FCC ID QDS-BRCM1058

QDSBRCM1058, QDS BRCM1058, QDS-BRCM1058, QDS-BRCM1O58, QDS-BRCMI058, ODS-BRCM1058, 0DS-BRCM1058

Broadcom Corporation 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

An FCC ID is the product ID assigned by the FCC to identify wireless products in the market. The FCC chooses 3 or 5 character "Grantee" codes to identify the business that created the product. For example, the grantee code for FCC ID: QDS-BRCM1058 is . The remaining characters of the FCC ID, -BRCM1058, are often associated with the product model, but they can be random. These letters are chosen by the applicant. In addition to the application, the FCC also publishes internal images, external images, user manuals, and test results for wireless devices. They can be under the "exhibits" tab below.

Purchase on Amazon: 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos
QDS BRCM1058 Test Setup Photos

*Please Check Individual Documents for more images

Broadcom Corporation

Full Company Details: Broadcom Corporation - QDS
Company Code: QDS
Address:
   Broadcom Corporation
   190 Mathilda Place
   Sunnyvale, CA 94086
   United States
Subscribe To Applications By Broadcom Corporation:
App # Purpose Date Unique ID
1 Class II Permissive Change 2014-02-20 22C38R/ckIchZ0Ozd2Oozw==
2 Class II Permissive Change 2012-11-23 2nTHNTi9OjGKUN4dOm8dLQ==
3 Class II Permissive Change 2013-06-06 3F1ZeC9p7+GiNHjCDfLdvA==
4 Class II Permissive Change 2012-11-23 aIA5TCEuHXTZpmHAchgh0A==
5 Class II Permissive Change 2012-11-23 aJfCU7e3s+eLzHQiJdfwpg==
6 Class II Permissive Change 2012-09-20 BhS5Pn/r0fAqQWoLDtsidA==
7 Class II Permissive Change 2014-02-14 cg/aKbDE6d4GW3eDJT8+kw==
8 Class II Permissive Change 2012-09-20 D2sx/ihoFrJcfJv61OmVBA==
9 Class II Permissive Change 2012-09-20 d4SrhM1VSxfS4o45rsBXEw==
10 Class II Permissive Change 2013-04-03 e16YDcbIm25rqZG59spf7Q==
11 Class II Permissive Change 2012-03-28 EwXZ0aGJ9KVy8tZCYb6C7A==
12 Class II Permissive Change 2012-02-28 eyVyJPKp75cc9/ZDwJVwdA==
13 Class II Permissive Change 2012-03-28 FAb3iwF03r4HAzUe0IehcA==
14 Class II Permissive Change 2016-02-11 fdwePwvX1oS6ZaB+JrWhHQ==
15 Class II Permissive Change 2013-06-06 g8M9uJmZGy7Tlmd3w4Cp2w==
16 Class II Permissive Change 2014-02-19 Ggw7aky/p7FlefokMr6xsw==
17 Original Equipment 2011-06-30 KaFPf6bwjCJpR9ByEITYOQ==
18 Class II Permissive Change 2013-06-18 KNkkmlPRhom7gZPldntFuQ==
19 Class II Permissive Change 2012-11-23 nMXdKeF2rijqVdK5IISDSg==
20 Class II Permissive Change 2013-04-03 oqnmqpktz0DmXF4Cg88O6Q==
21 Class II Permissive Change 2012-11-23 qcmeo7q79ryrdwXPAK1KZA==
22 Class II Permissive Change 2012-03-28 QihkJxR/YDrv5DLw8NI3CA==
23 Class II Permissive Change 2013-06-06 qYTVPTa5EhLuGtGVWeZCfA==
24 Class II Permissive Change 2012-02-28 rOIQpN5W/Mie/M/oh3fgDQ==
25 Original Equipment 2011-06-30 T6rFmmzln99rKYkCMdjzgg==
26 Class II Permissive Change 2013-06-18 TG1jBpaVKxCr07Xm/SanLw==
27 Class II Permissive Change 2014-02-20 tZnUeMiDpYwXj+d9N66JFA==
28 Class II Permissive Change 2013-04-03 wA+2Xn73cMgz3T9Q7L/VtA==
29 Class II Permissive Change 2012-02-28 wbocHiOAWRmk0qOLJ3dS8Q==
30 Original Equipment 2011-06-29 Wcg2+xiViClDz1447JIJbA==
31 Class II Permissive Change 2012-11-23 WgmrvqmO6km/cPKF1S8V9A==
32 Class II Permissive Change 2014-02-14 wWX5zwCcVv8/A+aJisS4Jw==
33 Original Equipment 2011-06-30 x28BZ8BNWeuVc3F7c7f0yg==
34 Class II Permissive Change 2014-02-20 xA+scy3Pg+ILnGJs0X1/yw==

Approved Operating Frequencies

App # Frequency RangePower OutputRule PartsGrant Notes
1.12402.00000000-2480.000000000.003000015CCC
2.12412-24620.57515CCC
2.22412-24620.77415CCC, MO
2.32422-24520.29915CCC, MO
2.45745-58250.3915CCC
2.55745-58250.64715CCC, MO
2.65755-57950.71115CCC, MO
2.72402-24800.00315CCC
3.12402.00000000-2480.000000000.003000015CCC
4.15180-52400.02515ECC
4.25180-52400.01715ECC, MO
4.35190-52300.01915ECC, MO
4.45260-53200.05515ECC
4.55260-53200.08715ECC, MO
4.65270-53100.10115ECC, MO
4.75500-57000.05515ECC
4.85500-57000.09415ECC, MO
4.95510-56700.11615ECC, MO
5.12402.00000000-2480.000000000.003000015CCC
6.12412-24620.57515CCC
6.22412-24620.77415CCC, MO
6.32422-24520.29915CCC, MO
6.45745-58250.3915CCC
6.55745-58250.64715CCC, MO
6.65755-57950.71115CCC, MO
6.72402-24800.00315CCC
7.15180-52400.02515ECC
7.25180-52400.01715ECC, MO
7.35190-52300.01915ECC, MO
7.45260-53200.05515ECC
7.55260-53200.08715ECC, MO
7.65270-53100.10115ECC, MO
7.75500-57000.05515ECC
7.85500-57000.09415ECC, MO
7.95510-56700.11615ECC, MO
8.15180-52400.02515ECC
8.25180-52400.01715ECC, MO
8.35190-52300.01915ECC, MO
8.45260-53200.05515ECC
8.55260-53200.08715ECC, MO
8.65270-53100.10115ECC, MO
8.75500-57000.05515ECC
8.85500-57000.09415ECC, MO
8.95510-56700.11615ECC, MO
9.12402.00000000-2480.000000000.003000015CCC
10.15180-52400.02515ECC
10.25180-52400.01715ECC, MO
10.35190-52300.01915ECC, MO
10.45260-53200.05515ECC
10.55260-53200.08715ECC, MO
10.65270-53100.10115ECC, MO
10.75500-57000.05515ECC
10.85500-57000.09415ECC, MO
10.95510-56700.11615ECC, MO
11.12402.00000000-2480.000000000.003000015CCC
12.15180-52400.01715ECC, MO
12.25190-52300.01915ECC, MO
12.35260-53200.08715ECC, MO
12.45270-53100.10115ECC, MO
12.55500-57000.05515ECC
12.65500-57000.09415ECC, MO
12.75510-56700.11615ECC, MO
12.85180-52400.02515ECC
12.95260-53200.05515ECC
13.12412-24620.57515CCC
13.22412-24620.77415CCC, MO
13.32422-24520.29915CCC, MO
13.45745-58250.3915CCC
13.55745-58250.64715CCC, MO
13.65755-57950.71115CCC, MO
13.72402-24800.00315CCC
14.15180-52400.02515E38, CC, MO
14.25260-53200.10115E38, CC, MO
14.35500-57000.11615E38, CC, MO
14.45745-58250.15215E38, CC, MO
15.15180-52400.02515ECC
15.25180-52400.01715ECC, MO
15.35190-52300.01915ECC, MO
15.45260-53200.05515ECC
15.55260-53200.08715ECC, MO
15.65270-53100.10115ECC, MO
15.75500-57000.05515ECC
15.85500-57000.09415ECC, MO
15.95510-56700.11615ECC, MO
16.12402-24800.00315CCC
16.22412-24620.57515CCC
16.32412-24620.77415CCC, MO
16.42422-24520.29915CCC, MO
16.55745-58250.3915CCC
16.65745-58250.64715CCC, MO
16.75755-57950.71115CCC, MO
17.15180-52400.02515ECC
17.25180-52400.01715ECC, MO
17.35190-52300.01915ECC, MO
17.45260-53200.05515ECC
17.55260-53200.08715ECC, MO
17.65270-53100.10115ECC, MO
17.75500-57000.05515ECC
17.85500-57000.09415ECC, MO
17.95510-56700.11615ECC, MO

Exhibits

Available Exhibits

App # Document Type Submitted
Available
1 ConfidentialityCover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-20
2014-02-20
1 BT Test Setup PhotoTest Setup Photos
Adobe Acrobat PDF (333 kB)
2014-02-20
2014-08-12
1 BT DSS Test ReportTest Report
Adobe Acrobat PDF (1158 kB)
2014-02-27
2014-02-20
1 RF ExposureRF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-20
2014-02-20
1 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-20
2014-02-20
1 AuthorizationCover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-20
2014-02-20
2 RFExp_Appendix CRF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23
2012-11-23
2 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
2 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23
2012-11-23
2 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23
2013-05-22
2 RFExp_SAR reportRF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23
2012-11-23
2 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
2 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23
2012-11-23
2 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23
2013-05-22
2 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
2 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23
2012-11-23
2 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
2 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
2 External PhotosExternal Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23
2013-05-22
2 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23
2012-11-23
2 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
2 LabelLocID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23
2012-11-23
2 IntPhoInternal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23
2013-05-22
3 RF Exposure SAR ReportRF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05
2013-06-06
3 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05
2013-06-06
3 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05
2013-06-06
3 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05
2013-06-06
3 User ManualUsers Manual
Adobe Acrobat PDF (110 kB)
2013-06-05
2013-12-02
3 Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05
2013-06-06
3 Label and LocationID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05
2013-06-06
4 LabelLocID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23
2012-11-23
4 IntPhoInternal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23
2013-05-22
4 RFExp_Appendix CRF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23
2012-11-23
4 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
4 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23
2012-11-23
4 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23
2013-05-22
4 RFExp_SAR ReportRF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23
2012-11-23
4 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
4 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23
2012-11-23
4 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23
2013-05-22
4 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
4 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23
2012-11-23
4 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
4 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
4 External PhotosExternal Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23
2013-05-22
4 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23
2012-11-23
4 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
5 LabelLocID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23
2012-11-23
5 IntPhoInternal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23
2013-05-22
5 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23
2012-11-23
5 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
5 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23
2012-11-23
5 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23
2013-05-22
5 RFExp_Appendix C1RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23
2012-11-23
5 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
5 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23
2012-11-23
5 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23
2013-05-22
5 RFExp_Appendix C2RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23
2012-11-23
5 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
5 RFExp_SAR reportRF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23
2012-11-23
5 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
5 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
5 External PhotosExternal Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23
2013-05-22
5 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23
2012-11-23
5 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
6 C2PC letterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
6 SAR Test ReportRF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20
2012-09-20
6 Internal PhotosInternal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20
2013-03-19
6 confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20
2012-09-20
6 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20
2013-03-19
6 POACover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
6 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
6 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
6 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
6 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
6 External PhotosExternal Photos
Adobe Acrobat PDF (270 kB)
2012-09-20
2013-03-19
7 Label InfoID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-13
2014-02-14
7 Test Setup Photos NIITest Setup Photos
Adobe Acrobat PDF (299 kB)
2014-02-13
2014-08-12
7 POACover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-13
2014-02-14
7 RF Exposure RevRF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-03-06
2014-02-14
7 User Manual HostUsers Manual
Adobe Acrobat PDF (4735 kB)
2014-02-13
2014-08-12
7 RF Exposure Appendix ARF Exposure Info
Adobe Acrobat PDF (1669 kB)
2014-02-13
2014-02-14
7 External PhotosExternal Photos
Adobe Acrobat PDF (1522 kB)
2014-02-13
2014-08-12
7 Test Report NII RevTest Report
Adobe Acrobat PDF (4213 kB)
2014-03-06
2014-02-14
7 User Manual Regulatory NoticeUsers Manual
Adobe Acrobat PDF (461 kB)
2014-02-13
2014-08-12
7 RF Exposure Appendix BRF Exposure Info
Adobe Acrobat PDF (536 kB)
2014-02-13
2014-02-14
7 Internal PhotosInternal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-13
2014-08-12
7 Class II Change LetterCover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-13
2014-02-14
7 RF Exposure Appendix CRF Exposure Info
Adobe Acrobat PDF (3482 kB)
2014-02-13
2014-02-14
7 Test Setup Photos RFTest Setup Photos
Adobe Acrobat PDF (212 kB)
2014-02-13
2014-08-12
7 Confidential LetterCover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-13
2014-02-14
8 C2PC letterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
8 SAR Test ReportRF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20
2012-09-20
8 Internal PhotosInternal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20
2013-03-19
8 confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20
2012-09-20
8 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20
2013-03-19
8 POACover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
8 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
8 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
8 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
8 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
8 External PhotosExternal Photos
Adobe Acrobat PDF (270 kB)
2012-09-20
2013-03-19
9 POACover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
9 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
9 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
9 User ManualUsers Manual
Adobe Acrobat PDF (463 kB)
2012-09-20
2013-03-19
9 ID LabelID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20
2012-09-20
9 External PhotosExternal Photos
Adobe Acrobat PDF (270 kB)
2012-09-20
2013-03-19
9 C2PC letterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20
2012-09-20
9 SAR Test ReportRF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20
2012-09-20
9 Internal PhotosInternal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20
2013-03-19
9 confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20
2012-09-20
9 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20
2013-03-19
10 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03
2013-04-03
10 Host system LabelID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16
2013-04-03
10 SAR Report (High Tek) -1RF Exposure Info
Adobe Acrobat PDF (583 kB)
2013-04-03
2013-04-03
10 SAR Report (Jess Link) -2RF Exposure Info
Adobe Acrobat PDF (1876 kB)
2013-04-03
2013-04-03
10 Host system external PhotoExternal Photos
Adobe Acrobat PDF (339 kB)
2013-04-03
2013-09-30
10 Host System manualUsers Manual
Adobe Acrobat PDF (144 kB)
2013-04-16
2013-09-30
10 SAR Report (High Tek) -2RF Exposure Info
Adobe Acrobat PDF (2001 kB)
2013-04-03
2013-04-03
10 POACover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03
2013-04-03
10 SAR Report (Jess Link) -3RF Exposure Info
Adobe Acrobat PDF (4273 kB)
2013-04-03
2013-04-03
10 Host system Internal PhotoInternal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03
2013-09-30
10 SAR Report (High Tek) -3RF Exposure Info
Adobe Acrobat PDF (3367 kB)
2013-04-03
2013-04-03
10 Authorization letterCover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03
2013-04-03
10 SAR Setup Photo (Jess Link)Test Setup Photos
Adobe Acrobat PDF (139 kB)
2013-04-03
2013-09-30
10 RF Test ReportTest Report
Adobe Acrobat PDF (530 kB)
2013-04-03
2013-04-03
10 SAR Setup Photo (High Tek)Test Setup Photos
Adobe Acrobat PDF (223 kB)
2013-04-03
2013-09-30
10 confidential LetterCover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03
2013-04-03
10 Model number declaration between manual and C2PC LetterAttestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16
2013-04-03
10 RF Setup PhotoTest Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03
2013-09-30
10 SAR Report (Jess Link) -1RF Exposure Info
Adobe Acrobat PDF (584 kB)
2013-04-03
2013-04-03
11 Confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28
2012-03-28
11 LOACover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28
2012-03-28
11 Test ReportTest Report
Adobe Acrobat PDF (964 kB)
2012-03-28
2012-03-28
11 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (72 kB)
2012-03-28
2012-09-24
11 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28
2012-03-28
12 C2PC LtrCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28
2012-02-28
12 Conf LtrCover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28
2012-02-28
13 Confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28
2012-03-28
13 LOACover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28
2012-03-28
13 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (71 kB)
2012-03-28
2012-09-24
13 Test ReportTest Report
Adobe Acrobat PDF (1652 kB)
2012-03-28
2012-03-28
13 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (71 kB)
2012-03-28
2012-09-24
13 Test ReportTest Report
Adobe Acrobat PDF (1652 kB)
2012-03-28
2012-03-28
13 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28
2012-03-28
14 15U21619-E1V4 FCC C2PC REPORT UNII WLAN 0209.pdfTest Report
Adobe Acrobat PDF (3896 kB)
2016-02-11
2016-02-11
14 15U21619-E1V4 FCC C2PC SETUP PHOTOS UNII WLAN 0209.pdfTest Setup Photos
Adobe Acrobat PDF (669 kB)
2016-02-11
2016-02-11
14 BCM943228HMB FCC C2PC (New FCC UNII rule).pdfCover Letter(s)
Adobe Acrobat PDF (24 kB)
2016-02-11
2016-02-11
14 15U21619-E2V1 FCC MPE Report 0204.pdfRF Exposure Info
Adobe Acrobat PDF (240 kB)
2016-02-11
2016-02-11
14 BCM943228HMB FCC conf req (New FCC UNII rule).pdfCover Letter(s)
Adobe Acrobat PDF (29 kB)
2016-02-11
2016-02-11
14 FCC Agent Authorization Letter (UL) Sept 2015.pdfCover Letter(s)
Adobe Acrobat PDF (537 kB)
2016-02-11
2016-02-11
15 RF Exposure SAR ReportRF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05
2013-06-06
15 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05
2013-06-06
15 Test Setup Photos SARTest Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05
2013-06-06
15 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05
2013-06-06
15 User ManualUsers Manual
Adobe Acrobat PDF (110 kB)
2013-06-05
2013-12-02
15 Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05
2013-06-06
15 Label and LocationID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05
2013-06-06
16 RF Exposure Appendix BRF Exposure Info
Adobe Acrobat PDF (536 kB)
2014-02-18
2014-02-19
16 Test Setup Photos DTS BT 4.0Test Setup Photos
Adobe Acrobat PDF (294 kB)
2014-02-18
2014-08-12
16 Test Report DTS 2.4 RevTest Report
Adobe Acrobat PDF (2057 kB)
2014-03-06
2014-02-19
16 Class II LetterCover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-18
2014-02-19
16 RF Exposure Appendix CRF Exposure Info
Adobe Acrobat PDF (3482 kB)
2014-02-18
2014-02-19
16 Test Setup Photos WLANTest Setup Photos
Adobe Acrobat PDF (299 kB)
2014-02-18
2014-08-12
16 RF Exposure RevRF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-03-06
2014-02-19
16 Confidential LetterCover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-18
2014-02-19
16 External PhotosExternal Photos
Adobe Acrobat PDF (1522 kB)
2014-02-18
2014-08-12
16 Label InfoID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-18
2014-02-19
16 Test Setup Photos RF ExpTest Setup Photos
Adobe Acrobat PDF (212 kB)
2014-02-18
2014-08-12
16 POACover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-18
2014-02-19
16 Internal PhotosInternal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-18
2014-08-12
16 Test Report DTS 4.0 RevTest Report
Adobe Acrobat PDF (759 kB)
2014-03-06
2014-02-19
16 User ManualUsers Manual
Adobe Acrobat PDF (4735 kB)
2014-02-18
2014-08-12
16 RF Exposure Appendix ARF Exposure Info
Adobe Acrobat PDF (1669 kB)
2014-02-18
2014-02-19
16 Test Setup Photos DTSTest Setup Photos
Adobe Acrobat PDF (294 kB)
2014-02-18
2014-08-12
16 Test Report DTS 5.8 RevTest Report
Adobe Acrobat PDF (1559 kB)
2014-03-06
2014-02-19
16 User Manual RegulatoryUsers Manual
Adobe Acrobat PDF (461 kB)
2014-02-18
2014-08-12
17 User ManualUsers Manual
Adobe Acrobat PDF (557 kB)
2011-06-30
2011-12-25
17 Test Report WLANTest Report
Adobe Acrobat PDF (3592 kB)
2011-06-30
2011-06-30
17 ID LabelID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-30
2011-06-30
17 Installation GuideUsers Manual
Adobe Acrobat PDF (250 kB)
2011-06-30
2011-12-25
17 Modular LtrCover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-30
2011-06-30
17 Photos Test SetupTest Setup Photos
Adobe Acrobat PDF (260 kB)
2011-06-30
2011-12-25
17 Confidential LetterCover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-30
2011-06-30
17 Photos InternalInternal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30
2011-12-25
17 Auth LtrCover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-30
2011-06-30
17 Ad Hoc LtrCover Letter(s)
Adobe Acrobat PDF (29 kB)
2011-06-30
2011-06-30
17 Photos ExternalExternal Photos
Adobe Acrobat PDF (354 kB)
2011-06-30
2011-12-25
17 Agent LtrCover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-30
2011-06-30
17 MPERF Exposure Info
Adobe Acrobat PDF (81 kB)
2011-06-30
2011-06-30
18 Host System Label 1ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16
2013-06-18
18 SAR Test Set up photosTest Setup Photos
Adobe Acrobat PDF (196 kB)
2013-06-16
2013-11-09
18 Confidentiality RequestCover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16
2013-06-18
18 Host System Label 2ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16
2013-06-18
18 User ManualUsers Manual
Adobe Acrobat PDF (4398 kB)
2013-06-16
2013-11-09
18 C2PC RequestCover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16
2013-06-18
18 SAR ReportRF Exposure Info
Adobe Acrobat PDF (4841 kB)
2013-06-16
2013-06-18
18 Host Label showing module IDID Label/Location Info
Adobe Acrobat PDF (536 kB)
2013-06-16
2013-06-18
18 External Photos of hostExternal Photos
Adobe Acrobat PDF (298 kB)
2013-06-16
2013-11-09
18 Host Label locationID Label/Location Info
Adobe Acrobat PDF (874 kB)
2013-06-16
2013-06-18
18 Internal Photos of hostInternal Photos
Adobe Acrobat PDF (1598 kB)
2013-06-16
2013-11-09
18 Agent AuthorizationCover Letter(s)
Adobe Acrobat PDF (20 kB)
2013-06-16
2013-06-18
19 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23
2012-11-23
19 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
19 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23
2012-11-23
19 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23
2013-05-22
19 RFExp_Appendix C1RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23
2012-11-23
19 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
19 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23
2012-11-23
19 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23
2013-05-22
19 RFExp_Appendix C2RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23
2012-11-23
19 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
19 RFExp_SAR ReportRF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23
2012-11-23
19 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
19 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
19 External PhotosExternal Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23
2013-05-22
19 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23
2012-11-23
19 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
19 LabelLocID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23
2012-11-23
19 IntPhoInternal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23
2013-05-22
20 Host system external PhotoExternal Photos
Adobe Acrobat PDF (339 kB)
2013-04-03
2013-09-30
20 Host system LabelID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16
2013-04-03
20 POACover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03
2013-04-03
20 Host system Internal PhotoInternal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03
2013-09-30
20 Host System manualUsers Manual
Adobe Acrobat PDF (144 kB)
2013-04-16
2013-09-30
20 Authorization letterCover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03
2013-04-03
20 BT Test ReportTest Report
Adobe Acrobat PDF (378 kB)
2013-04-03
2013-04-03
20 confidential LetterCover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03
2013-04-03
20 BT Setup PhotoTest Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03
2013-09-30
20 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03
2013-04-03
20 Model number declaration between manual and C2PC LetterAttestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16
2013-04-03
21 LabelLocID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23
2012-11-23
21 IntPhoInternal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23
2013-05-22
21 RFExp_Appendix CRF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23
2012-11-23
21 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
21 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23
2012-11-23
21 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23
2013-05-22
21 RFExp_SAR reportRF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23
2012-11-23
21 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
21 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23
2012-11-23
21 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23
2013-05-22
21 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
21 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23
2012-11-23
21 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
21 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
21 External PhotosExternal Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23
2013-05-22
21 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23
2012-11-23
21 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
22 Confidentiality request letterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28
2012-03-28
22 LOACover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28
2012-03-28
22 Test ReportTest Report
Adobe Acrobat PDF (2676 kB)
2012-03-28
2012-03-28
22 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (204 kB)
2012-03-28
2012-09-24
22 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28
2012-03-28
23 RF Exposure SAR ReportRF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05
2013-06-06
23 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05
2013-06-06
23 Test Setup Photos SARTest Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05
2013-06-06
23 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05
2013-06-06
23 User ManualUsers Manual
Adobe Acrobat PDF (110 kB)
2013-06-05
2013-12-02
23 Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05
2013-06-06
23 Label and LocationID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05
2013-06-06
24 C2PC LtrCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28
2012-02-28
24 Conf LtrCover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28
2012-02-28
25 Photos Test Setup HACTest Setup Photos
Adobe Acrobat PDF (130 kB)
2011-06-30
2011-12-25
25 Agent LtrCover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-30
2011-06-30
25 Photos IntInternal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30
2011-12-25
25 Test ReportTest Report
Adobe Acrobat PDF (199 kB)
2011-06-30
2011-06-30
25 Photos ExtExternal Photos
Adobe Acrobat PDF (354 kB)
2011-06-30
2011-12-25
25 Conf LtrCover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-30
2011-06-30
25 User ManualUsers Manual
Adobe Acrobat PDF (557 kB)
2011-06-30
2011-12-25
25 LabelID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-30
2011-06-30
25 Installation GuideUsers Manual
Adobe Acrobat PDF (250 kB)
2011-06-30
2011-12-25
25 Auth LtrCover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-30
2011-06-30
26 SAR ReportRF Exposure Info
Adobe Acrobat PDF (4841 kB)
2013-06-16
2013-06-18
26 Host Label showing module IDID Label/Location Info
Adobe Acrobat PDF (536 kB)
2013-06-16
2013-06-18
26 External Photos of hostExternal Photos
Adobe Acrobat PDF (298 kB)
2013-06-16
2013-11-09
26 Host Label locationID Label/Location Info
Adobe Acrobat PDF (874 kB)
2013-06-16
2013-06-18
26 Internal Photos of hostInternal Photos
Adobe Acrobat PDF (1598 kB)
2013-06-16
2013-11-09
26 Agent AuthorizationCover Letter(s)
Adobe Acrobat PDF (20 kB)
2013-06-16
2013-06-18
26 Host System Label 1ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16
2013-06-18
26 SAR Test Set up photosTest Setup Photos
Adobe Acrobat PDF (196 kB)
2013-06-16
2013-11-09
26 Confidentiality RequestCover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16
2013-06-18
26 Host System Label 2ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16
2013-06-18
26 User ManualUsers Manual
Adobe Acrobat PDF (4398 kB)
2013-06-16
2013-11-09
26 C2PC RequestCover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16
2013-06-18
27 confidentilaityCover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-13
2014-02-20
27 BT DSS Test setup photoTest Setup Photos
Adobe Acrobat PDF (333 kB)
2014-02-13
2014-08-12
27 DTS Test ReportTest Report
Adobe Acrobat PDF (3340 kB)
2014-02-27
2014-02-20
27 RF Exposure reportRF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-13
2014-02-20
27 BLE DTS Test ReportTest Report
Adobe Acrobat PDF (897 kB)
2014-02-27
2014-02-20
27 C2PC letterCover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-13
2014-02-20
27 AuthorizationCover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-13
2014-02-20
27 DTS test setup photoTest Setup Photos
Adobe Acrobat PDF (651 kB)
2014-02-13
2014-08-12
28 Model number declaration between manual and C2PC LetterAttestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16
2013-04-03
28 Wifi Setup PhotoTest Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03
2013-09-30
28 POACover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03
2013-04-03
28 SAR Report (Jess Link) -1RF Exposure Info
Adobe Acrobat PDF (584 kB)
2013-04-03
2013-04-03
28 Host system Internal PhotoInternal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03
2013-09-30
28 Host system LabelID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16
2013-04-03
28 SAR Report (High Tek) -1RF Exposure Info
Adobe Acrobat PDF (583 kB)
2013-04-03
2013-04-03
28 Authorization letterCover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03
2013-04-03
28 SAR Report (Jess Link) -2RF Exposure Info
Adobe Acrobat PDF (1876 kB)
2013-04-03
2013-04-03
28 BLE Test ReportTest Report
Adobe Acrobat PDF (234 kB)
2013-04-03
2013-04-03
28 Host System manualUsers Manual
Adobe Acrobat PDF (144 kB)
2013-04-16
2013-09-30
28 SAR Report (High Tek) -2RF Exposure Info
Adobe Acrobat PDF (2001 kB)
2013-04-03
2013-04-03
28 confidential LetterCover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03
2013-04-03
28 SAR Report (Jess Link) -3RF Exposure Info
Adobe Acrobat PDF (4273 kB)
2013-04-03
2013-04-03
28 BLE Setup PhotoTest Setup Photos
Adobe Acrobat PDF (79 kB)
2013-04-03
2013-09-30
28 SAR Report (High Tek) -3RF Exposure Info
Adobe Acrobat PDF (3367 kB)
2013-04-03
2013-04-03
28 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03
2013-04-03
28 SAR Setup Photo (Jess Link)Test Setup Photos
Adobe Acrobat PDF (139 kB)
2013-04-03
2013-09-30
28 WIFI Test ReportTest Report
Adobe Acrobat PDF (563 kB)
2013-04-03
2013-04-03
28 SAR Setup Photo (High Tek)Test Setup Photos
Adobe Acrobat PDF (223 kB)
2013-04-03
2013-09-30
28 Host system external PhotoExternal Photos
Adobe Acrobat PDF (339 kB)
2013-04-03
2013-09-30
29 Conf LtrCover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28
2012-02-28
29 C2PC LtrCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28
2012-02-28
30 Modular LtrCover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-29
2011-06-29
30 Photos IntInternal Photos
Adobe Acrobat PDF (169 kB)
2011-06-29
2011-12-25
30 Auth LtrCover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-29
2011-06-29
30 Confidential LetterCover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-29
2011-06-29
30 Photos ExtExternal Photos
Adobe Acrobat PDF (354 kB)
2011-06-29
2011-12-25
30 Agent LtrCover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-29
2011-06-29
30 LabelID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-29
2011-06-29
30 User ManualUsers Manual
Adobe Acrobat PDF (557 kB)
2011-06-29
2011-12-25
30 Test Report WLANTest Report
Adobe Acrobat PDF (3845 kB)
2011-06-29
2011-06-29
30 Photos Test Setup WLANTest Setup Photos
Adobe Acrobat PDF (260 kB)
2011-06-29
2011-12-25
30 Installation GuideUsers Manual
Adobe Acrobat PDF (250 kB)
2011-06-29
2011-12-25
30 Test Report BT LETest Report
Adobe Acrobat PDF (457 kB)
2011-06-29
2011-06-29
30 Photos Test Setup BL LETest Setup Photos
Adobe Acrobat PDF (158 kB)
2011-06-29
2011-12-25
31 RFExp_Appendix C2RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23
2012-11-23
31 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23
2012-11-23
31 RFExp_SAR ReportRF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23
2012-11-23
31 UserMan_Host1Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23
2013-05-22
31 POACover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23
2012-11-23
31 External PhotosExternal Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23
2013-05-22
31 RFExp_Appendix ARF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23
2012-11-23
31 UserMan_Host2Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23
2013-05-22
31 LabelLocID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23
2012-11-23
31 IntPhoInternal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23
2013-05-22
31 RFExp_Appendix BRF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23
2012-11-23
31 UserMan_ModuleUsers Manual
Adobe Acrobat PDF (337 kB)
2012-11-23
2013-05-22
31 LabelSmpl_HostID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23
2012-11-23
31 IntPho_AntLocInternal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23
2013-05-22
31 RFExp_Appendix C1RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23
2012-11-23
31 Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23
2012-11-23
31 LabelSmpl_ModuleID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23
2012-11-23
31 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23
2013-05-22
32 Test Report RevTest Report
Adobe Acrobat PDF (783 kB)
2014-03-06
2014-02-14
32 External PhotosExternal Photos
Adobe Acrobat PDF (1522 kB)
2014-02-13
2014-08-13
32 Class II Change LetterCover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-13
2014-02-14
32 Internal PhotosInternal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-13
2014-08-13
32 Confidential letterCover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-13
2014-02-14
32 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (293 kB)
2014-02-13
2014-08-13
32 POACover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-13
2014-02-14
32 User Manual HostUsers Manual
Adobe Acrobat PDF (4735 kB)
2014-02-13
2014-08-13
32 Label InfoID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-13
2014-02-14
32 User Manual RegulatoryUsers Manual
Adobe Acrobat PDF (461 kB)
2014-02-13
2014-08-13
33 Confidential LtrCover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-29
2011-06-30
33 User manualUsers Manual
Adobe Acrobat PDF (557 kB)
2011-06-30
2011-12-25
33 Auth LtrCover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-29
2011-06-30
33 LabelID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-29
2011-06-30
33 Installation GuideUsers Manual
Adobe Acrobat PDF (250 kB)
2011-06-30
2011-12-25
33 Agent LtrCover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-29
2011-06-30
33 Photos Test SetupTest Setup Photos
Adobe Acrobat PDF (191 kB)
2011-06-30
2011-12-25
33 Test reportTest Report
Adobe Acrobat PDF (848 kB)
2011-06-29
2011-06-30
33 Photos IntInternal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30
2011-12-25
33 Modular LtrCover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-29
2011-06-30
33 Photos ExtExternal Photos
Adobe Acrobat PDF (354 kB)
2011-06-30
2011-12-25
34 ConfidentialityCover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-13
2014-02-20
34 UNII test setup photoTest Setup Photos
Adobe Acrobat PDF (651 kB)
2014-02-13
2014-08-12
34 UNII Test reportTest Report
Adobe Acrobat PDF (3834 kB)
2014-02-27
2014-02-20
34 RF ExposureRF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-13
2014-02-20
34 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-13
2014-02-20
34 AuthorizationCover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-13
2014-02-20

APP # 1 (2014-02-20)

App # Document Type Submitted
Available
1 Operational Description Operational Description
Adobe Acrobat PDF (73 kB)
2014-02-20 00:00:00
N/A
1 Confidentiality Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-20 00:00:00
2014-02-20 00:00:00
1 BT Test Setup Photo Test Setup Photos
Adobe Acrobat PDF (333 kB)
2014-02-20 00:00:00
2014-08-12 00:00:00
1 BT DSS Test Report Test Report
Adobe Acrobat PDF (1158 kB)
2014-02-27 00:00:00
2014-02-20 00:00:00
1 RF Exposure RF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-20 00:00:00
2014-02-20 00:00:00
1 Antenna spec. operational Description Operational Description
Adobe Acrobat PDF (73 kB)
2014-02-20 00:00:00
N/A
1 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-20 00:00:00
2014-02-20 00:00:00
1 BT RF Test Report Schematics
Adobe Acrobat PDF (1154 kB)
2014-02-20 00:00:00
2014-02-20 00:00:00
1 Authorization Cover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-20 00:00:00
2014-02-20 00:00:00

APP # 2 (2012-11-23)

App # Document Type Submitted
Available
2 RFExp_Appendix C RF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 RFExp_SAR report RF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 Antenna Spec Operational Description
Adobe Acrobat PDF (2028 kB)
2012-11-23 00:00:00
N/A
2 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 External Photos External Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
2 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
2 IntPho Internal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 3 (2013-06-06)

App # Document Type Submitted
Available
3 RF Exposure SAR Report RF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 User Manual Users Manual
Adobe Acrobat PDF (110 kB)
2013-06-05 00:00:00
2013-12-02 00:00:00
3 Attestation Statement Attestation Statements
Adobe Acrobat PDF (560 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Description Operational Description
Adobe Acrobat PDF (1434 kB)
2013-06-05 00:00:00
N/A
3 Label and Location ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
3 Parts List and Tune Up Parts List/Tune Up Info
Adobe Acrobat PDF (37 kB)
2013-06-05 00:00:00
N/A

APP # 4 (2012-11-23)

App # Document Type Submitted
Available
4 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 IntPho Internal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 RFExp_Appendix C RF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 RFExp_SAR Report RF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 Antenna Spec Operational Description
Adobe Acrobat PDF (2028 kB)
2012-11-23 00:00:00
N/A
4 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 External Photos External Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
4 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
4 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 5 (2012-11-23)

App # Document Type Submitted
Available
5 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 IntPho Internal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 RFExp_Appendix C1 RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 RFExp_Appendix C2 RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 Antenna spec Operational Description
Adobe Acrobat PDF (945 kB)
2012-11-23 00:00:00
N/A
5 RFExp_SAR report RF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 External Photos External Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
5 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
5 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 6 (2012-09-20)

App # Document Type Submitted
Available
6 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 WIFI Aux Approval sheet Operational Description
Adobe Acrobat PDF (385 kB)
2012-09-20 00:00:00
N/A
6 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 WIFI Main Approval sheet Operational Description
Adobe Acrobat PDF (392 kB)
2012-09-20 00:00:00
N/A
6 ANTENNA_SECTION Operational Description
Adobe Acrobat PDF (174 kB)
2012-09-20 00:00:00
N/A
6 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
6 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
6 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00

APP # 7 (2014-02-14)

App # Document Type Submitted
Available
7 RF Exposure RF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Label Info ID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Test Setup Photos NII Test Setup Photos
Adobe Acrobat PDF (299 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 POA Cover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Test Report Test Report
Adobe Acrobat PDF (4213 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 RF Exposure Rev RF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-03-06 00:00:00
2014-02-14 00:00:00
7 User Manual Host Users Manual
Adobe Acrobat PDF (4735 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 Operational Description Operational Description
Adobe Acrobat PDF (116 kB)
2014-02-13 00:00:00
N/A
7 RF Exposure Appendix A RF Exposure Info
Adobe Acrobat PDF (1669 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 External Photos External Photos
Adobe Acrobat PDF (1522 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 Test Report NII Rev Test Report
Adobe Acrobat PDF (4213 kB)
2014-03-06 00:00:00
2014-02-14 00:00:00
7 User Manual Regulatory Notice Users Manual
Adobe Acrobat PDF (461 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 Operational Description Antenna Report High-Tek Operational Description
Adobe Acrobat PDF (1140 kB)
2014-02-13 00:00:00
N/A
7 RF Exposure Appendix B RF Exposure Info
Adobe Acrobat PDF (536 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Internal Photos Internal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 Class II Change Letter Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Operational Description Antenna Report WNC Operational Description
Adobe Acrobat PDF (1851 kB)
2014-02-13 00:00:00
N/A
7 RF Exposure Appendix C RF Exposure Info
Adobe Acrobat PDF (3482 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
7 Test Setup Photos RF Test Setup Photos
Adobe Acrobat PDF (212 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
7 Confidential Letter Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00

APP # 8 (2012-09-20)

App # Document Type Submitted
Available
8 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 WIFI Aux Approval sheet Operational Description
Adobe Acrobat PDF (385 kB)
2012-09-20 00:00:00
N/A
8 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 WIFI Main Approval sheet Operational Description
Adobe Acrobat PDF (392 kB)
2012-09-20 00:00:00
N/A
8 ANTENNA_SECTION Operational Description
Adobe Acrobat PDF (174 kB)
2012-09-20 00:00:00
N/A
8 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
8 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
8 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00

APP # 9 (2012-09-20)

App # Document Type Submitted
Available
9 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 WIFI Aux Approval sheet Operational Description
Adobe Acrobat PDF (385 kB)
2012-09-20 00:00:00
N/A
9 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 WIFI Main Approval sheet Operational Description
Adobe Acrobat PDF (392 kB)
2012-09-20 00:00:00
N/A
9 ANTENNA_SECTION Operational Description
Adobe Acrobat PDF (174 kB)
2012-09-20 00:00:00
N/A
9 User Manual Users Manual
Adobe Acrobat PDF (463 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 POA Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 ID Label ID Label/Location Info
Adobe Acrobat PDF (447 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 SAR Test Report RF Exposure Info
Adobe Acrobat PDF (2061 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 Internal Photos Internal Photos
Adobe Acrobat PDF (1347 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (53 kB)
2012-09-20 00:00:00
2012-09-20 00:00:00
9 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (524 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00
9 External Photos External Photos
Adobe Acrobat PDF (270 kB)
2012-09-20 00:00:00
2013-03-19 00:00:00

APP # 10 (2013-04-03)

App # Document Type Submitted
Available
10 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Host system Label ID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
10 SAR Report (High Tek) -1 RF Exposure Info
Adobe Acrobat PDF (583 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Jess Link Antenna Spec Operational Description
Adobe Acrobat PDF (689 kB)
2013-04-03 00:00:00
N/A
10 SAR Report (Jess Link) -2 RF Exposure Info
Adobe Acrobat PDF (1876 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Host system external Photo External Photos
Adobe Acrobat PDF (339 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
10 Host System manual Users Manual
Adobe Acrobat PDF (144 kB)
2013-04-16 00:00:00
2013-09-30 00:00:00
10 SAR Report (High Tek) -2 RF Exposure Info
Adobe Acrobat PDF (2001 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 POA Cover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 SAR Report (Jess Link) -3 RF Exposure Info
Adobe Acrobat PDF (4273 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Host system Internal Photo Internal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
10 SAR Report (High Tek) -3 RF Exposure Info
Adobe Acrobat PDF (3367 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Authorization letter Cover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 SAR Setup Photo (Jess Link) Test Setup Photos
Adobe Acrobat PDF (139 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
10 RF Test Report Test Report
Adobe Acrobat PDF (530 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 SAR Setup Photo (High Tek) Test Setup Photos
Adobe Acrobat PDF (223 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
10 confidential Letter Cover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
10 Model number declaration between manual and C2PC Letter Attestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
10 RF Setup Photo Test Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
10 HIgh Tek Antenna Spec Operational Description
Adobe Acrobat PDF (1045 kB)
2013-04-03 00:00:00
N/A
10 SAR Report (Jess Link) -1 RF Exposure Info
Adobe Acrobat PDF (584 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00

APP # 11 (2012-03-28)

App # Document Type Submitted
Available
11 Confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
11 LOA Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
11 Antenna Spec Operational Description
Adobe Acrobat PDF (538 kB)
2012-03-28 00:00:00
N/A
11 Test Report Test Report
Adobe Acrobat PDF (964 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
11 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (72 kB)
2012-03-28 00:00:00
2012-09-24 00:00:00
11 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00

APP # 12 (2012-02-28)

App # Document Type Submitted
Available
12 C2PC Ltr Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00
12 Conf Ltr Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00
12 BIOS Lock Description Operational Description
Adobe Acrobat PDF (645 kB)
2012-02-28 00:00:00
N/A

APP # 13 (2012-03-28)

App # Document Type Submitted
Available
13 Confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 LOA Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 LOA Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (71 kB)
2012-03-28 00:00:00
2012-09-24 00:00:00
13 Test Report Test Report
Adobe Acrobat PDF (1652 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 Antenna Spec Operational Description
Adobe Acrobat PDF (538 kB)
2012-03-28 00:00:00
N/A
13 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (71 kB)
2012-03-28 00:00:00
2012-09-24 00:00:00
13 Test Report Test Report
Adobe Acrobat PDF (1652 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
13 Confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00

APP # 14 (2016-02-11)

App # Document Type Submitted
Available
14 FCC Agent Authorization Letter (UL) Sept 2015.pdf Cover Letter(s)
Adobe Acrobat PDF (537 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 15U21619-E1V4 FCC C2PC REPORT UNII WLAN 0209.pdf Test Report
Adobe Acrobat PDF (3896 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 15U21619-E2V1 FCC MPE Report 0204.pdf RF Exposure Info
Adobe Acrobat PDF (240 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 KDB 594280 D02 v01r03 U-NII Device SW Security Statement (BRCM).pdf Operational Description
Adobe Acrobat PDF (76 kB)
2016-02-11 00:00:00
N/A
14 15U21619-E1V4 FCC C2PC SETUP PHOTOS UNII WLAN 0209.pdf Test Setup Photos
Adobe Acrobat PDF (669 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 BCM943228HMB FCC C2PC (New FCC UNII rule).pdf Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 BCM943228HMB FCC C2PC (New FCC UNII rule).pdf Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 15U21619-E2V1 FCC MPE Report 0204.pdf RF Exposure Info
Adobe Acrobat PDF (240 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 BCM943228HMB FCC conf req (New FCC UNII rule).pdf Cover Letter(s)
Adobe Acrobat PDF (29 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 BCM943228HMB FCC conf req (New FCC UNII rule).pdf Cover Letter(s)
Adobe Acrobat PDF (29 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 15U21619-E1V4 FCC C2PC REPORT UNII WLAN 0209.pdf Test Report
Adobe Acrobat PDF (3896 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 BCM943228HMB Operational Description_FCC_updated.pdf Operational Description
Adobe Acrobat PDF (188 kB)
2016-02-11 00:00:00
N/A
14 FCC Agent Authorization Letter (UL) Sept 2015.pdf Cover Letter(s)
Adobe Acrobat PDF (537 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00
14 15U21619-E1V4 FCC C2PC SETUP PHOTOS UNII WLAN 0209.pdf Test Setup Photos
Adobe Acrobat PDF (669 kB)
2016-02-11 00:00:00
2016-02-11 00:00:00

APP # 15 (2013-06-06)

App # Document Type Submitted
Available
15 Parts List and Tune Up Parts List/Tune Up Info
Adobe Acrobat PDF (37 kB)
2013-06-05 00:00:00
N/A
15 RF Exposure SAR Report RF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
15 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
15 Test Setup Photos SAR Test Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
15 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
15 User Manual Users Manual
Adobe Acrobat PDF (110 kB)
2013-06-05 00:00:00
2013-12-02 00:00:00
15 Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
15 Description Operational Description
Adobe Acrobat PDF (1434 kB)
2013-06-05 00:00:00
N/A
15 Label and Location ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00

APP # 16 (2014-02-19)

App # Document Type Submitted
Available
16 RF Exposure Appendix B RF Exposure Info
Adobe Acrobat PDF (536 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Test Setup Photos DTS BT 4.0 Test Setup Photos
Adobe Acrobat PDF (294 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Operational Description Antenna Report High-Tek Operational Description
Adobe Acrobat PDF (1140 kB)
2014-02-18 00:00:00
N/A
16 Test Report DTS 2.4 Rev Test Report
Adobe Acrobat PDF (2057 kB)
2014-03-06 00:00:00
2014-02-19 00:00:00
16 Class II Letter Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Test Report WLAN Test Report
Adobe Acrobat PDF (1558 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 RF Exposure Appendix C RF Exposure Info
Adobe Acrobat PDF (3482 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Test Setup Photos WLAN Test Setup Photos
Adobe Acrobat PDF (299 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Operational Description Antenna Report WNC Operational Description
Adobe Acrobat PDF (1851 kB)
2014-02-18 00:00:00
N/A
16 RF Exposure Rev RF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-03-06 00:00:00
2014-02-19 00:00:00
16 Confidential Letter Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 External Photos External Photos
Adobe Acrobat PDF (1522 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Label Info ID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Test Setup Photos RF Exp Test Setup Photos
Adobe Acrobat PDF (212 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 RF Exposure RF Exposure Info
Adobe Acrobat PDF (1573 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 POA Cover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Internal Photos Internal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Test Report DTS 4.0 Rev Test Report
Adobe Acrobat PDF (759 kB)
2014-03-06 00:00:00
2014-02-19 00:00:00
16 User Manual Users Manual
Adobe Acrobat PDF (4735 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Test Report DTS Test Report
Adobe Acrobat PDF (2056 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 RF Exposure Appendix A RF Exposure Info
Adobe Acrobat PDF (1669 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00
16 Test Setup Photos DTS Test Setup Photos
Adobe Acrobat PDF (294 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Operational Description Operational Description
Adobe Acrobat PDF (116 kB)
2014-02-18 00:00:00
N/A
16 Test Report DTS 5.8 Rev Test Report
Adobe Acrobat PDF (1559 kB)
2014-03-06 00:00:00
2014-02-19 00:00:00
16 User Manual Regulatory Users Manual
Adobe Acrobat PDF (461 kB)
2014-02-18 00:00:00
2014-08-12 00:00:00
16 Test Report DTS 4.0 Test Report
Adobe Acrobat PDF (759 kB)
2014-02-18 00:00:00
2014-02-19 00:00:00

APP # 17 (2011-06-30)

App # Document Type Submitted
Available
17 User Manual Users Manual
Adobe Acrobat PDF (557 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
17 Test Report WLAN Test Report
Adobe Acrobat PDF (3592 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 ID Label ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Schematic Schematics
Adobe Acrobat PDF (87 kB)
2011-06-30 00:00:00
N/A
17 Installation Guide Users Manual
Adobe Acrobat PDF (250 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
17 Modular Ltr Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Photos Test Setup Test Setup Photos
Adobe Acrobat PDF (260 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
17 Schematics SDR Software/Security Inf
Adobe Acrobat PDF (87 kB)
2011-06-30 00:00:00
N/A
17 Confidential Letter Cover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Blk Diag Block Diagram
Adobe Acrobat PDF (161 kB)
2011-06-30 00:00:00
N/A
17 Photos Internal Internal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
17 Auth Ltr Cover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Ad Hoc Ltr Cover Letter(s)
Adobe Acrobat PDF (29 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Op Desc Operational Description
Adobe Acrobat PDF (42 kB)
2011-06-30 00:00:00
N/A
17 Photos External External Photos
Adobe Acrobat PDF (354 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
17 Agent Ltr Cover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 MPE RF Exposure Info
Adobe Acrobat PDF (81 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
17 Op Desc Antenna Operational Description
Adobe Acrobat PDF (453 kB)
2011-06-30 00:00:00
N/A

APP # 18 (2013-06-18)

App # Document Type Submitted
Available
18 Host System Label 1 ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 SAR Test Set up photos Test Setup Photos
Adobe Acrobat PDF (196 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
18 Confidentiality Request Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 Host System Label 2 ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 User Manual Users Manual
Adobe Acrobat PDF (4398 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
18 C2PC Request Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 SAR Report RF Exposure Info
Adobe Acrobat PDF (4841 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 Antenna Specifications Operational Description
Adobe Acrobat PDF (1352 kB)
2013-06-16 00:00:00
N/A
18 Host Label showing module ID ID Label/Location Info
Adobe Acrobat PDF (536 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 External Photos of host External Photos
Adobe Acrobat PDF (298 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
18 Operational Description with max power Operational Description
Adobe Acrobat PDF (79 kB)
2013-06-16 00:00:00
N/A
18 Host Label location ID Label/Location Info
Adobe Acrobat PDF (874 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
18 Internal Photos of host Internal Photos
Adobe Acrobat PDF (1598 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
18 Agent Authorization Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00

APP # 19 (2012-11-23)

App # Document Type Submitted
Available
19 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 RFExp_Appendix C1 RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 RFExp_Appendix C2 RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 Antenna spec Operational Description
Adobe Acrobat PDF (945 kB)
2012-11-23 00:00:00
N/A
19 RFExp_SAR Report RF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 External Photos External Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
19 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
19 IntPho Internal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 20 (2013-04-03)

App # Document Type Submitted
Available
20 Host system external Photo External Photos
Adobe Acrobat PDF (339 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
20 Host system Label ID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
20 POA Cover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
20 Host system Internal Photo Internal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
20 Host System manual Users Manual
Adobe Acrobat PDF (144 kB)
2013-04-16 00:00:00
2013-09-30 00:00:00
20 Authorization letter Cover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
20 BT Test Report Test Report
Adobe Acrobat PDF (378 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
20 confidential Letter Cover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
20 BT Setup Photo Test Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
20 HIgh Tek Antenna Spec Operational Description
Adobe Acrobat PDF (1045 kB)
2013-04-03 00:00:00
N/A
20 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
20 Model number declaration between manual and C2PC Letter Attestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
20 Jess Link Antenna Spec Operational Description
Adobe Acrobat PDF (689 kB)
2013-04-03 00:00:00
N/A

APP # 21 (2012-11-23)

App # Document Type Submitted
Available
21 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (190 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 IntPho Internal Photos
Adobe Acrobat PDF (656 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 RFExp_Appendix C RF Exposure Info
Adobe Acrobat PDF (3889 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (564 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (110 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 RFExp_SAR report RF Exposure Info
Adobe Acrobat PDF (1022 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (537 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (419 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 Antenna Spec Operational Description
Adobe Acrobat PDF (2028 kB)
2012-11-23 00:00:00
N/A
21 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (600 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 External Photos External Photos
Adobe Acrobat PDF (1278 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
21 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1384 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
21 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 22 (2012-03-28)

App # Document Type Submitted
Available
22 Confidentiality request letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
22 LOA Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
22 Antenna Spec Operational Description
Adobe Acrobat PDF (538 kB)
2012-03-28 00:00:00
N/A
22 Test Report Test Report
Adobe Acrobat PDF (2676 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00
22 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (204 kB)
2012-03-28 00:00:00
2012-09-24 00:00:00
22 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (25 kB)
2012-03-28 00:00:00
2012-03-28 00:00:00

APP # 23 (2013-06-06)

App # Document Type Submitted
Available
23 Parts List and Tune Up Parts List/Tune Up Info
Adobe Acrobat PDF (37 kB)
2013-06-05 00:00:00
N/A
23 RF Exposure SAR Report RF Exposure Info
Adobe Acrobat PDF (3793 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
23 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (21 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
23 Test Setup Photos SAR Test Setup Photos
Adobe Acrobat PDF (144 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
23 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (66 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
23 User Manual Users Manual
Adobe Acrobat PDF (110 kB)
2013-06-05 00:00:00
2013-12-02 00:00:00
23 Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (511 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00
23 Description Operational Description
Adobe Acrobat PDF (1434 kB)
2013-06-05 00:00:00
N/A
23 Label and Location ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2013-06-05 00:00:00
2013-06-06 00:00:00

APP # 24 (2012-02-28)

App # Document Type Submitted
Available
24 C2PC Ltr Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00
24 Conf Ltr Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00
24 BIOS Lock Description Operational Description
Adobe Acrobat PDF (645 kB)
2012-02-28 00:00:00
N/A

APP # 25 (2011-06-30)

App # Document Type Submitted
Available
25 Photos Test Setup HAC Test Setup Photos
Adobe Acrobat PDF (130 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
25 Agent Ltr Cover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
25 Photos Int Internal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
25 Test Report Test Report
Adobe Acrobat PDF (199 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
25 Photos Ext External Photos
Adobe Acrobat PDF (354 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
25 Blk Diag Block Diagram
Adobe Acrobat PDF (161 kB)
2011-06-30 00:00:00
N/A
25 Conf Ltr Cover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
25 User Manual Users Manual
Adobe Acrobat PDF (557 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
25 Op Desc Operational Description
Adobe Acrobat PDF (42 kB)
2011-06-30 00:00:00
N/A
25 Label ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00
25 Installation Guide Users Manual
Adobe Acrobat PDF (250 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
25 Auth Ltr Cover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-30 00:00:00
2011-06-30 00:00:00

APP # 26 (2013-06-18)

App # Document Type Submitted
Available
26 SAR Report RF Exposure Info
Adobe Acrobat PDF (4841 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 Antenna Specifications Operational Description
Adobe Acrobat PDF (1352 kB)
2013-06-16 00:00:00
N/A
26 Host Label showing module ID ID Label/Location Info
Adobe Acrobat PDF (536 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 External Photos of host External Photos
Adobe Acrobat PDF (298 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
26 Operational Description with max power Operational Description
Adobe Acrobat PDF (79 kB)
2013-06-16 00:00:00
N/A
26 Host Label location ID Label/Location Info
Adobe Acrobat PDF (874 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 Internal Photos of host Internal Photos
Adobe Acrobat PDF (1598 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
26 Agent Authorization Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 Host System Label 1 ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 SAR Test Set up photos Test Setup Photos
Adobe Acrobat PDF (196 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
26 Confidentiality Request Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 Host System Label 2 ID Label/Location Info
Adobe Acrobat PDF (556 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00
26 User Manual Users Manual
Adobe Acrobat PDF (4398 kB)
2013-06-16 00:00:00
2013-11-09 00:00:00
26 C2PC Request Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2013-06-16 00:00:00
2013-06-18 00:00:00

APP # 27 (2014-02-20)

App # Document Type Submitted
Available
27 confidentilaity Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 DTS test report Test Report
Adobe Acrobat PDF (3334 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 BT DSS Test setup photo Test Setup Photos
Adobe Acrobat PDF (333 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
27 Antenna spec. operational Description Operational Description
Adobe Acrobat PDF (1189 kB)
2014-02-13 00:00:00
N/A
27 DTS Test Report Test Report
Adobe Acrobat PDF (3340 kB)
2014-02-27 00:00:00
2014-02-20 00:00:00
27 Operational Description Operational Description
Adobe Acrobat PDF (73 kB)
2014-02-13 00:00:00
N/A
27 RF Exposure report RF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 BT DSS test report Test Report
Adobe Acrobat PDF (1154 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 BLE DTS Test Report Test Report
Adobe Acrobat PDF (897 kB)
2014-02-27 00:00:00
2014-02-20 00:00:00
27 UNII test report Test Report
Adobe Acrobat PDF (3831 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 C2PC letter Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 BT DTS test report Test Report
Adobe Acrobat PDF (893 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 UNII test setup photo Test Setup Photos
Adobe Acrobat PDF (651 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
27 Authorization Cover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 confidentilaity External Photos
Adobe Acrobat PDF (33 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
27 DTS test setup photo Test Setup Photos
Adobe Acrobat PDF (651 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00

APP # 28 (2013-04-03)

App # Document Type Submitted
Available
28 Model number declaration between manual and C2PC Letter Attestation Statements
Adobe Acrobat PDF (452 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
28 Wifi Setup Photo Test Setup Photos
Adobe Acrobat PDF (111 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
28 POA Cover Letter(s)
Adobe Acrobat PDF (37 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 SAR Report (Jess Link) -1 RF Exposure Info
Adobe Acrobat PDF (584 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 Host system Internal Photo Internal Photos
Adobe Acrobat PDF (1951 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
28 Host system Label ID Label/Location Info
Adobe Acrobat PDF (86 kB)
2013-04-16 00:00:00
2013-04-03 00:00:00
28 SAR Report (High Tek) -1 RF Exposure Info
Adobe Acrobat PDF (583 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 Authorization letter Cover Letter(s)
Adobe Acrobat PDF (58 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 SAR Report (Jess Link) -2 RF Exposure Info
Adobe Acrobat PDF (1876 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 BLE Test Report Test Report
Adobe Acrobat PDF (234 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 Host System manual Users Manual
Adobe Acrobat PDF (144 kB)
2013-04-16 00:00:00
2013-09-30 00:00:00
28 SAR Report (High Tek) -2 RF Exposure Info
Adobe Acrobat PDF (2001 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 confidential Letter Cover Letter(s)
Adobe Acrobat PDF (41 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 SAR Report (Jess Link) -3 RF Exposure Info
Adobe Acrobat PDF (4273 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 BLE Setup Photo Test Setup Photos
Adobe Acrobat PDF (79 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
28 HIgh Tek Antenna Spec Operational Description
Adobe Acrobat PDF (1045 kB)
2013-04-03 00:00:00
N/A
28 SAR Report (High Tek) -3 RF Exposure Info
Adobe Acrobat PDF (3367 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (40 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 SAR Setup Photo (Jess Link) Test Setup Photos
Adobe Acrobat PDF (139 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
28 WIFI Test Report Test Report
Adobe Acrobat PDF (563 kB)
2013-04-03 00:00:00
2013-04-03 00:00:00
28 Jess Link Antenna Spec Operational Description
Adobe Acrobat PDF (689 kB)
2013-04-03 00:00:00
N/A
28 SAR Setup Photo (High Tek) Test Setup Photos
Adobe Acrobat PDF (223 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00
28 Host system external Photo External Photos
Adobe Acrobat PDF (339 kB)
2013-04-03 00:00:00
2013-09-30 00:00:00

APP # 29 (2012-02-28)

App # Document Type Submitted
Available
29 Conf Ltr Cover Letter(s)
Adobe Acrobat PDF (31 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00
29 BIOS Lock Description Operational Description
Adobe Acrobat PDF (645 kB)
2012-02-28 00:00:00
N/A
29 C2PC Ltr Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-02-28 00:00:00
2012-02-28 00:00:00

APP # 30 (2011-06-29)

App # Document Type Submitted
Available
30 Schematic Schematics
Adobe Acrobat PDF (87 kB)
2011-06-29 00:00:00
N/A
30 Modular Ltr Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Photos Int Internal Photos
Adobe Acrobat PDF (169 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00
30 Auth Ltr Cover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Confidential Letter Cover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Blk Diag Block Diagram
Adobe Acrobat PDF (161 kB)
2011-06-29 00:00:00
N/A
30 Photos Ext External Photos
Adobe Acrobat PDF (354 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00
30 Agent Ltr Cover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Label ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Op Desc Operational Description
Adobe Acrobat PDF (42 kB)
2011-06-29 00:00:00
N/A
30 User Manual Users Manual
Adobe Acrobat PDF (557 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00
30 Test Report WLAN Test Report
Adobe Acrobat PDF (3845 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Photos Test Setup WLAN Test Setup Photos
Adobe Acrobat PDF (260 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00
30 Op Desc Antenna Operational Description
Adobe Acrobat PDF (453 kB)
2011-06-29 00:00:00
N/A
30 Installation Guide Users Manual
Adobe Acrobat PDF (250 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00
30 Test Report BT LE Test Report
Adobe Acrobat PDF (457 kB)
2011-06-29 00:00:00
2011-06-29 00:00:00
30 Photos Test Setup BL LE Test Setup Photos
Adobe Acrobat PDF (158 kB)
2011-06-29 00:00:00
2011-12-25 00:00:00

APP # 31 (2012-11-23)

App # Document Type Submitted
Available
31 RFExp_Appendix C2 RF Exposure Info
Adobe Acrobat PDF (4264 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 Antenna spec Operational Description
Adobe Acrobat PDF (945 kB)
2012-11-23 00:00:00
N/A
31 RFExp_SAR Report RF Exposure Info
Adobe Acrobat PDF (1051 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 UserMan_Host1 Users Manual
Adobe Acrobat PDF (555 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 POA Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 External Photos External Photos
Adobe Acrobat PDF (1082 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 RFExp_Appendix A RF Exposure Info
Adobe Acrobat PDF (430 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 UserMan_Host2 Users Manual
Adobe Acrobat PDF (446 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 LabelLoc ID Label/Location Info
Adobe Acrobat PDF (192 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 IntPho Internal Photos
Adobe Acrobat PDF (881 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 RFExp_Appendix B RF Exposure Info
Adobe Acrobat PDF (1301 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 UserMan_Module Users Manual
Adobe Acrobat PDF (337 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 LabelSmpl_Host ID Label/Location Info
Adobe Acrobat PDF (646 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 IntPho_AntLoc Internal Photos
Adobe Acrobat PDF (130 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00
31 RFExp_Appendix C1 RF Exposure Info
Adobe Acrobat PDF (2971 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 LabelSmpl_Module ID Label/Location Info
Adobe Acrobat PDF (522 kB)
2012-11-23 00:00:00
2012-11-23 00:00:00
31 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (413 kB)
2012-11-23 00:00:00
2013-05-22 00:00:00

APP # 32 (2014-02-14)

App # Document Type Submitted
Available
32 Test Report Rev Test Report
Adobe Acrobat PDF (783 kB)
2014-03-06 00:00:00
2014-02-14 00:00:00
32 External Photos External Photos
Adobe Acrobat PDF (1522 kB)
2014-02-13 00:00:00
2014-08-13 00:00:00
32 Class II Change Letter Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
32 Operational Description Operational Description
Adobe Acrobat PDF (116 kB)
2014-02-13 00:00:00
N/A
32 Internal Photos Internal Photos
Adobe Acrobat PDF (1141 kB)
2014-02-13 00:00:00
2014-08-13 00:00:00
32 Confidential letter Cover Letter(s)
Adobe Acrobat PDF (34 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
32 Operational Description Antenna Report High-Tek Operational Description
Adobe Acrobat PDF (1140 kB)
2014-02-13 00:00:00
N/A
32 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (293 kB)
2014-02-13 00:00:00
2014-08-13 00:00:00
32 POA Cover Letter(s)
Adobe Acrobat PDF (27 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
32 Operational Description Antenna Report WNC Operational Description
Adobe Acrobat PDF (1851 kB)
2014-02-13 00:00:00
N/A
32 User Manual Host Users Manual
Adobe Acrobat PDF (4735 kB)
2014-02-13 00:00:00
2014-08-13 00:00:00
32 Label Info ID Label/Location Info
Adobe Acrobat PDF (156 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
32 Test Report Test Report
Adobe Acrobat PDF (768 kB)
2014-02-13 00:00:00
2014-02-14 00:00:00
32 User Manual Regulatory Users Manual
Adobe Acrobat PDF (461 kB)
2014-02-13 00:00:00
2014-08-13 00:00:00

APP # 33 (2011-06-30)

App # Document Type Submitted
Available
33 Confidential Ltr Cover Letter(s)
Adobe Acrobat PDF (32 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 User manual Users Manual
Adobe Acrobat PDF (557 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
33 Auth Ltr Cover Letter(s)
Adobe Acrobat PDF (115 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 Label ID Label/Location Info
Adobe Acrobat PDF (25 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 Blk Diag Block Diagram
Adobe Acrobat PDF (161 kB)
2011-06-29 00:00:00
N/A
33 Installation Guide Users Manual
Adobe Acrobat PDF (250 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
33 Agent Ltr Cover Letter(s)
Adobe Acrobat PDF (95 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 Photos Test Setup Test Setup Photos
Adobe Acrobat PDF (191 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
33 Op Desc Operational Description
Adobe Acrobat PDF (42 kB)
2011-06-29 00:00:00
N/A
33 Test report Test Report
Adobe Acrobat PDF (848 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 Photos Int Internal Photos
Adobe Acrobat PDF (169 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
33 Op Desc Antenna Operational Description
Adobe Acrobat PDF (453 kB)
2011-06-29 00:00:00
N/A
33 Modular Ltr Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-29 00:00:00
2011-06-30 00:00:00
33 Photos Ext External Photos
Adobe Acrobat PDF (354 kB)
2011-06-30 00:00:00
2011-12-25 00:00:00
33 Schematic Schematics
Adobe Acrobat PDF (87 kB)
2011-06-29 00:00:00
N/A

APP # 34 (2014-02-20)

App # Document Type Submitted
Available
34 UNII test report Test Report
Adobe Acrobat PDF (3831 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
34 Confidentiality Cover Letter(s)
Adobe Acrobat PDF (33 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
34 UNII test setup photo Test Setup Photos
Adobe Acrobat PDF (651 kB)
2014-02-13 00:00:00
2014-08-12 00:00:00
34 UNII Test report Test Report
Adobe Acrobat PDF (3834 kB)
2014-02-27 00:00:00
2014-02-20 00:00:00
34 RF Exposure RF Exposure Info
Adobe Acrobat PDF (258 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
34 Antenna spec. operational Description Operational Description
Adobe Acrobat PDF (1189 kB)
2014-02-13 00:00:00
N/A
34 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00
34 Operational Description Operational Description
Adobe Acrobat PDF (73 kB)
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34 Authorization Cover Letter(s)
Adobe Acrobat PDF (62 kB)
2014-02-13 00:00:00
2014-02-20 00:00:00

Correspondence

All Correspondence

App # Document Date
1 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:27:08
1 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:32:43
2 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:10:02
oeteascv
2 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:45:47
oeteascv
3 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:24:19
3 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:29:53
4 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:42:43
oeteascv
4 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:06:54
oeteascv
5 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:26:41
5 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:32:15
6 [Re-Sent]Email Correspondence generated [Jun 30 2011] 2011-06-30 07:41:50
oeteascv
6 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 10:56:13
6 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 11:04:13
7 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:42:06
oeteascv
7 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:43:57
oeteascv
8 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:12:39
oeteascv
8 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:48:24
oeteascv
9 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 10:57:03
9 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 11:05:03
10 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:41:10
oeteascv
10 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:43:01
oeteascv
11 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:30:51
11 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:25:15
12 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 10:59:08
12 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 11:07:08
13 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 10:59:59
13 [Re-Sent]Short-Term Confidential Expiration Email generated [Dec 17 2011] 2011-12-17 11:07:58
14 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:28:03
14 [Re-Sent]Short-Term Confidential Expiration Email generated [Aug 4 2014] 2014-08-05 10:33:37

APP # 2 (2012-11-23)

App # Document Type
2 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:10:02
oeteascv
2 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:45:47
oeteascv

APP # 4 (2012-11-23)

App # Document Type
4 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:42:43
oeteascv
4 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:06:54
oeteascv

APP # 7 (2014-02-14)

App # Document Type
7 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:42:06
oeteascv
7 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:43:57
oeteascv

APP # 8 (2012-09-20)

App # Document Type
8 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 12:12:39
oeteascv
8 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 24 2013] 2013-11-25 10:48:24
oeteascv

APP # 10 (2013-04-03)

App # Document Type
10 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:41:10
oeteascv
10 [Re-Sent]Short-Term Confidential Expiration Email generated [Nov 1 2013] 2013-11-01 23:43:01
oeteascv

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: 22C38R/ckIchZ0Ozd2Oozw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/12/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC to add a new dipole antenna(81XCAA15.G03). Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Ayako Kanamatsu
Title of authorized signature:  Agent

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: 2nTHNTi9OjGKUN4dOm8dLQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q1VZC laptop as described in this filing. The antenna-to-user separation distance in this configuration is 197 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multitransmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end- Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is < 0.1 W/Kg. The highest measured SAR value across all filings under this FCC ID is 0.85 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: 3F1ZeC9p7+GiNHjCDfLdvA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
National Technical Systems
First Name: Deniz
Last Name: Demirci
Line 1:
41039 Boyce Road
City: Fremont
Country:
United States
Zip Code: 94538
Telephone Number:
5105783500

Extension:
Fax Number: 5104409525
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/02/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   National Technical Systems - Silicon Valley
First Name:   David
Last Name:   Bare
Telephone Number: 510-578-3500 Extension:
Fax Number:  510 578 3510
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: aIA5TCEuHXTZpmHAchgh0A==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q1VZC laptop as described in this filing. The antenna-to-user separation distance in this configuration is 197 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multitransmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is < 0.1 W/Kg. The highest measured SAR value across all filings under this FCC ID is 1.1 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: aJfCU7e3s+eLzHQiJdfwpg==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q5LJ1 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 15 mm. Modular Approval. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be colocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: BhS5Pn/r0fAqQWoLDtsidA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   03/19/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   SGS TAIWAN LTD.
First Name:   NELSON
Last Name:   BAI
Telephone Number: 886-2-22993279 Extension: 1458
Fax Number:  886-2-22999489
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in MA50 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 5.7 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end- Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is 0.45 W/Kg. The highest measured SAR value across all filings under this FCC ID is 0.45 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: cg/aKbDE6d4GW3eDJT8+kw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/12/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11abgn WLAN+BLUETOOTH PCI-E MINICARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. (Date of Grant: 06/30/2011) Class II Permissive Change: This Class II Permissive Change is to add this module to a portable platform, Lenovo model: Lenovo Miix 2 11. The highest reported SAR for stand-alone and simultaneous transmission exposure conditions are 1.49W/kg and 1.46W/kg, respectively.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  JONES TSAI
Title of authorized signature:  DIRECTOR

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: D2sx/ihoFrJcfJv61OmVBA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   03/19/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   SGS TAIWAN LTD.
First Name:   NELSON
Last Name:   BAI
Telephone Number: 886-2-22993279 Extension: 1458
Fax Number:  886-2-22999489
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in MA50 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 5.7 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multitransmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is 0.98 W/Kg. The highest measured SAR value across all filings under this FCC ID is 0.98 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: d4SrhM1VSxfS4o45rsBXEw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   03/19/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   SGS TAIWAN LTD.
First Name:   NELSON
Last Name:   BAI
Telephone Number: 886-2-22993279 Extension: 1458
Fax Number:  886-2-22999489
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in MA50 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 5.7 mm. Modular Approval. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be colocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0006267116
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: e16YDcbIm25rqZG59spf7Q==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/30/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services Inc.
First Name:   Kurt
Last Name:   Chen
Telephone Number: 886-3-3240332 Extension: 37
Fax Number:  886-3-3245235
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC for Portable platform (Lenovo TP00056A ) Highest reported SAR is : 1.30W/kg Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Gina Lo
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: EwXZ0aGJ9KVy8tZCYb6C7A==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/24/2012
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add a new monopole antenna type. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: eyVyJPKp75cc9/ZDwJVwdA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: [email protected]

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services (UL CCS)
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add two-way BIOS Lock for end user installation in qualified Lenovo notebook computer platforms. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. This grant is valid only when the device is sold to and installed by OEM integrators or when two way BIOS Lock is employed to allow end user installation. Approval is limited to installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: FAb3iwF03r4HAzUe0IehcA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/24/2012
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add a new monopole antenna type. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. This grant is valid only when the device is sold to and installed by OEM integrators or when two way BIOS Lock is employed to allow end user installation. Approval is limited to installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: fdwePwvX1oS6ZaB+JrWhHQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
UL VERIFICATION SERVICES INC.
First Name: Ana
Last Name: Aumentado
Line 1:
47173 Benicia St
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
510.771.1000

Extension:
Fax Number: 510.661.0888
E-Mail:

Non Technical Contact
Firm Name: UL VERIFICATION SERVICES INC.
First Name: Ana
Last Name: Aumentado
Line 1: 47173 Benicia St
City: Fremont
State: California
Zip Code: 94538
Telephone Number: 510-771-1000 Extension:
Fax Number: 510.661.0888
E-Mail: [email protected]

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/bg/n WLAN + Bluetooth PCI-E Mini Card

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   UL Verification Services Inc. (formerly UL CCS)
First Name:   Matthew
Last Name:   Marotto
Telephone Number: 919-549-1652 Extension:
Fax Number:  000-000-0000
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change. Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. Use at lesser separation distance requires SAR evaluation and additional certification. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR across all filings under this FCCID for stand-alone and simultaneous transmission exposure conditions are 1.49W/kg and 1.49W/kg respectively.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Ana Aumentado
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: g8M9uJmZGy7Tlmd3w4Cp2w==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
National Technical Systems
First Name: Deniz
Last Name: Demirci
Line 1:
41039 Boyce Road
City: Fremont
Country:
United States
Zip Code: 94538
Telephone Number:
5105783500

Extension:
Fax Number: 5104409525
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/02/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   National Technical Systems - Silicon Valley
First Name:   David
Last Name:   Bare
Telephone Number: 510-578-3500 Extension:
Fax Number:  510 578 3510
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile/portable RF exposure configurations. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Highest reported SAR value is: 0.73 W/kg. This permissive change to add stand alone portable/mobile configurations at 5mm distance.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: Ggw7aky/p7FlefokMr6xsw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/12/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11abgn WLAN+BLUETOOTH PCI-E MINICARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. (Date of Grant: 06/30/2011) Class II Permissive Change: This Class II Permissive Change is to add this module to a portable platform, Lenovo model: Lenovo Miix 2 11. The highest reported SAR for stand-alone and simultaneous transmission exposure conditions are 1.50W/kg and 1.48W/kg, respectively.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  JONES TSAI
Title of authorized signature:  DIRECTOR

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: KaFPf6bwjCJpR9ByEITYOQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: [email protected]

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/25/2011
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: KNkkmlPRhom7gZPldntFuQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
SGS Taiwan Ltd. Electronics & Communication Labora
First Name: Judy
Last Name: Hsu
Line 1:
134, Wu Kung Road, New Taipei Industrial Park
Line 2:
Wu Ku District
City: New Taipei City
Country:
Taiwan
Zip Code: 24803
Telephone Number:
886 2 2299 3279

Extension:
1507
Fax Number: 886-2-22993278
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   11/09/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   SGS Taiwan Ltd.
First Name:   Jason
Last Name:   Lin
Telephone Number: 886-2-2299-3279 Extension: 1450
Fax Number:  886 2 2298 2248
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to cover installation into portable hosts ACER V5MM1 and V5MM2 laptop/tablet computers. Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module supporting 20MHz and 40MHz bandwidths. Operations in the 5150-5250MHz band is limited to indoor use only. Approval is limited to OEM installation only in mobile/portable RF exposure configurations. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Highest reported SAR value across all filings under this FCC ID is: 1.19 W/kg. Highest reported SAR for this filing is 1.19W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Judy Hsu
Title of authorized signature:  Agent

Complete items below if agent signs the application:

Firm Name:  SGS Taiwan Ltd. Electronics & Communication Labora
Name:  Judy Judy Judy
Line 1:  Judy
Line 2:  Judy
P.O. Box:  Judy
City:  Judy
State:  Judy
Country:  Judy
Zip Code:  Judy

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: nMXdKeF2rijqVdK5IISDSg==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q5LJ1 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 15 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multitransmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end- Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is 0.85 W/Kg. The highest measured SAR value across all filings under this FCC ID is 0.85 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0006267116
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: oqnmqpktz0DmXF4Cg88O6Q==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/30/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services Inc.
First Name:   Kurt
Last Name:   Chen
Telephone Number: 886-3-3240332 Extension: 37
Fax Number:  886-3-3245235
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC for Portable platform (Lenovo TP00056A ) Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multitransmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Gina Lo
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: qcmeo7q79ryrdwXPAK1KZA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q1VZC laptop as described in this filing. The antenna-to-user separation distance in this configuration is 197 mm. Modular Approval. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be colocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: QihkJxR/YDrv5DLw8NI3CA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/24/2012
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add a new monopole antenna type. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. This grant is valid only when the device is sold to and installed by OEM integrators or when two way BIOS Lock is employed to allow end user installation. Approval is limited to installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: qYTVPTa5EhLuGtGVWeZCfA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
National Technical Systems
First Name: Deniz
Last Name: Demirci
Line 1:
41039 Boyce Road
City: Fremont
Country:
United States
Zip Code: 94538
Telephone Number:
5105783500

Extension:
Fax Number: 5104409525
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/02/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   National Technical Systems - Silicon Valley
First Name:   David
Last Name:   Bare
Telephone Number: 510-578-3500 Extension:
Fax Number:  510 578 3510
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile/portable RF exposure configurations. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Highest reported SAR value is: 0.73 W/kg. This permissive change to add stand alone portable/mobile configurations at 5mm distance.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: rOIQpN5W/Mie/M/oh3fgDQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: [email protected]

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services (UL CCS)
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add two-way BIOS Lock for end user installation in qualified Lenovo notebook computer platforms. Output power listed is conducted. This grant is valid only when the device is sold to and installed by OEM integrators or when two way BIOS Lock is employed to allow end user installation. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: T6rFmmzln99rKYkCMdjzgg==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: [email protected]

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/25/2011
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   JBP - Part 15 Class B Computing Device Peripheral
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Does not apply

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: TG1jBpaVKxCr07Xm/SanLw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
SGS Taiwan Ltd. Electronics & Communication Labora
First Name: Judy
Last Name: Hsu
Line 1:
134, Wu Kung Road, New Taipei Industrial Park
Line 2:
Wu Ku District
City: New Taipei City
Country:
Taiwan
Zip Code: 24803
Telephone Number:
886 2 2299 3279

Extension:
1507
Fax Number: 886-2-22993278
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   11/09/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   SGS Taiwan Ltd.
First Name:   Jason
Last Name:   Lin
Telephone Number: 886-2-2299-3279 Extension: 1450
Fax Number:  886 2 2298 2248
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to cover installation into portable hosts ACER V5MM1 and V5MM2 laptop/tablet computers. Power listed is the maximum combined conducted output power. Device is 2x2 Spatial Multiplexing MIMO Module. This device supports 20MHz and 40MHz bandwidths for MIMO modes. Approval is limited to OEM installation only in mobile/portable RF exposure configurations. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Highest reported SAR value across all filings under this FCC ID is: 1.19 W/kg. Highest reported SAR for this filing is 1.19W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Judy Hsu
Title of authorized signature:  Agent

Complete items below if agent signs the application:

Firm Name:  SGS Taiwan Ltd. Electronics & Communication Labora
Name:  Judy Judy Judy
Line 1:  Judy
Line 2:  Judy
P.O. Box:  Judy
City:  Judy
State:  Judy
Country:  Judy
Zip Code:  Judy
Telephone Number:  Extension:  1507
Fax Number:  886-2-22993278
E-mail:  [email protected]

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: tZnUeMiDpYwXj+d9N66JFA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]

Technical Contact
Firm Name:
UL Verification Services
First Name: Ayako
Last Name: Kanamatsu
Line 1:
47173 Benicia Street
City: Fremont
Country:
United States
Zip Code: 94538
Telephone Number:
(510)771-1000

Extension:
Fax Number: (510)661-0888
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/12/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC to add a new dipole antenna(81XCAA15.G03) requiring reduced output power on some channels to meet radiated emissions requirements at band edges as detailed in this filing. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Ayako Kanamatsu
Title of authorized signature:  Agent

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0006267116
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: wA+2Xn73cMgz3T9Q7L/VtA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   09/30/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services Inc.
First Name:   Kurt
Last Name:   Chen
Telephone Number: 886-3-3240332 Extension: 37
Fax Number:  886-3-3245235
E-mail:  kurt.chen@ccsrf.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
C2PC for Portable platform (Lenovo TP00056A ) Highest reported SAR is : 0.65W/kg Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device..
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Gina Lo
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: wbocHiOAWRmk0qOLJ3dS8Q==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: certnotice@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Aliza
Last Name: Zaffar
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: aliza.zaffar@ccsemc.com

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services (UL CCS)
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension:
Fax Number:  510-661-0888
E-mail:  barbara.judge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change filing to add two-way BIOS Lock for end user installation in qualified Lenovo notebook computer platforms. Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. This grant is valid only when the device is sold to and installed by OEM integrators or when two way BIOS Lock is employed to allow end user installation. Approval is limited to installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: Wcg2+xiViClDz1447JIJbA==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: certnotice@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1:
47173 Benicia Street
Line 2:
Kwei-Shan Hsiang
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1: 47173 Benicia Street
Line 2: Kwei-Shan Hsiang
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: Thu.Chan@CCSEMC.COM

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/25/2011
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: WgmrvqmO6km/cPKF1S8V9A==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: certnotice@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   05/22/2013
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  alex@sporton.com.tw

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II permissive change to add portable use condition and antenna in Acer/Q5LJ1 laptop as described in this filing. The antenna-to-user separation distance in this configuration is 15 mm. Modular Approval. Power listed is the maximum combined conducted output power. Client device per section 15.202 definition. Device is 2x2 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multitransmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This composite device is restricted to indoor only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. The highest reported SAR value for this filing is 1.1 W/Kg. The highest measured SAR value across all filings under this FCC ID is 1.1 W/Kg.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Daniel Lawless
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: wWX5zwCcVv8/A+aJisS4Jw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: TEI@TIMCOENGR.COM
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/13/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11abgn WLAN+BLUETOOTH PCI-E MINICARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Sporton International Inc.
First Name:   Alex
Last Name:   Chen
Telephone Number: 886-3-327-3456 Extension: 650
Fax Number:  886-3-327-0973
E-mail:  alex@sporton.com.tw

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. (Date of Grant: 06/30/2011) Class II Permissive Change: This Class II Permissive Change is to add this module to a portable platform, Lenovo model: Lenovo Miix 2 11.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  JONES TSAI
Title of authorized signature:  DIRECTOR

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: x28BZ8BNWeuVc3F7c7f0yg==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: certnotice@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com

Technical Contact
Firm Name:
Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1:
47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number:
(510) 771-1000

Extension:
Fax Number: (510) 661-0888
E-Mail:

Non Technical Contact
Firm Name: Compliance Certification Services
First Name: Thu
Last Name: Chan
Line 1: 47173 Benicia Street
City: Fremont
State: California
Zip Code: 94538
Telephone Number: (510) 771-1000 Extension:
Fax Number: (510) 661-0888
E-Mail: Thu.Chan@CCSEMC.COM

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/25/2011
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSS - Part 15 Spread Spectrum Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.
Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

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).

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

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:  Claire Hoque
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1058
Unique Application Identifier: xA+scy3Pg+ILnGJs0X1/yw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: LST.FRE.CertNotice@ul.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1058

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: ComplianceEngineering-list-CA-list@broadcom.com
Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   Yes

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   08/12/2014
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11a/b/g/n WLAN + BLUETOOTH PCI-E MINI CARD

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
Is the equipment in this application part of a system that operates with, or is marketed with, another d