Form 731 Application

FCC ID: QEAMDM27T

Cover Letter(s)

Download: PDF

FCCID_686526

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: Kid Galaxy Inc.

Item 2. Applicant's mailing address
Line 1: One Sundial Ave, Suite 310 Manchester,
Line 2:
P.O.Box:
City:
State:
Country (if foreign address): United States Zip/Postal Code: NH 03103
Item 3. FCC ID: Grantee code: QEA

Equipment Product Code (14 characters maximum): MDM27T
Item 4. Person at the applicant's address to receive grant or for contact:
First Name: KC Mail Stop:
Last Name: Lee Telephone: 852 26661807 Ext:
Title: Manager
E-mail: kc_lee@hkstc.com Fax No:
Item 5. Instead of Applicant, the original Grant is authorized to be mailed to:
The Hong Kong Standards and Testing Centre Ltd.
10 Dai Wang Street, Tai Po Industrial Estate, N.T., Hong Kong.
Contact: KC Lee
E-mail: kc_lee@hkstc.com
Item 6. Technical Contact:
Firm Name: The Hong Kong Standards and Testing Centre Ltd. Telephone: 852 26661807 Ext:
Fax No: 852 2665 0848
First Name: KC Middle Initial: Last Name: Lee
Address Line 1: 10 Dai Wang Street, P.O.Box:
Address Line 2: Tai Po Industrial Estate City:
Country (if foreign address):Hong Kong Zip/Postal Code:
E-mail: kc_lee@hkstc.com
Item 7. Non-Technical Contact:
Firm Name: The Hong Kong Standards and Testing Centre Ltd. Telephone: 852 26661807 Ext:
Fax No: 852 2665 0848
First Name: KC Middle Initial: Last Name: Lee
Address Line 1: 10 Dai Wang Street, P.O.Box:
Address Line 2: Tai Po Industrial Estate City:
Country (if foreign address):Hong Kong Zip/Postal Code:
E-mail: kc_lee@hkstc.com
Item 8. * Does this application include a request for confidentiality for any portion(s) of the (please mark as
data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules? appropriate)
If "Yes" see instructions. x No
Item 9. Does the applicant request that the Commission defer grant of this application pursuant 47 CFR § 0.457(d)(1)(ii)?
(See instructions)
If so, specify date when grant may be issued (MM/DD/YYYY format):
Item 10.
* Equipment Class: DXX

* Description of Product as it is Marketed: Part 15 Low Power Communication Device Transmitter
(NOTE: MDM Hot Lava)
Item 11. * Application is for: (please mark as appropriate)
x Original Equipment (See instructions)
Ο Change in identification of presently authorized equipment: Original FCC ID:
Grant Date (MM/DD/YYYY format):
Ο Class II permissive change or modification of presently authorized equipment (See instructions)

Item 12. Is the equipment in this application:
* (a) a composite device subject to an additional equipment authorization? Ο Yes x No
* (b) part of a system that operates with, or is marketed with, another device that requires an Ο Yes x No
equipment authorization?
If either of the above questions is answered "Yes" complete section 12(c).

DOC-FCC009 4/14/2005 Page 1 of 2

(c) The related application: FCC ID
Ο has been granted under the FCC ID listed to the right
Ο is in the process of being filed under the FCC ID listed to the right
Ο is pending with the FCC under the FCC ID listed to the right
Item 13. Name of test firm and contact person on file with the FCC, if different from applicant or contact person:
Firm Name: The Hong Kong Standards & Testing Centre Ltd. Last Name: KC
Telephone 26661852 Ext Fax No. 26650848 E-mail: kc_lee@hkstc.com

Item 14. Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization.

Read each certification carefully before answering and signing this application
Equipment Specifications:

Frequency
Frequency Emission
Rule Part Power (W) Tolerance and Note Codes
Range (MHz) Designator
Units
15 27.148

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
CONSTITUTION 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? x Yes Ο No
Item 16. APPLICANT/AGENT CERTIFICATION:
I certify that I am authorized to sign this application. All of the statements herein and the exh ibits attached hereto, are
true and correct to the best of my knowledge and belief. IN accepting a Grant of Equipment Authorization issued by the
FCC 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 co ntact the applicant directly at any time.

* Signature of Authorized Person Filing: Title of authorized signature:
Marie Ann Confroy TCB Administrator
Complete items below if an agent signs the application
Firm Name: The Hong Kong Standards and Testing Centre Ltd.
Address Line 1: 10 Dai Wang Street, P.O.Box:
Address Line 2: Tai Po Industrial Estate, N.T, City:
Country (if foreign address): Hong Kong Zip/Postal Code:
Person at above address to receive Grant:
First Name: KC Last Name: LEE
Title: Manager Mail Stop:

NOTE: An asterisk '*' preceding a field indicates it must be completed before this application can be submitted.

DOC-FCC009 4/14/2005 Page 2 of 2

Document Created: 2019-10-18 07:35:19
Document Modified: 2019-10-18 07:35:19

© 2025 FCC.report
This site is not affiliated with or endorsed by the FCC