revised 731 forms

FCC ID: LDK102053

Cover Letter(s)

Download: PDF
FCCID_422291

Form 731 Page 1 of 4 FEDERAL COMMUNICATIONS COMMISSION - FCC FORM 731 Approved by OMB APPLICATION FOR EQUIPMENT AUTHORIZATION 3060 - 0934 Expires 02/28/2005 Item 1. Applicant's complete, legal business name:?/B> Cisco Systems Inc Item 2. Applicant's mailing address Line 1:? ?/B> 170 West Tasman Drive Line 2:? ?/B> P.O.Box: City:? ? ? ?/ B> San Jose State:? ? ?/B> California ? Country: United States ? ? Zip/Postal Code: 95134-1706 Item 3. FCC ID: ? rantee code:? LDK ? * Equipment Product Code (14 characters maximum): 102053 Item 4. Person at the applicant's address to receive grant or for contact: First Name: Andrew ? ? Mail Stop:? Last Name:? Griffin Telephone: 408-527-1810 ? ? Ext: Title:? ? ? ? ? ?/ B> Manager, Regulatory Compliance Fax No:? ? ? ? 408-526-4184 E-mail: ? ? ? ? ?/B> agriffin@cisco.com Item 5. Instead of Applicant, FCC is authorized to mail original Grant to: Firm Name: COMPLIANCE CERTIFICATION SERVICES Address Line 1: P.O.Box: 561F MONTEREY ROAD Address Line 2: City: MORGAN HILL State: California Country: Zip/Postal Code: United States 95037 Person at above address to receive Grant: ? First Name: Last Name: Michael Heckrotte Title: Mail Stop: ? Item 6. Technical Contact: Firm Name: Telephone: Ext: Fax No: COMPLIANCE CERTIFICATION SERVICES 408-463-0885 First Name: Middle Initial:?? ? ? ? ? ? Last Name: Michael ? ? ? ? ? ? ? Heckrotte Address Line 1: P.O.Box: 561F MONTEREY ROAD Address Line 2: City: MORGAN HILL State: California Country: Zip/Postal Code: United States 95037 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Page 2 of 4 E-mail: MHeckrotte@CCSEMC.COM Item 7. Non-Technical Contact: Firm Name: Telephone: Ext: Fax No: First Name: Middle Initial:? ? ? ? ? ? ? Last Name: ? ? ? ? ? ? ? Address Line 1: P.O.Box: Address Line 2: City: State: Country: Zip/Postal Code: E-mail: Item 8. * Does this application include a request for confidentiality for any portion(s) of the Yes data contained in this application pursuant to 47 CFR ?0.459 of the Commission Rules? If "Yes" see instructions. Item 9. * Does the applicant request that the Commission defer grant of this application pursuant 47 CFR ?0.457(d) (1)(ii)? (See instructions) No ?If so, specify date when grant may be issued (MM/DD/YYYY format): Item 10. * Is this an application for software defined radio authorization? Yes Item 11. * Equipment Class: * Description of Product as it is Marketed: (NOTE: This text will appear below the equipment class on the grant) NII -Unlicensed National Information Infrastructure TX 802.11a Cardbus radio module Item 12. * Application is for: Original Equipment (See instructions) Change in identification of presently authorized equipment: ? ? ? Original FCC ID:? Grant Date (MM/DD/YYYY format):? 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 Item 13. 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 an equipment authorization? Yes No ? ? If either of the above questions is answered "Yes" complete section 13(c). (c) The related application: 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 ? Item 14. Name of test firm and contact person on file with the FCC, if different from applicant or contact person: Firm Name: https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Page 3 of 4 Compliance Certification Services Inc -Morgan Hill First Name: Last Name: Michael Heckrotte Telephone: Ext: Fax No: E-mail: 408-463-0885 MHeckrotte@CCSEMC.COM Read each certification carefully before answering and signing this application WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND 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). Item 15. *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 Item 16. 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 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 the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time. * Signature of Authorized Person Filing: Title of authorized signature: Michael Heckrotte Engineering Manager Complete items below if an agent signs the application Firm Name: Telephone: Ext: Fax No: COMPLIANCE CERTIFICATION SERVICES 408-463-0885 First Name: ? ? ? ? ? ? ? Middle Initial:Last Name: Michael ? ? ? ? ? ? ? Heckrotte Address Line 1: P.O.Box: 561F MONTEREY ROAD Address Line 2: City: State: MORGAN HILL California Country:?/B> Zip/Postal Code: United States 95037 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Page 4 of 4 E-mail: MHeckrotte@CCSEMC.COM NOTE: An asterisk '*' preceding a field indicates it must be completed before this application can be submitted. Proceed to Section II Clear Mail your comments or suggestions (To: btaube@fcc.gov) FCC - Federal Communications Commission - FCC_731 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Section II Page 1 of 1 FEDERAL COMMUNICATIONS COMMISSION - FCC FORM 731 Approved 3060 APPLICATION FOR EQUIPMENT AUTHORIZATION Expires 02 NOTICE: You must enter at least one equipment specification in order to complete submission of this application. also note that this Form 731 application must be completed within 72 hours. ? If it has not been complet this time frame, it will be automatically deleted from the system. SECTION II: EQUIPMENT SPECIFICATIONS: (See instructions) Frequency range in MHz Rated RF power output Frequency tolerance Emission designator in watts (See 47 CFR ?2.201 and ?2.202) Lower: 5180 0.03162 5250 Upper: 5250 Equipment will be operated on above frequency under FCC Rule Part(s): * 15E The following notes related to the above frequency will be displayed with the authorization: Notice:?/B> Many of the grant notes listed are too long to display in the drop-down list. To see the full description notes, click here 05: The manufacture and importation of this device must cease on July 10, 2005, pursuant to 15.37(j) or 18.123 tr 10: TV Interface Device combined with TV Broadcast Receiver. 11: Grant Reissued this date to correct error in listed FCC ID Number 12: This is a grant of Certification because receiver will tune frequencies allocated to Citizens Band Service. S 14: The equipment listed hereon complies with the 14dB noise figure requirements. 16: If the subject device requires shielded interface cables to ensure compliance, the user's manual must advise 17: Computing devices into which this device is installed must employ shielded interconnect cables. 18: This device must be supplied with a shielded A.C. power cord if one is required to ensure compliance. 19: This device must be marketed with a shielded interface cable which incorporates ferrite cores equal in quanti 20: All electrical and mechanical devices employed for spurious radiation suppression, including any modification Equipment Specifications Entered For this Application (Displayed as lower and upper frequency, power output, tolerance, emission designator and rule parts, respective Complete Submission Add More Specifications Return to 731 Section I Delete Mail your comments or suggestions (To: btaube@fcc.gov) FCC - Federal Communications Commission - FCC_731 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Section II Page 1 of 1 FEDERAL COMMUNICATIONS COMMISSION - FCC FORM 731 Approved 3060 APPLICATION FOR EQUIPMENT AUTHORIZATION Expires 02 NOTICE: You must enter at least one equipment specification in order to complete submission of this application. also note that this Form 731 application must be completed within 72 hours. ? If it has not been complet this time frame, it will be automatically deleted from the system. SECTION II: EQUIPMENT SPECIFICATIONS: (See instructions) Frequency range in MHz Rated RF power output Frequency tolerance Emission designator in watts (See 47 CFR ?2.201 and ?2.202) Lower: 5250 0.05521 5320 Upper: 5250 Equipment will be operated on above frequency under FCC Rule Part(s): * 15E The following notes related to the above frequency will be displayed with the authorization: Notice:?/B> Many of the grant notes listed are too long to display in the drop-down list. To see the full description notes, click here 05: The manufacture and importation of this device must cease on July 10, 2005, pursuant to 15.37(j) or 18.123 tr 10: TV Interface Device combined with TV Broadcast Receiver. 11: Grant Reissued this date to correct error in listed FCC ID Number 12: This is a grant of Certification because receiver will tune frequencies allocated to Citizens Band Service. S 14: The equipment listed hereon complies with the 14dB noise figure requirements. 16: If the subject device requires shielded interface cables to ensure compliance, the user's manual must advise 17: Computing devices into which this device is installed must employ shielded interconnect cables. 18: This device must be supplied with a shielded A.C. power cord if one is required to ensure compliance. 19: This device must be marketed with a shielded interface cable which incorporates ferrite cores equal in quanti 20: All electrical and mechanical devices employed for spurious radiation suppression, including any modification Equipment Specifications Entered For this Application (Displayed as lower and upper frequency, power output, tolerance, emission designator and rule parts, respective Complete Submission Add More Specifications Return to 731 Section I Delete Mail your comments or suggestions (To: btaube@fcc.gov) FCC - Federal Communications Commission - FCC_731 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004

Form 731 Section II Page 1 of 1 FEDERAL COMMUNICATIONS COMMISSION - FCC FORM 731 Approved 3060 APPLICATION FOR EQUIPMENT AUTHORIZATION Expires 02 NOTICE: You must enter at least one equipment specification in order to complete submission of this application. also note that this Form 731 application must be completed within 72 hours. ? If it has not been complet this time frame, it will be automatically deleted from the system. SECTION II: EQUIPMENT SPECIFICATIONS: (See instructions) Frequency range in MHz Rated RF power output Frequency tolerance Emission designator in watts (See 47 CFR ?2.201 and ?2.202) Lower: 5725 0.05916 5825 Upper: 5250 Equipment will be operated on above frequency under FCC Rule Part(s): * 15E The following notes related to the above frequency will be displayed with the authorization: Notice:?/B> Many of the grant notes listed are too long to display in the drop-down list. To see the full description notes, click here 05: The manufacture and importation of this device must cease on July 10, 2005, pursuant to 15.37(j) or 18.123 tr 10: TV Interface Device combined with TV Broadcast Receiver. 11: Grant Reissued this date to correct error in listed FCC ID Number 12: This is a grant of Certification because receiver will tune frequencies allocated to Citizens Band Service. S 14: The equipment listed hereon complies with the 14dB noise figure requirements. 16: If the subject device requires shielded interface cables to ensure compliance, the user's manual must advise 17: Computing devices into which this device is installed must employ shielded interconnect cables. 18: This device must be supplied with a shielded A.C. power cord if one is required to ensure compliance. 19: This device must be marketed with a shielded interface cable which incorporates ferrite cores equal in quanti 20: All electrical and mechanical devices employed for spurious radiation suppression, including any modification Equipment Specifications Entered For this Application (Displayed as lower and upper frequency, power output, tolerance, emission designator and rule parts, respective Complete Submission Add More Specifications Return to 731 Section I Delete Mail your comments or suggestions (To: btaube@fcc.gov) FCC - Federal Communications Commission - FCC_731 https://gullfoss2.fcc.gov/cgi-bin/ws.exe/prod/oet/forms/731/731_Form.hts 4/26/2004


Document Created: 2004-05-12 15:09:30
Document Modified: 2004-05-12 15:09:30
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