FCC ID QDS-BRCM1016

QDSBRCM1016, QDS BRCM1016, QDS-BRCM1016, QDS-BRCM1O16, QDS-BRCMI0I6, QD5-BRCM1016, ODS-BRCM1016, 0DS-BRCM1016

Broadcom Corporation WLAN miniPCI card BRCM1016

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-BRCM1016 is QDS. The remaining characters of the FCC ID, -BRCM1016, 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: WLAN miniPCI card

Application: WLAN miniPCI card
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/QDS-BRCM1016
Sources: FCC.gov | FCC.report
Registered By: Broadcom Corporation - QDS (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2004-12-09	wlm4sAy4Rh5s1tHOQWlQwg==
2	Class II Permissive Change	2005-04-08	adR6ErDo9df050popD6duA==
3	Class II Permissive Change	2005-04-18	sLwgP0z3ToMUHVW4qZdMqQ==
4	Class II Permissive Change	2005-07-22	fzV1mYqTS1N3Pr/iaFI1Ug==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	App #
2.412-2.462 GHz	790 mW	15C	2.1
2.412-2.462 GHz	790 mW	15C	4.1
2.412-2.462 GHz	790 mW	15C	3.1
2.412-2.462 GHz	790 mW	15C	1.1

Exhibits

Available Exhibits

App #	Document	Type	Submitted Available
4	Cover Letter	Cover Letter(s) Adobe Acrobat PDF (56 kB)	2005-07-22 2005-07-22
4	External Photos	External Photos Adobe Acrobat PDF (128 kB)	2005-07-22 2005-07-22
4	SAR Report	RF Exposure Info Adobe Acrobat PDF (215 kB)	2005-07-22 2005-07-22
4	SAR Report Appendix A	RF Exposure Info Adobe Acrobat PDF (52 kB)	2005-07-22 2005-07-22
4	SAR Report Appendix C	RF Exposure Info Adobe Acrobat PDF (192 kB)	2005-07-22 2005-07-22
4	SAR Report Appendix B	RF Exposure Info Adobe Acrobat PDF (613 kB)	2005-07-22 2005-07-22
3	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (251 kB)	2005-04-18 2005-04-18
3	Internal Photo	Internal Photos Adobe Acrobat PDF (295 kB)	2005-04-18 2005-04-18
3	Test Report	Test Report Adobe Acrobat PDF (282 kB)	2005-04-18 2005-04-18
3	Cover Letter	Cover Letter(s) Adobe Acrobat PDF (58 kB)	2005-04-18 2005-04-18
2	SAR Probe Calibration	RF Exposure Info Adobe Acrobat PDF (2896 kB)	2005-04-08 2005-04-08
2	SAR Report	RF Exposure Info Adobe Acrobat PDF (263 kB)	2005-04-08 2005-04-08
2	SAR Appendix A	RF Exposure Info Adobe Acrobat PDF (45 kB)	2005-04-08 2005-04-08
2	SAR Appendix C	RF Exposure Info Adobe Acrobat PDF (192 kB)	2005-04-08 2005-04-08
2	SAR Appendix B	RF Exposure Info Adobe Acrobat PDF (610 kB)	2005-04-08 2005-04-08
2	Test Report	Test Report Adobe Acrobat PDF (557 kB)	2005-04-08 2005-04-08
2	Broadcom Declaration on worst SAR	Cover Letter(s) Adobe Acrobat PDF (141 kB)	2005-04-08 2005-04-08
2	Broadcom Declaration on worst Emissions	Cover Letter(s) Adobe Acrobat PDF (118 kB)	2005-04-08 2005-04-08
2	Cover Letter PCII Request	Cover Letter(s) Adobe Acrobat PDF (55 kB)	2005-04-08 2005-04-08
2	Antenna Info Phycom	Test Report Adobe Acrobat PDF (414 kB)	2005-04-08 2005-04-08
1	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (398 kB)	2004-12-17 2004-12-09
1	RF Exposure Info	RF Exposure Info Adobe Acrobat PDF (100 kB)	2004-12-09 2004-12-09
1	Modular Approval Request	Attestation Statements Adobe Acrobat PDF (68 kB)	2004-12-09 2004-12-09
1	Internal Photos	Internal Photos Adobe Acrobat PDF (262 kB)	2004-12-09 2004-12-09
1	External Phtotos	External Photos Adobe Acrobat PDF (190 kB)	2004-12-09 2004-12-09
1	Test Report	Test Report Adobe Acrobat PDF (513 kB)	2004-12-09 2004-12-09
1	Users Guide	Users Manual Adobe Acrobat PDF (858 kB)	2004-12-09 2004-12-09
1	Label	ID Label/Location Info Adobe Acrobat PDF (147 kB)	2004-12-09 2004-12-09
1	Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (54 kB)	2004-12-09 2004-12-09

APP # 4 (2005-07-22)

App #	Document	Type	Submitted Available
4	Cover Letter	Cover Letter(s) Adobe Acrobat PDF (56 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00
4	External Photos	External Photos Adobe Acrobat PDF (128 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00
4	SAR Report	RF Exposure Info Adobe Acrobat PDF (215 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00
4	SAR Report Appendix A	RF Exposure Info Adobe Acrobat PDF (52 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00
4	SAR Report Appendix C	RF Exposure Info Adobe Acrobat PDF (192 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00
4	SAR Report Appendix B	RF Exposure Info Adobe Acrobat PDF (613 kB)	2005-07-22 00:00:00 2005-07-22 00:00:00

APP # 3 (2005-04-18)

App #	Document	Type	Submitted Available
3	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (251 kB)	2005-04-18 00:00:00 2005-04-18 00:00:00
3	Internal Photo	Internal Photos Adobe Acrobat PDF (295 kB)	2005-04-18 00:00:00 2005-04-18 00:00:00
3	Test Report	Test Report Adobe Acrobat PDF (282 kB)	2005-04-18 00:00:00 2005-04-18 00:00:00
3	Cover Letter	Cover Letter(s) Adobe Acrobat PDF (58 kB)	2005-04-18 00:00:00 2005-04-18 00:00:00

APP # 2 (2005-04-08)

App #	Document	Type	Submitted Available
2	SAR Probe Calibration	RF Exposure Info Adobe Acrobat PDF (2896 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	SAR Report	RF Exposure Info Adobe Acrobat PDF (263 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	SAR Appendix A	RF Exposure Info Adobe Acrobat PDF (45 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	SAR Appendix C	RF Exposure Info Adobe Acrobat PDF (192 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	SAR Appendix B	RF Exposure Info Adobe Acrobat PDF (610 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	Test Report	Test Report Adobe Acrobat PDF (557 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	Broadcom Declaration on worst SAR	Cover Letter(s) Adobe Acrobat PDF (141 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	Broadcom Declaration on worst Emissions	Cover Letter(s) Adobe Acrobat PDF (118 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	Cover Letter PCII Request	Cover Letter(s) Adobe Acrobat PDF (55 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00
2	Antenna Info Phycom	Test Report Adobe Acrobat PDF (414 kB)	2005-04-08 00:00:00 2005-04-08 00:00:00

APP # 1 (2004-12-09)

App #	Document	Type	Submitted Available
1	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (398 kB)	2004-12-17 00:00:00 2004-12-09 00:00:00
1	RF Exposure Info	RF Exposure Info Adobe Acrobat PDF (100 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Modular Approval Request	Attestation Statements Adobe Acrobat PDF (68 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Internal Photos	Internal Photos Adobe Acrobat PDF (262 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	External Phtotos	External Photos Adobe Acrobat PDF (190 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Test Report	Test Report Adobe Acrobat PDF (513 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Users Guide	Users Manual Adobe Acrobat PDF (858 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Label	ID Label/Location Info Adobe Acrobat PDF (147 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (54 kB)	2004-12-09 00:00:00 2004-12-09 00:00:00
1	Block Diagram	Block Diagram Adobe Acrobat PDF (68 kB)	2004-12-09 00:00:00 N/A
1	Circuit Diagrams	Schematics Adobe Acrobat PDF (477 kB)	2004-12-09 00:00:00 N/A
1	Operational Description	Operational Description Adobe Acrobat PDF (87 kB)	2004-12-09 00:00:00 N/A
1	Letter BOM	Schematics Adobe Acrobat PDF (54 kB)	2004-12-09 00:00:00 N/A

Correspondence

All Correspondence

App #	Document	Date
1	TCB Automated Correspondence generated [Dec 16 2004]

APP # 1 (2004-12-09)

App #	Document	Type
1	TCB Automated Correspondence generated [Dec 16 2004]

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:	QDSBRCM1016
Unique Application Identifier:	wlm4sAy4Rh5s1tHOQWlQwg==
Line one:	190 Mathilda Place
City:	Sunnyvale
State:	California
Country:	United States
Zip Code:	94086

TCB Information

TCB Application Email Address:	gerald.schmidt@ict.cetecom.de
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	QDS
Product Code:	-BRCM1016

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?: 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):	WLAN mini PCI 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? No

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: Cetecom Inc.

First Name: Lothar

Last Name: Schmidt

Telephone Number:

408-586-6200

Extension:

Fax Number: 510-252-0559

E-mail: lothar.schmidt@cetecomusa.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Module Approval.Power Output listed is conducted.Approval is limited to OEM installation only.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. 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 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: Lothar Schmidt

Title of authorized signature:

Complete items below if agent signs the application:

Firm Name: CETECOM Inc.

Name: Lothar Lothar Lothar

Line 1: Lothar

Line 2: Lothar

P.O. Box: Lothar

City: Lothar

State: Lothar

Country: Lothar

Zip Code: Lothar

Telephone Number:

+1 408 586 6214

Fax Number: +1 408 586 6299

E-mail: Lothar.Schmidt@cetecomusa.com

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:	QDSBRCM1016
Unique Application Identifier:	adR6ErDo9df050popD6duA==
Line one:	190 Mathilda Place
City:	Sunnyvale
State:	California
Country:	United States
Zip Code:	94086

TCB Information

TCB Application Email Address:	joachim.seewald@ict.cetecom.de
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	QDS
Product Code:	-BRCM1016

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?: 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):	WLAN miniPCI 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: 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? No

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: Cetecom Inc.

First Name: Lothar

Last Name: Schmidt

Telephone Number:

408-586-6200

Extension:

Fax Number: 510-252-0559

E-mail: lothar.schmidt@cetecomusa.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 to add specific host configurations. Module Approval. Power Output listed is conducted.Approval is limited to OEM installation only. 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. 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 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 SAR data in this filing is applicable to demonstrate compliance for a final host product only as shown in this filing. The highest reported SAR value is 0.262 W/kg in lap position.

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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: Lothar Schmidt

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:	QDSBRCM1016
Unique Application Identifier:	sLwgP0z3ToMUHVW4qZdMqQ==
Line one:	190 Mathilda Place
City:	Sunnyvale
State:	California
Country:	United States
Zip Code:	94086

TCB Information

TCB Application Email Address:	gerald.schmidt@ict.cetecom.de
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	QDS
Product Code:	-BRCM1016

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?: No

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):	WLAN miniPCI 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: 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? No

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: Cetecom Inc.

First Name: Lothar

Last Name: Schmidt

Telephone Number:

408-586-6200

Extension:

Fax Number: 510-252-0559

E-mail: lothar.schmidt@cetecomusa.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 to allow an alternate PA and to add an antenna for mobile configurations. Module Approval. Power Output listed is conducted. Approval is limited to OEM installation only. 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. 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 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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: Lothar Schmidt

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:	QDSBRCM1016
Unique Application Identifier:	fzV1mYqTS1N3Pr/iaFI1Ug==
Line one:	190 Mathilda Place
City:	Sunnyvale
State:	California
Country:	United States
Zip Code:	94086

TCB Information

TCB Application Email Address:	gerald.schmidt@ict.cetecom.de
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	QDS
Product Code:	-BRCM1016

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?: No

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):	WLAN miniPCI 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: 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: Cetecom Inc.

First Name: Lothar

Last Name: Schmidt

Telephone Number:

408-586-6200

Extension:

Fax Number: 510-252-0559

E-mail: lothar.schmidt@cetecomusa.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 to add specific host configuration. Module Approval. Power Output listed is conducted. Approval is limited to OEM installation only. 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. 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 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 SAR data in this filing is applicable to demonstrate compliance for a final host product only as shown in this filing. The highest reported SAR value is 0.262 W/kg in lap position.

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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: Lothar Schmidt

Title of authorized signature:

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

CETECOM ICT Services GmbH
Untertuerkheimer Strasse 6-10
66117 Saarbruecken,
Germany

Date of Grant: 04/08/2005

Application Dated: 04/08/2005

Broadcom Corporation

190 Mathilda Place

Sunnyvale, CA 94086

Attention: Daniel Lawless , Director of Engineering, System Operations

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1016

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	WLAN miniPCI card

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.79

Class II Permissive Change to add specific host configurations. Module Approval. Power Output listed is conducted.Approval is limited to OEM installation only. 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. 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 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 SAR data in this filing is applicable to demonstrate compliance for a final host product only as shown in this filing. The highest reported SAR value is 0.262 W/kg in lap position.

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

CETECOM ICT Services GmbH
Untertuerkheimer Strasse 6-10
66117 Saarbruecken,
Germany

Date of Grant: 07/22/2005

Application Dated: 07/22/2005

Broadcom Corporation

190 Mathilda Place

Sunnyvale, CA 94086

Attention: Daniel Lawless , Director of Engineering, System Operations

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1016

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	WLAN miniPCI card

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.79

Class II Permissive Change to add specific host configuration. Module Approval. Power Output listed is conducted. Approval is limited to OEM installation only. 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. 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 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 SAR data in this filing is applicable to demonstrate compliance for a final host product only as shown in this filing. The highest reported SAR value is 0.262 W/kg in lap position.

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

CETECOM ICT Services GmbH
Untertuerkheimer Strasse 6-10
66117 Saarbruecken,
Germany

Date of Grant: 04/18/2005

Application Dated: 04/18/2005

Broadcom Corporation

190 Mathilda Place

Sunnyvale, CA 94086

Attention: Daniel Lawless , Director of Engineering, System Operations

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1016

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	WLAN miniPCI card

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.79

Class II Permissive Change to allow an alternate PA and to add an antenna for mobile configurations. Module Approval. Power Output listed is conducted. Approval is limited to OEM installation only. 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. 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 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.

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

CETECOM ICT Services GmbH
Untertuerkheimer Strasse 6-10
66117 Saarbruecken,
Germany

Date of Grant: 12/09/2004

Application Dated: 12/09/2004

Broadcom Corporation

190 Mathilda Place

Sunnyvale, CA 94086

Attention: Daniel Lawless , Director of Engineering, System Operations

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1016

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	WLAN mini PCI card

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.79

Module Approval.Power Output listed is conducted.Approval is limited to OEM installation only.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. 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 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.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States

Date of Grant: 12/09/2004

Application Dated: 12/09/2004

Attention: Daniel Lawless , Director of Engineering, System Operations

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1016

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	WLAN mini PCI card
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.79

Mail To:

EA454058

FCC ID QDS-BRCM1016

QDSBRCM1016, QDS BRCM1016, QDS-BRCM1016, QDS-BRCM1O16, QDS-BRCMI0I6, QD5-BRCM1016, ODS-BRCM1016, 0DS-BRCM1016

Broadcom Corporation WLAN miniPCI card BRCM1016

Purchase on Amazon: WLAN miniPCI card

Operating Frequencies

Exhibits

Available Exhibits

APP # 4 (2005-07-22)

APP # 3 (2005-04-18)

APP # 2 (2005-04-08)

APP # 1 (2004-12-09)

Correspondence

All Correspondence

APP # 1 (2004-12-09)

Application Forms

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details