Test Report HAC T-Coil

FCC ID: IHDT56XN2

Test Report

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         HAC T-COIL TEST REPORT                                                          Report No. : HA890437B




         HEARING AID COMPATIBILITY
            T-COIL TEST REPORT
                          FCC ID             : IHDT56XN2
                          Equipment          : Mobile Cellular Phone
                          Brand Name : Motorola
                          T-Rating           : T3
                          Applicant    : Motorola Mobility LLC
                                         222 W,Merchandise Mart Plaza,
                                         Chicago IL 60654 USA
                          Manufacturer : Motorola Mobility LLC
                                         222 W,Merchandise Mart Plaza,
                                         Chicago IL 60654 USA
                          Standard     : FCC 47 CFR §20.19
                                         ANSI C63.19-2011


      The product was received on Sep. 10, 2018and testing was started from Sep. 26, 2018 and
      completed on Oct. 05, 2018. We, SPORTON INTERNATIONAL INC., would like to declare
      that the tested sample has been evaluated in accordance with the test procedures and has
      been in compliance with the applicable technical standards.

      The report must not be used by the client to claim product certification, approval, or
      endorsement by TAF or any agency of government.

      The test results in this variant report apply exclusively to the tested model / sample.
      Without     written    approval   of    SPORTON     INTERTIONAL       INC.   EMC       &   Wireless
      Communications Laboratory, the test report shall not be reproduced except in full.




            Approved by: Cona Huang / Deputy Manager



SPORTON INTERNATIONAL INC. EMC & Wireless Communications Laboratory
                       No. 52, Huaya 1st Rd., Guishan Dist., Taoyuan City, Taiwan (R.O.C.)




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FAX : 886-3-328-4978                                                               Issued Date : Oct. 17, 2018
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             HAC T-COIL TEST REPORT                                                                                                             Report No. : HA890437B

                                                                Table of Contents
1.    Attestation of Test Results ........................................................................................................................................ 4
2.    General Information ................................................................................................................................................... 5
3.    Testing Location......................................................................................................................................................... 6
4.    Applied Standards ..................................................................................................................................................... 6
5.    Air Interface and Operating Mode............................................................................................................................. 7
6.    Measurement standards for T-Coil ........................................................................................................................... 8
      6.1     Frequency Response ....................................................................................................................................... 8
      6.2     T-Coil Signal Quality Categories ....................................................................................................................... 8
7.    T-Coil Test Procedure ................................................................................................................................................ 9
      7.1     Test Flow Chart................................................................................................................................................10
      7.2     Test Setup Diagram ......................................................................................................................................... 11
      7.3     Description of EUT Test Position .....................................................................................................................13
8.    Test Equipment List ..................................................................................................................................................14
9.    T-Coil testing for CMRS Voice ..................................................................................................................................15
      9.1     GSM Tests Results ..........................................................................................................................................15
      9.2     UMTS Tests Results ........................................................................................................................................16
10.   T-Coil testing for CMRS IP Voice .............................................................................................................................16
      10.1 VoLTE Tests Results ........................................................................................................................................16
      10.2 VoWiFi Tests Results .......................................................................................................................................18
11.   T-Coil testing for OTT VoIP Application ..................................................................................................................20
12.   Uncertainty Assessment ..........................................................................................................................................23
13.   References .................................................................................................................................................................24

Appendix A. Plots of T-Coil Measurement
Appendix B. DASY Calibration Certificate




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         HAC T-COIL TEST REPORT                                       Report No. : HA890437B


                        History of this test report
       Report No.      Version                     Description                Issued Date

       HA890437B       Rev. 01    Initial issue of report                     Oct. 17, 2018




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          HAC T-COIL TEST REPORT                                                               Report No. : HA890437B

1. Attestation of Test Results
                                                                              Frequency                 Magnetic
     Air Interface           Band MHz                T-Rating
                                                                               Response                  Intensity
                              GSM850                   T3                        Pass                      Pass
  GSM CMRS Voice
                             GSM1900                   T4                        Pass                      Pass
                             EDGE850                   T3                        Pass                      Pass
   OTT over EDGE
                            EDGE1900                   T4                        Pass                      Pass
                              Band 2                   T4                        Pass                      Pass
  UMTS CMRS Voice             Band 4                   T4                        Pass                      Pass
                              Band 5                   T4                        Pass                      Pass
                              Band 2                   T4                        Pass                      Pass
   OTT over UMTS              Band 4                   T4                        Pass                      Pass
                              Band 5                   T4                        Pass                      Pass
                              Band 2                   T4                        Pass                      Pass
                              Band 4                   T4                        Pass                      Pass
                              Band 5                   T4                        Pass                      Pass
        VoLTE                 Band 7                   T4                        Pass                      Pass
                              Band 12                  T4                        Pass                      Pass
                              Band 17                  T4                        Pass                      Pass
                              Band 66                  T4                        Pass                      Pass
    OTT over LTE              Band 66                  T4                        Pass                      Pass
                               2450                    T3                        Pass                      Pass
                               5200                    T4                        Pass                      Pass
       VoWiFI                  5300                    T4                        Pass                      Pass
                               5500                    T4                        Pass                      Pass
                               5800                    T4                        Pass                      Pass
                               2450                    T4                        Pass                      Pass
    OTT over WiFi
                               5800                    T4                        Pass                      Pass
     Date Tested                                            2018/09/26 ~ 2018/10/05
The device is compliance with HAC limits specified in guidelines FCC 47CFR §20.19 and ANSI Standard ANSI C63.19.

Reviewed by: Jason Wang
Report Producer: Wan Liu




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         HAC T-COIL TEST REPORT                                                Report No. : HA890437B
2. General Information
                                        Product Feature & Specification
Applicant Name         Motorola Mobility LLC
Equipment Name         Mobile Cellular Phone
Brand Name             Motorola
FCC ID                 IHDT56XN2
HW Version             DVT1-B
SW Version             PPW29.41
EUT Stage              Identical Prototype
                       GSM850: 824.2 MHz ~ 848.8 MHz
                       GSM1900: 1850.2 MHz ~ 1909.8 MHz
                       WCDMA Band II: 1852.4 MHz ~ 1907.6 MHz
                       WCDMA Band IV: 1712.4 MHz ~ 1752.6 MHz
                       WCDMA Band V: 826.4 MHz ~ 846.6 MHz
                       LTE Band 2: 1850.7 MHz ~ 1909.3 MHz
                       LTE Band 4: 1710.7 MHz ~ 1754.3 MHz
                       LTE Band 5: 824.7 MHz ~ 848.3 MHz
                       LTE Band 7: 2502.5 MHz ~ 2567.5 MHz
Frequency Band         LTE Band 12: 699.7 MHz ~ 715.3 MHz
                       LTE Band 17: 706.5 MHz ~ 713.5 MHz
                       LTE Band 66: 1710.7 MHz ~ 1779.3 MHz
                       WLAN 2.4GHz Band: 2412 MHz ~ 2462 MHz
                       WLAN 5.2GHz Band: 5180 MHz ~ 5240 MHz
                       WLAN 5.3GHz Band: 5260 MHz ~ 5320 MHz
                       WLAN 5.5GHz Band: 5500 MHz ~ 5720 MHz
                       WLAN 5.8GHz Band: 5745 MHz ~ 5825 MHz
                       Bluetooth: 2402 MHz ~ 2480 MHz
                       NFC: 13.56 MHz
                       GSM/GPRS/EGPRS
                       AMR / RMC 12.2Kbps
                       HSDPA
                       HSUPA
Mode                   DC-HSDPA
                       LTE: QPSK, 16QAM, 64QAM
                       802.11a/b/g/n/ac HT20/HT40/VHT20/VHT40/VHT80
                       Bluetooth BR/EDR/LE
                       NFC:ASK




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            HAC T-COIL TEST REPORT                                                            Report No. : HA890437B


3. Testing Location
Sporton Lab is accredited to ISO 17025 by Taiwan Accreditation Foundation (TAF code: 1190) and the FCC designation
No. TW1190 under the FCC 2.948(e) by Mutual Recognition Agreement (MRA) in FCC test.

                                                Testing Laboratory
Test Site                          SPORTON INTERNATIONAL INC.
                                   No. 52, Huaya 1st Rd., Guishan Dist., Taoyuan City, Taiwan (R.O.C.)
Test Site Location                 TEL: +886-3-327-3456
                                   FAX: +886-3-328-4978
                                   Sporton Site No.:
Test Site No.
                                   SAR04-HY




4. Applied Standards
‧    FCC CFR47 Part 20.19
‧    ANSI C63.19 2011-version
‧    FCC KDB 285076 D01 HAC Guidance v05
‧    FCC KDB 285076 D02 T Coil testing v03
‧    FCC KDB 285076 D03 HAC FAQ v01




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            HAC T-COIL TEST REPORT                                                                 Report No. : HA890437B
5. Air Interface and Operating Mode
   Air                                          C63.19              Simultaneous              Name of Voice       Power
Interface       Band MHz           Type
                                                Tested               Transmitter                Service          Reduction
                 GSM850                                               WLAN, BT                                       No
                                    VO           Yes                                            CMRS Voice
                GSM1900                                               WLAN, BT                                       No
  GSM
                EDGE850
                                    VD           Yes                  WLAN, BT                 Google Duo(1)         No
               EDGE1900
                   850                                                WLAN, BT                                       No
                  1750              VO           Yes                  WLAN, BT                  CMRS Voice           No
 UMTS
                  1900                                                WLAN, BT                                       No
                  HSPA              VD           Yes                  WLAN, BT                 Google Duo(1)         No
                 Band 2                                               WLAN, BT                                       No
                 Band 4                                               WLAN, BT                                       No
                 Band 5                                               WLAN, BT                   VoLTE               No
   LTE
                 Band 7             VD           Yes                  WLAN, BT                      /                No
  (FDD)
                 Band 12                                              WLAN, BT                 Google Duo(1)         No
                 Band 17                                              WLAN, BT                                       No
                 Band 66                                              WLAN, BT                                       No
                  2450                                                                                               No
                  5200                                                                           VoWiFi  (1)         No
  Wi-Fi           5300              VD           Yes              GSM,WCDMA,LTE                     /                No
                  5500                                                                         Google Duo(1)         No
                  5800                                                                                               No
   BT              2450               DT           No              GSM,WCDMA,LTE                     NA               No
Type Transport:
VO= Voice only
DT= Digital Transport only (no voice)
VD= CMRS and IP Voice Service over Digital Transport
Remark:
1. For protocols not listed in Table 7.1 of ANSI C63.19-2011 or the ANSI C63.19-2011 VoLTE interpretation, the average
    speech level of −20 dBm0 should be used.
2. The device have similar frequency in some LTE bands: LTE B12/17, 4/66, since the supported frequency spans for the
    smaller LTE bands are completely cover by the larger LTE bands, therefore, only larger LTE bands were required to be
    tested for hearing-aid compliance.




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         HAC T-COIL TEST REPORT                                                             Report No. : HA890437B
6. Measurement standards for T-Coil
6.1 Frequency Response
The frequency response of the perpendicular component of the magnetic field, measured in 1/3 octave bands, shall
follow the response curve specified in this sub-clause, over the frequency range 300 Hz to 3000 Hz.
Figure 1.1 and Figure 1.2 provide the boundaries as a function of frequency. These response curves are for true
field-strength measurements of the T-Coil signal. Thus, the 6 dB/octave probe response has been corrected from
the raw readings.




            Fig. 1.1 Magnetic field frequency response for WDs with field strength≤-15dB at 1 KHz




     Fig. 1.2 Magnetic field frequency response for WDs with a field that exceeds –15 dB(A/m) at 1 kHz



6.2 T-Coil Signal Quality Categories
This section provides the signal quality requirement for the intended T-Coil signal from a WD. Only the RF immunity
of the hearing aid is measured in T-Coil mode. It is assumed that a hearing aid can have no immunity to an
interference signal in the audio band, which is the intended reception band for this mode. A device is assessed
beginning by determining the category of the RF environment in the area of the T-Coil source.
The RF measurements made for the T-Coil evaluation are used to assign the category T1 through T4. The limitation
is given in Table 1. This establishes the RF environment presented by the WD to a hearing aid.
                                                                   Telephone parameters WD signal quality
                         Category
                                                                     ((signal + noise) to noise ratio in dB)
                        Category T1                                                 0 to 10 dB
                        Category T2                                                10 to 20 dB
                        Category T3                                                20 to 30 dB
                        Category T4                                                   > 30 dB
                                  Table 1 T-Coil Signal Quality Categories




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         HAC T-COIL TEST REPORT                                                                 Report No. : HA890437B
7. T-Coil Test Procedure
Referenced to ANSI C63.19-2011, Section 7.4,
This section describes the procedures used to measure the ABM (T-Coil) performance of the WD. In addition to
measuring the absolute signal levels, the A-weighted magnitude of the unintended signal shall also be determined.
To assure that the required signal quality is measured, the measurement of the intended signal and the
measurement of the unintended signal must be made at the same location for each measurement position. In
addition, the RF field strength at each measurement location must be at or below that required for the assigned
category.
Measurements shall not include undesired properties from the WD's RF field; therefore, use of a coaxial connection
to a base station simulator or non-radiating load, there might still be RF leakage from the WD, which can interfere
with the desired measurement. Pre-measurement checks should be made to avoid this possibility. All
measurements shall be performed with the WD operating on battery power with an appropriate normal speech
audio signal input level given in ANSI C63.19-2011 Table 7.1. If the device display can be turned off during a phone
call, then that may be done during the measurement as well,
Measurement shall be performed at two locations specified in ANSI C63.19-2011 A.3, with the correct probe
orientation for a particular location, in a multistage sequence by first measuring the field intensity of the desired
T-Coil signal the same location as the desired ABM or T-Coil signal (ABM1), and the ratio of desired to undesired
magnetic components (ABM2) must be measured at the same location as the desired ABM or T-Coil signal (ABM1),
and the ratio of desired to undesired ABM signals must be calculated. For the perpendicular field location, only the
ABM1 frequency response shall be determined in a third measurement stage.
The following steps summarize the basic test flow for determining ABM1 and ABM2. These steps assume that a
sine wave or narrowband 1/3 octave signal can be used for the measurement of ABM1.
a. A validation of the test setup and instrumentation may be performed using a TMFS or Helmholtz coil Measure
     the emissions and confirm that they are within the specified tolerance.
b. Position the WD in the test setup and connect the WD RF connector to a base station simulator or a
     non-radiating load. Confirm that equipment that requires calibration has been calibrated, and that the noise
     level meets the requirements given in ANSI C63.19-2011 clause 7.3.1.
c. The drive level to the WD ise set such that the reference input level specified in ANSI C63.19-2011 Table 7.1 is
     input to the base station simulator (or manufacturer's test mode equivalent) in 1 kHz, 1/3 octave band. This
     drive level shall be used for the T-Coil signal test (ABM1) at f = 1 kHz. Either a sine wave at 1025 Hz or a
     voice-like signal, band-limited to the 1 kHz 1/3 octave, as defined in ANSI C63.19-2011 clause 7.4.2, shall be
     used for the reference audio signal. If interference is found at 1025 Hz an alternative nearby reference audio
     signal frequency may be used. The same drive level shall be used for the ABM1 frequency response
     measurements at each 1/3 octave band center frequency. The WD volume control may be set at any level up to
     maximum, provided that a signal at any frequency at maximum modulation would not result in clipping or signal
     overload.
d. Determine the magnetic measurement locations for the WD device (A.3), if not already specified by the
     manufacturer, as described in ANSI C63.19-2011 clause 7.4.4.1.1 and 7.4.4.2.
e. At each measurement location, measure and record the desired T-Coil magnetic signals (ABM1 at fi) as
     described in ANSI C63.19-2011 clause 7.4.4.2 in each individual ISO 266-1975 R10 standard 1/3 octave band.
     The desired audio band input frequency (fi) shall be centered in each 1/3 octave band maintaining the same
     drive level as determined in item c) and the reading taken for that band.
f. Equivalent methods of determining the frequency response may also be employed, such as fast Fourier
     transform (FFT) analysis using noise excitation or input-output comparison using simulated speech. The
     full-band integrated probe output, as specified in D.9, may be used, as long as the appropriate calibration curve
     is applied to the measured result, so as to yield an accurate measurement of the field magnitude. (The resulting
     measurement shall be an accurate measurement in dB A/m.)
g. All Measurements of the desired signal shall be shown to be of the desired signal and not of an undesired
     signal. This may be shown by turning the desired signal ON and OFF with the probe measuring the same
     location. If the scanning method is used the scans shall show that all measurement points selected for the
     ABM1 measurement meet the ambient and test system noise criteria in ANSI C63.19-2011 clause 7.3.1.
h. At the measurement location for each orientation, measure and record the undesired broadband audio
     magnetic signal (ABM2) as specified in ANSI C63.19-2011 clause 7.4.4.4 with no audio signal applied (or digital
     zero applied, if appropriate) using A-weighting and the half-band integrator. Calculate the ratio of the desired to
     undesired signal strength (i,e., signal quality).
i. Obtain the data from the postprocessor, SEMCAD, and determine the category that properly classifies the
     signal quality based on ANSI C63.19-2011 Table 8.5.




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FAX : 886-3-328-4978                                                                      Issued Date : Oct. 17, 2018
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       HAC T-COIL TEST REPORT                                     Report No. : HA890437B
7.1 Test Flow Chart




                       Fig. 2 T-Coil Signal Test flowchart




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       HAC T-COIL TEST REPORT                                                         Report No. : HA890437B
7.2 Test Setup Diagram




General Note:
1. Define the all applicable input audio level as below according to C63 and KDB 285076 D02v03:
   - GSM input level: -16dBm0
   - UMTS input level: -16dBm0
   - CDMA input level: -18dBm0
   - VoLTE input level: -16dBm0
   - VoWiFi input level: -20dBm0
   - OTT VoIP input Level: -20dBm0
2. For GSM / UMTS / CDMA test setup and input level, the correct input level definition is via a
   communication tester CMU200’s “Decoder Cal” and “Codec Cal” with audio option B52 and B85 to set the
   correct audio input levels.
3. CMU200 is able to output 1kHz audio signal equivalent to 3.14dBm0 at "Decoder Cal." confuguration, the
   signal reference is used to adjust the AMMI gain setting to reach -16dBm0 for GSM/UMTS and -18dBm0
   for CDMA. CMW500 input is calibrated and the relation between the analog input voltage and the internal
   level in dBm0 can be determined
4. The test setup used for VoLTE over IMS and VoWiFi over IMS is via the callbox of CMW500 for T-coil
   measurement, The data application unit of the CMW500 was used to simulate the IP multimedia
   subsystem server. The CMW500 can be manually configured to ensure and control the speech input level
   result is -16dBm0 for VoLTE, -20dBm0 for VoWiFi when the device during the IMS connection.
5. The test setup used for Google DUO VoIP call is via the data application unit on CMW500 connection to
   the Internet, also connection to the other auxiliary VoIP unit which is used to configure the audio codec
   and bit rate and also monitor the audio input level of -20dBm0.




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            HAC T-COIL TEST REPORT                                                                     Report No. : HA890437B
1.     The Required gain factor for the specific signal shall typically be multiplied by this factor to achieve approx. the same
       level as for the 1kHz sine signal
2.     The below calculation formula is an example and showing how to determine the input level for the device.




Calculation formula:
- Audio Level at -16dBm0 = ((-16dBm0) – (3.14dBm0)) + X dBv
- Calculated Gain at -16dBm0 = 10(( audio level at -16dBm0 – Y dBm0) / 20) * 10
- Gatting setting at -16dBm0 = required gain factor * calculated gain
     Gain Value           20* log(gain)          AMCC Coil In             Level
        (linear)                dB                 (dBv RMS)              dBm0
                                                       -2.47               3.14
           10                   20                    -19.85             -14.24
          8.17                18.24                   -21.61                -16

                                      Duration         Peak to RMS            RMS           Required Gain        Calculated
           Signal Type
                                        (s)               (dB)                (dB)             Factor           Gain Setting
            1kHz sine                    -                  3                   0                 1                 8.17
         48k_voice_1kHz                  1                16.2                -12.7             4.33               35.36
     48k_voice_300Hz ~ 3kHz              2                21.6                -18.6             8.48               69.25




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       HAC T-COIL TEST REPORT                                                                Report No. : HA890437B
7.3 Description of EUT Test Position
    Fig.3 illustrate the references and reference plane that shall be used in a typical EUT emissions
    measurement. The principle of this section is applied to EUT with similar geometry. Please refer to
    Appendix C for the setup photographs.

           The area is 5 cm by 5 cm.
           The area is centered on the audio frequency output transducer of the EUT.
           The area is in a reference plane, which is defined as the planar area that contains the highest point
            in the area of the phone that normally rests against the user’s ear. It is parallel to the centerline of
            the receiver area of the phone and is defined by the points of the receiver-end of the EUT handset,
            which, in normal handset use, rest against the ear.
           The measurement plane is parallel to, and 10 mm in front of, the reference plane.




                       Fig.3 A typical EUT reference and plane for T-Coil measurements




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         HAC T-COIL TEST REPORT                                                                 Report No. : HA890437B
8. Test Equipment List
                                                                                                 Calibration
 Manufacturer               Name of Equipment            Type/Model   Serial Number
                                                                                        Last Cal.          Due Date
    SPEAG              Audio Magnetic 1D Field Probe      AM1DV3          3130        Nov. 21, 2017      Nov. 20, 2018
    SPEAG               Data Acquisition Electronics       DAE4           910         Jun. 21, 2018      Jun. 20, 2019
    SPEAG               Data Acquisition Electronics       DAE4           854         Jun. 14, 2018      Jun. 13, 2019
    SPEAG              Audio Magnetic Calibration Coil     AMCC           1049            NCR                  NCR
    SPEAG               Audio Measuring Instrument         AMMI           1041            NCR                  NCR
    SPEAG                    Test Arch Phantom              N/A           N/A             NCR                  NCR
    SPEAG                     Phone Positioner              N/A           N/A             NCR                  NCR
   RCPTWN                      Thermometer                 HTC-1        TM685-1       Mar. 16, 2018      Mar. 15, 2019
      R&S                       Base Station              CMW500         115793       May. 24, 2018      May. 23, 2019
      R&S                    Base Station                 CMU200         116457       May. 30, 2018      May. 29, 2019
Note:
1. NCR: “No-Calibration Required”




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            HAC T-COIL TEST REPORT                                                                          Report No. : HA890437B
9. T-Coil testing for CMRS Voice
General Note:
1. Codec Investigation: For a voice service/air interface, investigate the variations of codec configurations (WB, NB bit
   rate) and document the parameters (ABM1, ABM2, S+N/N, frequency response) for that voice service. It is only
   necessary to document this for one channel/band, the following worst investigation codec would be remarked to be
   used for the testing for the handset.
2. Air Interface Investigation:
   a. Use the worst-case codec test and document a limited set of bands/channel/bandwidths. Observe the effect of
        changing the band and bandwidth to ensure that there are no unexpected variations. Using the knowledge of the
        observed variations, it is necessary to report only a set band/channel/bandwidth for each orientation for a voice
        service/air interface.
   b. According to the ANSI C63.19 2011 section 7.3.2, test middle channel of each frequency band for HAC testing
        for each orientation to determine worst HAC T-Coil rating.


9.1 GSM Tests Results
<Codec Investigation>

           Codec                   FR_V1                      HR_V1                     Orientation             Band / Channel

      ABM 1 (dBA/m)                 -5.62                      -4.86

      ABM 2 (dBA/m)                 -31.98                    -34.48
                                                                                           Axial                 GSM850 / 189
     Signal Quality (dB)            26.36                     29.62

      Freq. Response                Pass                       Pass
Remark: According to codec investigation, the worst codec is FR_V1



<Air Interface Investigation>
                                                                                                     Freq.
                                                             ABM1 ABM2 Signal             Ambient
Plot                                              Probe                              T             Response Frequency
     Air Interface         Mode    Channel                     dB     dB   Quality         Noise
No.                                              Position                          Rating          Variation Response
                                                             (A/m) (A/m)    dB            dB (A/m)
                                                                                                      dB
                                                Axial (Z)     -5.62 -31.98 26.36    T3     -50.33
 1       GSM850            Voice     189                                                               2       Pass
                                             Transversal (Y) -14.87 -47.97 33.10    T4     -50.21
                                                 Axial (Z)     -4.80   -37.68   32.88      T4      -50.34
 2       GSM1900           Voice     661                                                                         2          Pass
                                             Transversal (Y) -14.11 -48.74      34.63      T4      -50.23




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FAX : 886-3-328-4978                                                                                  Issued Date : Oct. 17, 2018
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      HAC T-COIL TEST REPORT                                                                                    Report No. : HA890437B
9.2 UMTS Tests Results
<Codec Investigation>

        Codec           AMR 4.75Kbps             AMR 7.95Kbps            AMR 12.2Kbps             Orientation        Band / Channel

     ABM 1 (dBA/m)              -4.51                  -5.17                 -4.57

     ABM 2 (dBA/m)           -49.31                   -49.04                -48.86
                                                                                                     Axial              Band 2 / 9400
 Signal Quality (dB)            44.8                  43.87                  44.29

  Freq. Response                Pass                   Pass                  Pass
Remark: According to codec investigation, the worst codec is AMR 7.95Kbps




<Air Interface Investigation>
                                                                                                         Freq.
                                                                 ABM1 ABM2 Signal             Ambient
Plot                                                Probe                                T             Response Frequency
     Air Interface     Mode            Channel                     dB     dB   Quality         Noise
No.                                                Position                            Rating          Variation Response
                                                                 (A/m) (A/m)    dB            dB (A/m)
                                                                                                          dB
                                                    Axial (Z)     -5.17 -49.04 43.87    T4     -50.38
 3      WCDMA II        Voice           9400                                                               2       Pass
                                                 Transversal (Y) -13.41 -49.45 36.04    T4     -50.25
                                                    Axial (Z)    -4.87    -49.01     44.14   T4       -50.31
 4      WCDMA IV        Voice           1413                                                                        2           Pass
                                                 Transversal (Y) -13.57 -49.86       36.29   T4       -50.21
                                                    Axial (Z)    -5.27    -48.95     43.68   T4       -50.36
 5      WCDMA V         Voice           4182                                                                        2           Pass
                                                 Transversal (Y) -13.53 -49.57       36.04   T4       -50.24




10. T-Coil testing for CMRS IP Voice
10.1 VoLTE Tests Results
General Note:
1. Codec Investigation: For a voice service/air interface, investigate the variations of codec configurations (WB, NB bit
   rate) and document the parameters (ABM1, ABM2, S+N/N, frequency response) for that voice service. It is only
   necessary to document this for one channel / band, the following worst investigation codec would be remarked to be
   used for the testing for the handset.
2. Air Interface Investigation:
   a. Use the worst-case codec test and document a limited set of bands / channel / bandwidths. Observe the effect of
        changing the band and bandwidth to ensure that there are no unexpected variations. Using the knowledge of the
        observed variations, it is necessary to report only a set band/channel/bandwidth for each orientation for a voice
        service/air interface and the following worst configure would be remarked to be used for the testing for the
        handset.
   b. Select LTE FDD one frequency band to do measurement at the worst SNR position was additionally performed
        with varying the BWs/Modulations/RB size to verify the variation to find out worst configuration , the observed
        variation is very little to be within 1.0 dB which is much less than the margin from the rating threshold.
   c. According to the ANSI C63.19 2011 section 7.3.2, test middle channel of each frequency band for HAC testing
        for each orientation to determine worst HAC T-Coil rating.




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    <Codec Investigation>

    LTE FDD
             NB AMR          WB AMR     NB AMR      WB AMR EVS SWB               EVS SWB        EVS WB       EVS WB         EVS NB       EVS NB              Band / BW
 Codec                                                                                                                                           Orientation
             4.75Kbps        6.60Kbps   12.2Kbps   23.85Kbps 9.6Kbps             128Kbps        5.9Kbps      128Kbps        5.9Kbps     24.4Kbps             / Channel
  ABM 1
               -4.53          -4.31      -5.55         -1.72       -0.2            -0.45            0.13          -1.31      -0.52         -1.39
 (dBA/m)
  ABM 2
               -49.25         -44.77     -48.19        -46.63     -47.74           -41.07          -48.19         -41.1     -40.43             -41
 (dBA/m)
                                                                                                                                                                        B2 / 20M /
  Signal                                                                                                                                                    Axial
                                                                                                                                                                         18900
  Quality      44.72          40.46      42.64         44.91      47.54            40.62            48.32         39.79      39.91        39.61
   (dB)
   Freq.
               PASS           PASS       PASS          PASS       PASS             PASS             PASS          PASS       PASS         PASS
Response
    Remark: According to codec investigation, the worst codec is EVS NB 24.4Kbps


    <Air Interface Investigation>
                                                                                                                                                                Signal
                                         BW                               RB                  RB                             ABM1               ABM2
             Air Interface                         Modulation                                               Channel                                             Quality
                                        (MHz)                             Size               offset                         dB (A/m)           dB (A/m)
                                                                                                                                                                  dB
                        LTE B2           20             QPSK               1                   0             18900            -1.39             -40.91           39.52
                        LTE B2           20             QPSK               50                  0             18900            -1.48             -41.13              39.65
                        LTE B2           20             QPSK              100                  0             18900            -1.62             -41.17              39.61
                        LTE B2           20            16QAM               1                   0             18900            -1.53             -41.16              39.63
                        LTE B2           20            64QAM               1                   0             18900            -1.66             -41.33              39.67
       FDD
                        LTE B2           15             QPSK               1                   0             18900            -1.42             -41.02              39.60
                        LTE B2           10             QPSK               1                   0             18900            -1.53             -41.08              39.55
                        LTE B2           5              QPSK               1                   0             18900            -1.58             -41.16              39.58
                        LTE B2           3              QPSK               1                   0             18900            -1.62             -41.25              39.63
                        LTE B2           1.4            QPSK               1                   0             18900            -1.45             -41.07              39.62



                                                                                                                                       Freq.
                                                                                                   ABM1 ABM2 Signal         Ambient
    Plot                       BW              RB    RB                           Probe                                T             Response Frequency
            Air Interface           Modulation             Channel                                  dB    dB Quality         Noise
    No.                       (MHz)            Size offset                       Position                            Rating          Variation Response
                                                                                                   (A/m) (A/m) dB           dB (A/m)
                                                                                                                                        dB
                                                                                 Axial (Z)         -1.39 -41.00     39.61    T4       -50.33
      6      LTE Band 2          20M    QPSK       1      0     18900                                                                                0.26            Pass
                                                                           Transversal (Y)         -9.52 -47.08     37.56    T4       -50.29
                                                                                 Axial (Z)         -1.12 -40.75     39.63    T4       -50.31
      7      LTE Band 5          10M    QPSK       1      0     20525                                                                                0.37            Pass
                                                                           Transversal (Y)         -9.35 -46.99     37.64    T4       -50.30
                                                                                 Axial (Z)         -2.36 -42.57     40.21    T4       -50.29
      8      LTE Band 7          20M    QPSK       1      0     21100                                                                                0.43            Pass
                                                                           Transversal (Y)         -8.17 -46.17     38.00    T4       -50.25
                                                                                 Axial (Z)         -2.01 -41.74     39.73    T4       -50.32
      9     LTE Band 12          10M    QPSK       1      0     23095                                                                                0.21            Pass
                                                                           Transversal (Y)         -8.86 -46.44     37.58    T4       -50.24
                                                                                 Axial (Z)         -1.00 -40.60     39.60    T4       -50.30
     10     LTE Band 66          20M    QPSK       1      0     132322                                                                               0.35            Pass
                                                                           Transversal (Y)         -8.86 -46.39     37.53    T4       -50.26




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           HAC T-COIL TEST REPORT                                                                        Report No. : HA890437B
    10.2 VoWiFi Tests Results
    General Note:
    1. Codec Investigation: For a voice service/air interface, investigate the variations of codec configurations
       (WB, NB bit rate) and document the parameters (ABM1, ABM2, S+N/N, frequency response) for that voice service. It
       is only necessary to document this for one channel/band, the following worst investigation codec would be remarked
       to be used for the testing for the handset.
    2. Air Interface Investigation:
       a. Use the worst-case codec test and document a limited set of bands/channel/bandwidths. Observe the effect of
            changing the band and bandwidth to ensure that there are no unexpected variations. Using the knowledge of the
            observed variations, it is necessary to report only a set band/channel/bandwidth for each orientation for a voice
            service/air interface and the following worst configure would be remarked to be used for the testing for the
            handset.
       b. Select WLAN 2.4GHz and WLAN 5GHz one frequency band to do measurement at the worst SNR position was
            additionally performed with varying the BWs/Modulations/data rate to verify the variation to find out worst
            configuration , the observed variation is very little to be within 1 dB which is much less than the margin from the
            rating threshold.
       c. According to the ANSI C63.19 2011 section 7.3.2, test middle channel of each frequency band for HAC testing
            for each orientation to determine worst HAC T-Coil rating.



    <Codec Investigation>
            NB AMR     WB AMR     NB AMR      WB AMR EVS SWB     EVS SWB   EVS WB    EVS WB    EVS NB     EVS NB                  Band /
 Codec                                                                                                            Orientation
            4.75Kbps   6.60Kbps   12.2Kbps   23.85Kbps 9.6Kbps   128Kbps   5.9Kbps   128Kbps   5.9Kbps   24.4Kbps                Channel
  ABM 1
              -8.9       -4.8      -7.71       -3.08    -3.04      -3.1     -3.41     -3.41     -3.35      -3.92
 (dBA/m)
  ABM 2
             -50.78     -46.42     -49.63     -46.61     -47      -46.85   -47.14     -47.26   -47.29     -47.79
 (dBA/m)
                                                                                                                                 2.4GHz
  Signal                                                                                                             Axial
                                                                                                                                 WLAN / 6
  Quality    41.88      41.62      41.92       43.53    43.96     43.75     43.73     43.85     43.94     43.87
   (dB)
   Freq.
             PASS       PASS       PASS       PASS      PASS      PASS      PASS      PASS      PASS      PASS
Response
    Remark: According to codec investigation, the worst codec is WB AMR 6.60Kbps




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           HAC T-COIL TEST REPORT                                                                                          Report No. : HA890437B


<Air Interface Investigation>
                                                                                                       ABM1                 ABM2         Signal Quality
 Frequency Bands          Modulation        Bandwidth         Data Rate            Channel
                                                                                                      dB (A/m)             dB (A/m)           dB
                            802.11b              20                  1M                6               -4.49                -45.96           41.47
                            802.11b              20              11M                   6               -4.11                -46.09           41.98
                            802.11g              20                  6M                6               -4.07                -46.16           42.09
   WLAN 2.4GHz
                            802.11g              20              54M                   6               -4.04                -46.11           42.07
                         802.11n-HT20            20             MCS0                   6               -4.35                -46.43           42.08
                         802.11n-HT20            20             MCS7                   6               -4.39                -46.07           41.68
                            802.11a              20                  6M               40               -7.89                -47.45           39.56
                            802.11a              20              54M                  40               -7.84                -47.68           39.84
                        802.11an-HT20            20             MCS0                  40               -7.70                -47.58           39.88
                        802.11an-HT20            20             MCS7                  40               -7.64                -47.55           39.91
                        802.11an-HT40            40             MCS0                  38               -7.81                -47.83           40.02
                        802.11an-HT40            40             MCS7                  38               -7.88                -47.52           39.64
      WLAN 5GHz
                        802.11ac-VHT20           20             MCS0                  40               -7.62                -47.35           39.73
                        802.11ac-VHT20           20             MCS8                  40               -7.42                -47.19           39.77
                        802.11ac-VHT40           40             MCS0                  38               -7.68                -47.49           39.81
                        802.11ac-VHT40           40             MCS8                  38               -7.49                -47.29           39.80
                        802.11ac-VHT80           80             MCS0                  50               -7.49                -47.15           39.66
                        802.11ac-VHT80           80             MCS8                  50               -7.59                -47.33           39.74




                                                                          ABM1     ABM2     Signal               Ambient     Freq.
Plot                                                      Probe                                         T                                  Frequency
        Air Interface       Mode         Channel                           dB       dB      Quality               Noise    Response
No.                                                      Position                                     Rating                               Response
                                                                          (A/m)    (A/m)      dB                 dB (A/m) Variation dB
                                                         Axial (Z)        -4.80    -46.42    41.62     T4         -50.31
 11     WLAN2.4GHz      802.11b 1Mbps       6                                                                                   1.95          Pass
                                                      Transversal (Y)     -17.33   -46.06    28.73     T3         -50.22
                                                         Axial (Z)        -7.89    -47.45    39.56     T4         -50.30
 12      WLAN5GHz       802.11a 1Mbps      40                                                                                    1.9          Pass
                                                      Transversal (Y)     -17.41   -48.47    31.06     T4         -50.26
                                                         Axial (Z)        -7.82    -47.10    39.28     T4         -50.28
 13      WLAN5GHz       802.11a 1Mbps      60                                                                                   1.98          Pass
                                                      Transversal (Y)     -17.47   -48.92    31.45     T4         -50.16
                                                         Axial (Z)        -8.21    -47.16    38.95     T4         -50.26
 14      WLAN5GHz       802.11a 1Mbps      124                                                                                  1.67          Pass
                                                      Transversal (Y)     -17.51   -48.06    30.55     T4         -50.20
                                                         Axial (Z)        -8.26    -47.05    38.79     T4         -50.30
 15      WLAN5GHz       802.11a 1Mbps      157                                                                                  1.63          Pass
                                                      Transversal (Y)     -17.60   -48.15    30.55     T4         -50.18




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FAX : 886-3-328-4978                                                                                               Issued Date : Oct. 17, 2018
Form version: 180516


              HAC T-COIL TEST REPORT                                                                     Report No. : HA890437B
11. T-Coil testing for OTT VoIP Application
General Notes:
1.     According to the ANSI C63.19 2011 section 7.3.2, test middle channel of each frequency band for HAC testing for
       each orientation to determine worst HAC T-Coil rating.
2.     The google Duo VoIP application are pre-installed on this device. According to KDB 285076 D02, all air interfaces via
       a data connection with VoIP application need to be considered HAC testing.
3.     The Google Duo only support OPUS audio codec and support 6Kbps to 75Kbps bitrate.
4.     The test setup used for OTT VoIP call is the DUT connect to the CMW500 and via the data application unit on
       CMW500 connection to the Internet, the Auxiliary EUT is connected to the WiFi access point, the
       channel/Modulation/Frequency bands/data rate is configured on the CMW500 for the DUT unit. For the
       Auxiliary VoIP unit which is used to configure the audio codec rate and determine the audio input level of -20dBm0
       based on the KDB 285076 D02v03 requirement.
5.     Codec Investigation: For a voice service/air interface, investigate the variations of codec configurations (WB, NB bit
       rate) and document the parameters (ABM1, ABM2, S+N/N, frequency response) for that voice service. It is only
       necessary to document this for one channel/band, the following tests results which the worst case codec would be
       remarked to be used for the testing for the handset.
6.     Air Interface Investigation:
       a. Use the worst-case codec test and document a limited set of bands/channel/bandwidths. Observe the effect of
            changing the band and bandwidth to ensure that there are no unexpected variations. Using the knowledge of the
            observed variations, it is necessary to report only a set band/channel/bandwidth for each orientation for a voice
            service/air interface.
       b. Due to OTT service and CMRS IP service are all be established over the internet protocol for the voice service,
            and on both services use the identical RF air interface for the WIFI and LTE, therefore according to VoLTE and
            VoWiFi test results of air interface investigation, the worst configuration and frequency band of air interface was
            used for OTT T-Coil testing.
            -LTE FDD worst configuration and band: LTE Band 66/20MHz/QPSK/1RB Size
            -WLAN2.4GHz worst configuration: 802.11b /1Mbps
            -WLAN5GHz worst configuration and Band: WLAN 5.8GHz /11a/6Mbps


<Codec Investigation>

EDGE
                              OPUS                   OPUS                  OPUS
           Codec              Bitrate               Bitrate               Bitrate          Orientation        Band / Channel
                              6Kbps                 40Kbps                75Kbps
      ABM 1 (dBA/m)            1.69                  0.99                     1.29

      ABM 2 (dBA/m)           -28.47                 -26.62                   -26.29
                                                                                              Axial            GSM850 / 189
     Signal Quality (dB)       30.16                 27.61                    27.58

      Freq. Response           Pass                  Pass                     Pass
Remark: According to codec investigation, the worst codec bitrate is 75Kbps




HSPA
                              OPUS                   OPUS                  OPUS
           Codec              Bitrate               Bitrate               Bitrate          Orientation        Band / Channel
                              6Kbps                 40Kbps                75Kbps
      ABM 1 (dBA/m)            3.23                  3.39                     3.47

      ABM 2 (dBA/m)           -47.95                 -47.69                   -45.37
                                                                                              Axial           UMTS B2 / 9400
     Signal Quality (dB)       51.18                 51.08                    48.84

      Freq. Response           Pass                  Pass                     Pass
Remark: According to codec investigation, the worst codec bitrate is 75Kbps




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           HAC T-COIL TEST REPORT                                                                    Report No. : HA890437B
LTE FDD
                              OPUS                   OPUS                  OPUS
        Codec                 Bitrate               Bitrate               Bitrate      Orientation       Band / BW / Channel
                              6Kbps                 40Kbps                75Kbps
    ABM 1 (dBA/m)              4.26                  4.46                     3.03

    ABM 2 (dBA/m)             -45.62                 -48.24                   -44.28
                                                                                          Axial           B66 / 20M / 132322
  Signal Quality (dB)         49.88                  52.7                     47.31

   Freq. Response             PASS                   PASS                     PASS
Remark: According to codec investigation, the worst codec bitrate is 75Kbps


WLAN
                              OPUS                   OPUS                  OPUS
        Codec                 Bitrate               Bitrate               Bitrate      Orientation         Band / Channel
                              6Kbps                 40Kbps                75Kbps
    ABM 1 (dBA/m)              3.35                  3.42                     3.23

    ABM 2 (dBA/m)             -42.17                 -41.01                   -38.95
                                                                                          Axial             WLAN2.4G / 6
  Signal Quality (dB)         45.52                  44.43                    42.18

   Freq. Response             PASS                   PASS                     PASS
Remark: According to codec investigation, the worst codec bitrate is 75Kbps




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          HAC T-COIL TEST REPORT                                                                       Report No. : HA890437B

                                                                                                  Ambient  Freq.
                                                                   ABM1    ABM2 Signal
Plot                                                 Probe                                 T       Noise Response Frequency
     Air Interface       Mode          Channel                      dB      dB   Quality
No.                                                 Position                             Rating      dB   Variation Response
                                                                   (A/m)   (A/m)  dB
                                                                                                   (A/m)     dB
                                                    Axial (Z)      1.29    -26.29   27.58   T3     -50.22
16     GSM850        EDGE 2 Tx Slots     189                                                                  2       Pass
                                                 Transversal (Y)   -7.60   -37.13   29.53   T3     -50.26
                                                    Axial (Z)      0.91    -33.72   34.63   T4     -50.23
17    GSM1900        EDGE 2 Tx Slots     661                                                                   2         Pass
                                                 Transversal (Y)   -5.61   -40.34   34.73   T4     -50.25
                                                    Axial (Z)      3.47    -45.37   48.84   T4     -50.31
18    WCDMA II           HSPA           9400                                                                   2         Pass
                                                 Transversal (Y)   -4.81   -48.46   43.65   T4     -50.22
                                                    Axial (Z)      3.51    -44.80   48.31   T4     -50.20
19    WCDMA IV           HSPA           1413                                                                   2         Pass
                                                 Transversal (Y)   -4.33   -47.44   43.11   T4     -50.24
                                                    Axial (Z)      3.74    -45.50   49.24   T4     -50.23
20    WCDMA V            HSPA           4182                                                                   2         Pass
                                                 Transversal (Y)   -4.84   -47.12   42.28   T4     -50.28
                                                    Axial (Z)      3.03    -44.28   47.31   T4     -50.31
21 LTE Band 66 20M_QPSK_1_0            132322                                                                  2         Pass
                                                 Transversal (Y)   -4.38   -47.11   42.73   T4     -50.29
                                                    Axial (Z)      3.23    -38.95   42.18   T4     -50.23
22 WLAN2.4GHz 802.11b 1Mbps               6                                                                    2         Pass
                                                 Transversal (Y) -11.70    -46.75   35.05   T4     -50.24
                                                    Axial (Z)      3.05    -36.62   39.67   T4     -50.28
23   WLAN5GHz        802.11a 1Mbps       157                                                                   2         Pass
                                                 Transversal (Y)   -7.16   -39.97   32.81   T4     -50.29



     Remark:
      1. Phone Condition: Mute on; Backlight off; Max Volume
      2. The detail frequency response results please refer to appendix A.
      3. Test Engineer:Tom Jiang Steven Chang and Nick Yu.




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          HAC T-COIL TEST REPORT                                                                 Report No. : HA890437B
12. Uncertainty Assessment
The evaluation of uncertainly by the statistical analysis of a series of observations is termed a Type A
evaluation of uncertainty. The evaluation of uncertainty by means other than the statistical analysis of a series
of observation is termed a Type B evaluation of uncertainty. Each component of uncertainty, however
evaluated, is represented by an estimated standard deviation, termed standard uncertainty, which is
determined by the positive square root of the estimated variance. The combined standard uncertainty of the
measurement result represents the estimated standard deviation of the result. It is obtained by combining the
individual standard uncertainties of both Type A and Type B evaluation using the usual “root-sum-squares”
(RSS) methods of combining standard deviations by taking the positive square root of the estimated
variances. Expanded uncertainty is a measure of uncertainty that defines an interval about the measurement
result within which the measured value is confidently believed to lie. It is obtained by multiplying the combined
standard uncertainty by a coverage factor. For purpose of this document, a coverage factor two is used, which
corresponds to confidence interval of about 95 %. The DASY uncertainty Budget is showed in Table 8.2.

                                Uncertainty                                                      Standard       Standard
                                                Probability                   Ci       Ci
      Error Description           Value                           Divisor                       Uncertainty    Uncertainty
                                                Distribution                (ABM1)   (ABM2)
                                  (±%)                                                           (ABM1)         (ABM2)
                                                     Probe Sensitivity
       Reference Level             3.0            Normal              1       1        1         ± 3.0 %         ± 3.0 %
      AMCC Geometry                0.4          Rectangular           √3      1        1         ± 0.2 %         ± 0.2 %
       AMCC Current                1.0          Rectangular           √3      1        1         ± 0.6 %         ± 0.6 %
   Probe Positioning During
                                   0.1          Rectangular           √3      1        1         ± 0.1 %         ± 0.1 %
          Calibrate
      Noise Contribution           0.7          Rectangular           √3    0.0143     1         ± 0.0 %         ± 0.4 %
      Frequency Slope              5.9          Rectangular           √3     0.1       1         ± 0.3 %         ± 3.5 %
                                                      Probe System
     Repeatability / Drift         1.0          Rectangular           √3      1        1         ± 0.6 %         ± 0.6 %
  Linearity / Dynamic Range        0.6          Rectangular           √3      1        1         ± 0.4 %         ± 0.4 %
       Acoustic Noise              1.0          Rectangular           √3     0.1       1         ± 0.1 %         ± 0.6 %
         Probe Angle               2.3          Rectangular           √3      1        1         ± 1.4 %         ± 1.4 %
     Spectral Processing           0.9          Rectangular           √3      1        1         ± 0.5 %         ± 0.5 %
       Integration Time            0.6            Normal              1       1        5         ± 0.6 %         ± 3.0 %
      Field Disturbation           0.2          Rectangular           √3      1        1         ± 0.1 %         ± 0.1 %
                                                        Test Signal
  Reference Signal Spectral
                                   0.6          Rectangular           √3      0        1         ± 0.0 %         ± 0.4 %
         Response
                                                        Positioning
      Probe Positioning            1.9          Rectangular           √3      1        1         ± 1.1 %         ± 1.1 %
     Phantom Thickness             0.9          Rectangular           √3      1        1         ± 0.5 %         ± 0.5 %
       EUT Positioning             1.9          Rectangular           √3      1        1         ± 1.1 %         ± 1.1 %
                                                  External Contributions
       RF Interference             0.0          Rectangular           √3      1       0.3        ± 0.0 %         ± 0.0 %
    Test Signal Variation          2.0          Rectangular           √3      1        1         ± 1.2 %         ± 1.2 %
                               Combined Standard Uncertainty                                     ± 4.1 %         ± 6.1 %
                                  Coverage Factor for 95 %                                                 K=2
                                    Expanded Uncertainty                                         ± 8.1 %         ± 12.3 %

                       Table 8.2 Uncertainty Budget of audio band magnetic measurement




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         HAC T-COIL TEST REPORT                                                     Report No. : HA890437B

13. References
 [1]   ANSI C63.19-2011, “American National Standard for Methods of Measurement of Compatibility
       between Wireless Communications Devices and Hearing Aids”, 27 May 2011.
 [2]   FCC KDB 285076 D01v05, “Equipment Authorization Guidance for Hearing Aid Compatibility”, Sep
       2017
 [3]   FCC KDB 285076 D02v03, “Guidance for performing T-Coil tests for air interfaces supporting voice
       over IP (e.g., LTE and WiFi) to support CMRS based telephone services”, Sep 2017
 [4]   FCC KDB 285076 D03v01, “Hearing aid compatibility frequently asked questions”, Sep 2017
 [5]   SPEAG DASY System Handbook




TEL : 886-3-327-3456                                                                  Page : 24 of 24
FAX : 886-3-328-4978                                                           Issued Date : Oct. 17, 2018
Form version: 180516



Document Created: 2019-03-23 05:12:48
Document Modified: 2019-03-23 05:12:48

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