FCC ID 2ASL3-FSG300
SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY
by Form Athletica
Grantee Code: 2ASL3 Product Code: FSG300
Latest application date: 2023-10-17
FCC ID Device Details
| FCC ID | 2ASL3-FSG300 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | 2ASL3 |
| Product Code | FSG300 |
| Applicant Business | Form Athletica 🇨🇦 |
| Related Domains |  formathletica.com |
| Equipment Class | SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY |
| Test Firm | Bureau Veritas CPS(H.K.) Ltd., Taoyuan Branch |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Original Equipment | 2023-10-17 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Users Manual (Attached with device) | Users Manual | 2024-04-14 | PDF 784.3 KB |
| Users Manual (Online) | Users Manual | 2024-04-14 | PDF 656.2 KB |
| Internal Photos | Internal Photos | 2024-04-14 | PDF 853.2 KB |
| External Photos | External Photos | 2024-04-14 | PDF 651.4 KB |
| Label Sample & Label Location rev | ID Label/Location Info | 2023-10-17 | PDF 242.1 KB |
| Test Set Up Photos | Test Setup Photos | 2024-04-14 | PDF 522.1 KB |
| Test Set Up Photos (SAR Exclusion) | Test Setup Photos | 2024-04-14 | PDF 1.2 MB |
| Antenna Datasheet Summary | Test Report | 2023-10-17 | PDF 290.2 KB |
| Antenna Specifications (Molex) rev | Test Report | 2023-10-17 | PDF 1.9 MB |
| Test Report | Test Report | 2023-10-17 | PDF 867.3 KB |
| Attestation (Statements of part 2.911(d)(5)) | Attestation Statements | 2023-10-17 | PDF 106.6 KB |
| Attestation (U.S. local Agent Letter of part 2.911(d)(7)) | Attestation Statements | 2023-10-17 | PDF 340.6 KB |
| Attestation (e-Label Declaration) | Attestation Statements | 2023-10-17 | PDF 365.7 KB |
| Confidentiality Request (Long term) | Cover Letter(s) | 2023-10-17 | PDF 110.1 KB |
| Confidentiality Request (Short term) | Cover Letter(s) | 2023-10-17 | PDF 108.8 KB |
| Cover Letter (Agent Authorization) | Cover Letter(s) | 2023-10-17 | PDF 122.9 KB |
| RF Exposure Info (SAR Exclusion) | RF Exposure Info | 2023-10-17 | PDF 286 KB |
| Block Diagram rev Metadata only | Block Diagram | PDF 72.3 KB | |
| Schematics Metadata only | Schematics | PDF 431.6 KB | |
| Operational Description rev Metadata only | Operational Description | PDF 184.7 KB |
Application Information
| Application ID | hRuVbSkZX8z+w6GeBGRn1w== |
|---|---|
| Final Action Date | 2023-10-17 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0028285013 |
| Model | FSG300 |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY |
| Responsible Party | David Degraaf, david@formathletica.com , 6048172762 |
| Agent | Emerald Emerald Emerald, Bureau Veritas CPS (H.K.) Taoyuan Branch, emerald.chen@tw.bureauveritas.com  , 886-3-318-3232 |
| Test Firm | Liu Ken, Bureau Veritas CPS(H.K.) Ltd., Taoyuan Branch, ken.liu@bureauveritas.com  , +886-3-2600609 |
| TCB Email | certification@nacsemc.com  |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 04/14/2024 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | No |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
| Grant Comments | Power listed is maximum conducted output power. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| hRuVbSkZX8z+w6GeBGRn1w== | 2023-10-17 | Original Equipment |
Equipment Authorization
| Frequency | Output | Rules |
|---|---|---|
| 2402-2480 MHz | 0.0030000 | 15C |
Grants
TCB Grant - Application hRuVbSkZX8z+w6GeBGRn1w==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
North American EMC Certification Services Inc 24889 Ferguson Ave Maple Ridge, BC, Canada |
Date of Grant: 10/17/2023 Application Dated: 10/17/2023 |
| Form Athletica |
| 1090 Homer Street Suite 200 |
| Vancouver, Canada |
| Attention: David Degraaf |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | 2ASL3-FSG300 |
| Name of Grantee: | Form Athletica |
| Equipment Class: | Digital Transmission System |
| Notes: | SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.003 |
| Power listed is maximum conducted output power. |
EAS Grant - Application hRuVbSkZX8z+w6GeBGRn1w==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Form Athletica 1090 Homer Street Suite 200 Vancouver, Canada |
Date of Grant: 10/17/2023 Application Dated: 10/17/2023 |
| Attention: David Degraaf |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | 2ASL3-FSG300 |
| Name of Grantee: | Form Athletica |
| Equipment Class: | Digital Transmission System |
| Notes: | SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.003 |
| Power listed is maximum conducted output power. |
| Mail To: |