EW4C95

FCC ID

Equipment:

Mitsumi Electric Co Ltd C95

2-11-2,Tsurumaki,Tama-shi, Tokyo,206-8567, N/A N/A Japan

Application Frequency Range	Final Action Date Granted
uMGhtO3F5j7Xk+zNuK7+/A== 2402.0-2480.0	2023-02-21 APPROVED
7vvi2lo9mWU2x5DVTJc2Zg== 2402.0-2480.0	2023-02-21 APPROVED
dEA78CSSvN1lbAr0vPAzEg== 2402.0-2480.0	2015-05-15 APPROVED
ACbPiPrDQj9zyN6gc+9i6w== 2402.0-2480.0	2015-05-15 APPROVED

File Name	Document Type	Date	Direct
Confidentiality Request Letter	Cover Letter(s)	2023-02-21 00:00:00	pdf
Test Report FCC 15.247 (BT BLE)	Test Report	2023-02-21 00:00:00	pdf
Attestation of US Agent for Service of Process	Cover Letter(s)	2023-02-21 00:00:00	pdf
Attestation of Cover List	Cover Letter(s)	2023-02-21 00:00:00	pdf
Reference Antenna Infomation	Test Report	2023-02-21 00:00:00	pdf
Description of Permissive Change	Attestation Statements	2023-02-21 00:00:00	pdf
Product Certification Representative Auth letter	Cover Letter(s)	2023-02-21 00:00:00	pdf
Modular approval letter	Cover Letter(s)	2023-02-21 00:00:00	pdf
Internal Photo	Internal Photos	2023-02-21 00:00:00	pdf
External photos	External Photos	2023-02-21 00:00:00	pdf
Power of Attorney	Cover Letter(s)	2023-02-21 00:00:00	pdf
Test Report FCC 15.247 (BT EDR)	Test Report	2023-02-21 00:00:00	pdf
Product Certification Representative Auth Letter	Cover Letter(s)	2023-02-21 00:00:00	pdf
External Photo	External Photos	2023-02-21 00:00:00	pdf
PoA Letter	Cover Letter(s)	2023-02-21 00:00:00	pdf
Cover Letter (Modular Approval Request).pdf	Cover Letter(s)	2015-05-15 00:00:00	pdf
Cover Letter (Agent Authorization).pdf	Cover Letter(s)	2015-05-15 00:00:00	pdf
Confidentiality Request (short-term).pdf	Cover Letter(s)	2015-05-15 00:00:00	pdf
Confidentiality Request (long-term).pdf	Cover Letter(s)	2015-05-15 00:00:00	pdf
RF Exposure Info (MPE).pdf	RF Exposure Info	2015-05-15 00:00:00	pdf
User Manual.pdf	Users Manual	2015-11-11 00:00:00	pdf
Test Set Up Photo.pdf	Test Setup Photos	2015-11-11 00:00:00	pdf
Test Report (DTS)_rev.pdf	Test Report	2015-05-15 00:00:00	pdf
Test Report (DSS)_rev.pdf	Test Report	2015-05-15 00:00:00	pdf
Internal Photos.pdf	Internal Photos	2015-11-11 00:00:00	pdf
Label Location & Label Sample_rev.pdf	ID Label/Location Info	2015-05-15 00:00:00	pdf
External Photos.pdf	External Photos	2015-11-11 00:00:00	pdf
Block Diagram.pdf	Block Diagram		N/A
Operational Description.pdf	Operational Description		N/A
Schematics.pdf	Schematics		N/A
Block Diagram	Block Diagram		N/A
Operational Description	Operational Description		N/A
Schematics	Schematics		N/A
Test Setup Photos	Test Setup Photos	2023-08-20 00:00:00	N/A

Application Details:

Equipment	Bluetooth HCI Module
FRN	0033187782
Grantee Code	EW4
Product Code	C95
Applicant Business	Mitsumi Electric Co Ltd
Business Address	2-11-2,Tsurumaki,Tama-shi , Tokyo,206-8567,N/A Japan
TCB Scope	A4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email	[email protected]
Applicant	Masashi Tsuchida –
Applicant Phone
Applicant Fax	81-42-310-5598
Applicant Email	[email protected]
Applicant MailStop
Test Firm	Bureau Veritas CPS (H.K.) Ltd., Taoyuan Branch
Test Firm Contact	Richard Chen
Test Firm Phone
Test Firm Fax	+886-(0)3-211-5834
Test Firm Email	[email protected]
Certified By	Masashi Tsuchida –