsolete) 4.0 5.0 July 19 2011 Adding New note per KDB996369 D01 VO1RO3 5.0 6.0 August 29 2011 (obsolete) Updated company template & Added text box 6.0 70 Jan—31—2012 (obsolete) Updated modular requirement (obsolete) T.0 8.0 Sept 05 2014 Updated template to meet RSP 100 issue 10 8.0 9.0 Nov 20 2014 (obsolete) Updated template to meet RSP 100 issue 11 9.0 10.0 March 19 2015 (obsolete)) Revised the Modular Requirement statements 10.0 110 July 28, 2016 (current) SCS—F26 Modular Approval Letter Page 1 of 2 Rev 11.0

Universal Global Scientific Industrial Co., Ltd. ® No. 141, Lane 351, Taiping Road, Sec. 1, Tsaotuen, Nantou County 54261, Taiwan TeL +886—49—221—2700 Ccmanmnunment FAX +886—49.232.9561 (Date) 02/16/2017 Product name) FCC ID : _LPWAN module / COFWMSGSM42 _., is seeking FCC Authorization as a KR Single ModuTar transmitter /[_] Single Limited Modular Approval (Please check one) The EUT meets the requirements for IBI Single Modutar approval / [_)Single Limited Modular Approval (please check one) as detailed in KDB 996369, Complianceto each of the requirements is described below Item Modularrequirement Yes No Please prov detalede No 4| 4A 4) 4J 4. 1 Have its own RF shielding 2 Have buffered modulation/data inputs (if such inputs are provided) The modular transmitter must have its own power supply regulation. 4 Meet the antenna requirements of section 15.203 Be tested in a stand—alone configuration, i.e., the antenna, AC or DC power and date inputoutput lines must be connected to the 5 module but, the module must not be inside another case during testing. Be labeled with its own FCC ID number, and if the FCC ID is not 4& | 6 visible when the module is installed inside anotherdevice, then the outside of the device into which the module is installed must also display a labelreferring to the enclosed module. The modular transmitter is manufactured so that the user can not 7 influence the operation of the transmitter that will operate outside of the scope of the regulations. Address compliance with the Commission‘s RF exposure limits in Sections 1.1310 and 2.1093. (1) LMA may be granted when one or more ofthe requirements in thetable above camnot be demonstrated LMwil also be issued in those instances where applicants can demonstrate thathey wil retain control over the finalinstalatn of he end productis assures. In such cases, an operating condiion on the LMA for the modle muststat thatthe moule is anly appro produced by a specific manulacturer When LMis sought, re appltion for equipment cetficaion must specifcaly state how contral of the end product nto which the module wl be nst maintained, such that ul complance ofthe end product is alvays ensured (2) Please provide Clear and specifc instructons descrbing the conditons,imiations and procedures for hird—partlesto (3) For nor—Software Detined Rado transmiter modules where softwareis used to ensure complance ofthe device, t to ensure prevention ofthid party modifcatin must be provided (see KDB 504220) Note 1: Complance of a moduin its final confiquration is the responsibilty ofthe applicant. A host device willnot be considered certfied if the instructions regarding antenna confiquration provided in the original description, of one or more separately certfied modules it contains, were not folowed Example: A separately certfied low—power transceiver module using Bluetooth technology which is housed in a desktop computer, laptop or peripheral does not requirethe overall system to be recertfied, if the desktop computer,laptop or peripheral, as a stand—alone unit, complies wih all applicanle technical standards. Client‘s signature A/mf}(’w 4:1« Client‘s name / ile Martin Shih / Manager Contact information / address Universal Global Scientific Industrial Co., Ltd. / No. 141, Lane 351, Taiping Road, Sec 1, Tsaotuen, Nantou Country 54261, Taiwan SCS—F26 Modular Approval Letter Page 2 of 2 Rev11.0


Document Created: 2017-03-07 14:20:32
Document Modified: 2017-03-07 14:20:32
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