FCC ID ULI-CYRFTX02

ULICYRFTX02, ULI CYRFTX02, ULI-CYRFTX02, ULI-CYRFTXO2, UL1-CYRFTX02

FORMOSA21 Inc. RC132 CYRFTX02

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: ULI-CYRFTX02 is ULI. The remaining characters of the FCC ID, -CYRFTX02, 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: RC132

Application: RC132
Equipment Class: DXX - Part 15 Low Power Communication Device Transmitter
Short Link: fcc.id/ULI-CYRFTX02
Sources: FCC.gov | FCC.report
Registered By: FORMOSA21 Inc. - ULI (Taiwan)

App #	Purpose	Date	Unique ID
1	Original Equipment	2009-04-14	g6kvlpMg++6B8p6t3PvcRA==

Operating Frequencies

Frequency Range	Rule Parts	Line Entry
2.402-2.479 GHz	15C	1

Exhibits

Document	Type	Submitted Available
manual	Users Manual Adobe Acrobat PDF (432 kB)	2009-04-14 2009-04-14
tsup photo	Test Setup Photos Adobe Acrobat PDF (141 kB)	2009-04-14 2009-04-14
testreport 15249	Test Report Adobe Acrobat PDF (299 kB)	2009-04-14 2009-04-14
label info	ID Label/Location Info Adobe Acrobat PDF (29 kB)	2009-04-14 2009-04-14
int photo	Internal Photos Adobe Acrobat PDF (166 kB)	2009-04-14 2009-04-14
ext photo	External Photos Adobe Acrobat PDF (169 kB)	2009-04-14 2009-04-14
DoC proof	Cover Letter(s) Adobe Acrobat PDF (26 kB)	2009-04-14 2009-04-14
Letter poa	Cover Letter(s) Adobe Acrobat PDF (19 kB)	2009-04-14 2009-04-14
conf req	Cover Letter(s) Adobe Acrobat PDF (25 kB)	2009-04-14 2009-04-14
opdes	Operational Description Adobe Acrobat PDF (17 kB)	2009-04-14
blockdiagram	Block Diagram Adobe Acrobat PDF (16 kB)	2009-04-14
schematic	Schematics Adobe Acrobat PDF (25 kB)	2009-04-14

Application Forms

1 (2009-04-14)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	FORMOSA21 Inc.
FCC Registration Number (FRN):	0015486541
Alphanumeric FCC ID:	ULICYRFTX02
Unique Application Identifier:	g6kvlpMg++6B8p6t3PvcRA==
Line one:	8F-6, No.351, Sec. 2, Zhongshan Rd., Zhonghe
Line two:	Dist., New Taipei City 23504, Taiwan (R.O.C.)
City:	New Taipei
State:	N/A
Country:	Taiwan
Zip Code:	23504

TCB Information

TCB Application Email Address:	certification@telefication.com
TCB Scope:	A2: Low Power Transmitters (except Spread Spectrum) and radar detectors operating above 1 GHz

FCC ID

Grantee Code:	ULI
Product Code:	-CYRFTX02

Person at the applicant's address to receive grant or for contact

Name:	Tom Chang
Title:	H/W Project Manager

Telephone Number:

886-2-3234-7000

Extension:

131

Fax Number:	886-2-3234-8969
Email:	tomchang@formosa21.com

Technical Contact

Firm Name:	SGS Taiwan Ltd.
First Name:	Vincent
Last Name:	Su
Line 1:	134, Wu Kung Rd., Wuku Industrial Zone
City:	Taipei
Country:	Taiwan
Zip Code:	24803

Telephone Number:

886222993279

Extension:

1480

Fax Number:	886222982698
E-Mail:	Vincent.su@sgs.com

Non Technical Contact

Firm Name:	SGS Taiwan Ltd.
First Name:	Vincent
Last Name:	Su
Line 1:	134, Wu Kung Rd., Wuku Industrial Zone
City:	Taipei
Country:	Taiwan
Zip Code:	24803

Telephone Number:

886222993279

Extension:

1480

Fax Number:	886222982698
E-Mail:	Vincent.su@sgs.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: DXX - Part 15 Low Power Communication Device Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	RC132

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? Yes

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: nelson.bai@sgs.com

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: Tom Chang

Title of authorized signature: H/W Project Manager at Formosa21 Inc.

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

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

Telefication B.V.
Edisonstraat 12a
Zevenaar, NL-6902 PK
Netherlands

Date of Grant: 04/14/2009

Application Dated: 04/14/2009

FORMOSA21 Inc.

8F-6, No.351, Sec. 2, Zhongshan Rd., Zhonghe

Dist., New Taipei City 23504, Taiwan (R.O.C.)

New Taipei, 23504
Taiwan

Attention: Tom Chang , H/W Project Manager

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:	ULI-CYRFTX02

Name of Grantee:	FORMOSA21 Inc.

Equipment Class:	Part 15 Low Power Communication Device Transmitter
Notes:	RC132

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2479.0

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

FORMOSA21 Inc.
8F-6, No.351, Sec. 2, Zhongshan Rd., Zhonghe Dist., New Taipei City 23504, Taiwan (R.O.C.)
New Taipei, 23504
Taiwan

Date of Grant: 04/14/2009

Application Dated: 04/14/2009

Attention: Tom Chang , H/W Project Manager

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:	ULI-CYRFTX02

Name of Grantee:	FORMOSA21 Inc.

Equipment Class:	Part 15 Low Power Communication Device Transmitter
Notes:	RC132
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2479.0

Mail To:

EA644062

FCC ID ULI-CYRFTX02

ULICYRFTX02, ULI CYRFTX02, ULI-CYRFTX02, ULI-CYRFTXO2, UL1-CYRFTX02

FORMOSA21 Inc. RC132 CYRFTX02

Purchase on Amazon: RC132

Operating Frequencies

Exhibits

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