Modular approval attestation letter

FCC ID: U3Z-ARF8119

Attestation Statements

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FCCID_4490919

RSP-100, Issue 11, Annex D Modular Approval Attestation Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 Certification and Engineering Bureau Innovation, Science and Economic Development Canada Spectrum Engineering Branch 3701 Carling Avenue, Building 94 Ottawa, Ontario K2H 8S2 Subject: FCC / ISED Modular Approval Statement FCC ID: U3Z-ARF8119 Check your GC here. Click "Grantee Search" Only applicable for ISED certification: Check your CN here CN: UPN: (Company Number) (Unique Product Number) HVIN: PMN: (Hardware Version (Product Marketing Name) Identification Number) FVIN: HMN: (Firmware Version (Host Marketing Name) Identification Number) TO WHOM IT MAY CONCERN Pursuant to Paragraphs RSP-100, Issue 11 and CFR § 15.212, we herewith declare for our module. Modular approval requirement Yes No * (a) The radio elements must have the radio frequency circuitry be shielded. Physical/discrete and tuning capacitors may be located external to the shield, but must be on the module ✔ assembly. *Please provide a detailed explanation if the answer is “No.”: (b) The module shall have buffered modulation/data input(s) (if such inputs are provided) to ensure that the module will comply with the requirements set out in the applicable RSS of ✔ ISED and with part 15 of FCC under conditions of excessive data rates or over-modulation. *Please provide a detailed explanation if the answer is “No.”: (c) The module shall have its own power supply regulation on the module. This is to ensure that the module will comply with the requirements set out in the applicable standard regardless of ✔ the design of the power supplying circuitry in the host device which houses the module. *Please provide a detailed explanation if the answer is “No.”: (d) The module shall comply with the provisions for external power amplifiers and antennas detailed in the applicable RSS. The equipment certification submission shall ✔ contain a detailed description of highest antenna gain for each type of antenna. *Please provide a detailed explanation if the answer is “No.”:

Yes No * (e) The module shall be tested for compliance with the applicable standard in a stand-alone configuration, i.e. the module must not be inside another device during testing. ✔ *Please provide a detailed explanation if the answer is “No.”: Tested on evaluation board (f) The module comply or will comply with applicable RSS-102 exposure requirements and any applicable FCC RF exposure requirement in its intended use/configurations. ✔ *Please provide a detailed explanation if the answer is “No.”: Only applicable for FCC certification: g) The module must be equipped with either a permanently affixed label or must be capable of electronically displaying its FCC identification number. ✔ *Please provide a detailed explanation if the answer is “No.”: (i) The modular transmitter complies with all applicable FCC rules. Instructions for maintaining compliance are given in the user instructions. ✔ If you have any questions, please feel free to contact us at the address shown below Best regards, Company Adeunis Phone: 0476920774 Name: 283 rue Louis Néel Fax: 0476089746 Company Parc technologique Pré Roux E-mail: Address: 38920 Crolles Contact Name: Emmanuel Monnet Signature numérique de Signature Signature: Monnet Monnet Date : 2019.10.18 09:17:14 +02'00' Date: 18/10/2019 INFO for applicant: Limited Modolar Approval (LMA) may be granted when one or more of the requirements in the table above cannot be demonstrated. LMA will also be issued in those instances where applicants can demonstrate that they will retain control over the final installation of the device, such that compliance of the end product is assured. In such cases, an operating condition on the LMA for the module must state that the module is only approved for use when installed in devices produced by a specific manufacturer. When LMA is sought, the application for equipment certification must specifically state how control of the end product, into which the module will be installed, will be maintained, such that full compliance of the end product is always ensured. Document Version 1.0 2019-07-01


Document Created: 2019-10-18 09:17:14
Document Modified: 2019-10-18 09:17:14
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