FCC ID XKIPPDW3011-3

XKI-PPDW3011-3, XKI PPDW30113, XKIPPDW3011-3, XKIPPDW3O11-3, XKIPPDW30II-3, XK1PPDW3011-3

AVerMedia INFORMATION, Inc 300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)

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: XKIPPDW3011-3 is . The remaining characters of the FCC ID, PPDW3011-3, 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.

Application: 300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)
Equipment Class: DTS - Digital Transmission System

AVerMedia INFORMATION, Inc

Full Company Details: AVerMedia INFORMATION, Inc - XKI
Company Code: XKI
Address:
   AVerMedia INFORMATION, Inc
   5F, No. 135, Jian Yi Rd.,
   Chung Ho City, Taipei Hsien, N/A N/A
   Taiwan

App #	Purpose	Date	Unique ID
1	Original Equipment	2011-06-03	hobchxuLQzRcd8MhABPlCg==

Approved Operating Frequencies

Line Entry	Frequency Range	Power Output	Rule Parts	Grant Notes
1	2412.00000000-2462.00000000	0.3250000	15C	MO

Exhibits

All Available Documents

Document	Type	Submitted / Available
Schematics	Schematics / Adobe Acrobat PDF (248 kB)	2011-06-03 /
Cover Letter Modular Approval Request	Cover Letter(s) / Adobe Acrobat PDF (133 kB)	2011-06-03 / 2011-06-03
Internal Photos	Internal Photos / Adobe Acrobat PDF (809 kB)	2011-06-03 / 2011-11-01
User Manual	Users Manual / Adobe Acrobat PDF (5540 kB)	2011-06-03 / 2011-11-01
Label Location	ID Label/Location Info / Adobe Acrobat PDF (56 kB)	2011-06-03 / 2011-06-03
Confidentiality Request	Cover Letter(s) / Adobe Acrobat PDF (64 kB)	2011-06-03 / 2011-06-03
Attestation Statement Ad Hoc Declaration	Attestation Statements / Adobe Acrobat PDF (35 kB)	2011-06-03 / 2011-06-03
Test Report	Test Report / Adobe Acrobat PDF (1038 kB)	2011-06-03 / 2011-06-03
Label	ID Label/Location Info / Adobe Acrobat PDF (24 kB)	2011-06-03 / 2011-06-03
RF Exposure Info	RF Exposure Info / Adobe Acrobat PDF (27 kB)	2011-06-03 / 2011-06-03
Confidentiality Request Shortterm	Cover Letter(s) / Adobe Acrobat PDF (47 kB)	2011-06-03 / 2011-06-03
Internal Photos	Internal Photos / Adobe Acrobat PDF (809 kB)	2011-06-03 / 2011-11-01
Test Setup Photos	Test Setup Photos / Adobe Acrobat PDF (544 kB)	2011-06-03 / 2011-11-01
Label Location	ID Label/Location Info / Adobe Acrobat PDF (56 kB)	2011-06-03 / 2011-06-03
Confidentiality Request	Cover Letter(s) / Adobe Acrobat PDF (64 kB)	2011-06-03 / 2011-06-03
Cover Letter Agent Authorization	Cover Letter(s) / Adobe Acrobat PDF (49 kB)	2011-06-03 / 2011-06-03
Operational Description	Operational Description / Adobe Acrobat PDF (10 kB)	2011-06-03 / 2011-06-03
User Manual	Users Manual / Adobe Acrobat PDF (5540 kB)	2011-06-03 / 2011-11-01
Operational Description	Operational Description / Adobe Acrobat PDF (10 kB)	2011-06-03 / 2011-06-03
Confidentiality Request Shortterm	Cover Letter(s) / Adobe Acrobat PDF (47 kB)	2011-06-03 / 2011-06-03
Cover Letter Modular Approval Request	Cover Letter(s) / Adobe Acrobat PDF (133 kB)	2011-06-03 / 2011-06-03
Test Report	Test Report / Adobe Acrobat PDF (1038 kB)	2011-06-03 / 2011-06-03
External Photos	External Photos / Adobe Acrobat PDF (284 kB)	2011-06-03 / 2011-11-01
Attestation Statement Ad Hoc Declaration	Attestation Statements / Adobe Acrobat PDF (35 kB)	2011-06-03 / 2011-06-03
RF Exposure Info	RF Exposure Info / Adobe Acrobat PDF (27 kB)	2011-06-03 / 2011-06-03
Cover Letter Agent Authorization	Cover Letter(s) / Adobe Acrobat PDF (49 kB)	2011-06-03 / 2011-06-03
External Photos	External Photos / Adobe Acrobat PDF (284 kB)	2011-06-03 / 2011-11-01
Test Setup Photos	Test Setup Photos / Adobe Acrobat PDF (544 kB)	2011-06-03 / 2011-11-01
Label	ID Label/Location Info / Adobe Acrobat PDF (24 kB)	2011-06-03 / 2011-06-03
Block Diagram	Block Diagram / Adobe Acrobat PDF (18 kB)	2011-06-03 /

APP # 1 (2011-06-03) Documents

Schematics
2011-06-03 / N/A Schematics / Adobe Acrobat PDF (248 kB)
Cover Letter Modular Approval Request
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (133 kB)
Internal Photos
2011-06-03 / 2011-11-01 Internal Photos / Adobe Acrobat PDF (809 kB)
User Manual
2011-06-03 / 2011-11-01 Users Manual / Adobe Acrobat PDF (5540 kB)
Label Location
2011-06-03 / 2011-06-03 ID Label/Location Info / Adobe Acrobat PDF (56 kB)
Confidentiality Request
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (64 kB)
Attestation Statement Ad Hoc Declaration
2011-06-03 / 2011-06-03 Attestation Statements / Adobe Acrobat PDF (35 kB)
Test Report
2011-06-03 / 2011-06-03 Test Report / Adobe Acrobat PDF (1038 kB)
Label
2011-06-03 / 2011-06-03 ID Label/Location Info / Adobe Acrobat PDF (24 kB)
RF Exposure Info
2011-06-03 / 2011-06-03 RF Exposure Info / Adobe Acrobat PDF (27 kB)
Confidentiality Request Shortterm
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (47 kB)
Internal Photos
2011-06-03 / 2011-11-01 Internal Photos / Adobe Acrobat PDF (809 kB)
Test Setup Photos
2011-06-03 / 2011-11-01 Test Setup Photos / Adobe Acrobat PDF (544 kB)
Label Location
2011-06-03 / 2011-06-03 ID Label/Location Info / Adobe Acrobat PDF (56 kB)
Confidentiality Request
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (64 kB)
Cover Letter Agent Authorization
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (49 kB)
Operational Description
2011-06-03 / 2011-06-03 Operational Description / Adobe Acrobat PDF (10 kB)
User Manual
2011-06-03 / 2011-11-01 Users Manual / Adobe Acrobat PDF (5540 kB)
Operational Description
2011-06-03 / 2011-06-03 Operational Description / Adobe Acrobat PDF (10 kB)
Confidentiality Request Shortterm
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (47 kB)
Cover Letter Modular Approval Request
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (133 kB)
Test Report
2011-06-03 / 2011-06-03 Test Report / Adobe Acrobat PDF (1038 kB)
External Photos
2011-06-03 / 2011-11-01 External Photos / Adobe Acrobat PDF (284 kB)
Attestation Statement Ad Hoc Declaration
2011-06-03 / 2011-06-03 Attestation Statements / Adobe Acrobat PDF (35 kB)
RF Exposure Info
2011-06-03 / 2011-06-03 RF Exposure Info / Adobe Acrobat PDF (27 kB)
Cover Letter Agent Authorization
2011-06-03 / 2011-06-03 Cover Letter(s) / Adobe Acrobat PDF (49 kB)
External Photos
2011-06-03 / 2011-11-01 External Photos / Adobe Acrobat PDF (284 kB)
Test Setup Photos
2011-06-03 / 2011-11-01 Test Setup Photos / Adobe Acrobat PDF (544 kB)
Label
2011-06-03 / 2011-06-03 ID Label/Location Info / Adobe Acrobat PDF (24 kB)
Block Diagram
2011-06-03 / N/A Block Diagram / Adobe Acrobat PDF (18 kB)

Correspondence

App #	Document	Date
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Oct 24 2011]	2011-10-24 10:26:21 oeteascv
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Oct 24 2011]	2011-10-24 10:31:05 oeteascv

Grants

TCB Grant from App #1 (2011-06-03)

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

Curtis-Straus LLC
One Distribution Center Circle Suite #1
Littleton, MA 01460

Date of Grant: 06/03/2011

Application Dated: 06/03/2011

AVerMedia INFORMATION, Inc

5F, No. 135, Jian Yi Rd.,

Chung Ho City, Taipei Hsien,
Taiwan

Attention: Davis Lin , 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:	XKIPPDW3011-3

Name of Grantee:	AVerMedia INFORMATION, Inc

Equipment Class:	Digital Transmission System
Notes:	300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
MO	15C	2412.0 - 2462.0	0.325

Power listed is the maximum combined conducted output power. Single Modular Approval for mobile RF Exposure conditions. Device is an 802.11b/g/n module operating in a 2x2 MIMO configuration as described in this filing. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. Approval is limited to OEM installation only. 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. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter.

MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

EAS Grant from App #1 (2011-06-03)

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

AVerMedia INFORMATION, Inc
5F, No. 135, Jian Yi Rd., P.O. Box ,
Chung Ho City, Taipei Hsien,
Taiwan

Date of Grant: 06/03/2011

Application Dated: 06/03/2011

Attention: Davis Lin , 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:	XKIPPDW3011-3

Name of Grantee:	AVerMedia INFORMATION, Inc

Equipment Class:	Digital Transmission System
Notes:	300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
MO	15C	2412.0 - 2462.0	0.325

MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

Mail To:

EA438738

Applications for this FCC ID

Form App # 1 (2011-06-03)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	AVerMedia INFORMATION, Inc
FCC Registration Number (FRN):	0018921783
Alphanumeric FCC ID:	XKIPPDW30113
Unique Application Identifier:	hobchxuLQzRcd8MhABPlCg==
Line one:	5F, No. 135, Jian Yi Rd.,
City:	Chung Ho City, Taipei Hsien
Country:	Taiwan

TCB Information

TCB Application Email Address:	certification@curtis-straus.com
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	XKI
Product Code:	PPDW3011-3

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

Name:	Davis Lin
Title:	Manager

Telephone Number:

886-2-2226-3630

Extension:

8824

Fax Number:	886-2-2226-8751
Email:	davis.lin@avermedia.com

Technical Contact

Firm Name:	Bureau Veritas CPS (H.K.) Ltd. Taoyuan Branch
First Name:	Ken
Last Name:	Liu
Line 1:	No. 47, 14 Ling, Chia Pau Tsuen, Lin Kou Hsiang,
City:	Linkou, Taipei
Country:	Taiwan
Zip Code:	244

Telephone Number:

886-2-2605-2180

Extension:

3314

Fax Number:	886-2-2605-1924
E-Mail:	ken.liu@tw.bureauveritas.com

Non Technical Contact

Firm Name:	Bureau Veritas CPS (H.K.) Ltd. Taoyuan Branch
First Name:	Wendy
Last Name:	Liao
Line 1:	No. 19, Hwa Ya 2nd Rd., Kwei Shan Hsiang
City:	Taoyuan Hsien
Country:	Taiwan
Zip Code:	333

Telephone Number:

886-3-3183232

Extension:

1625

Fax Number:	886-3-3270892
E-Mail:	wendy.liao@tw.bureauveritas.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): 11/01/2011
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):	300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)

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? 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: Bureau Veritas CPS (H.K.) Ltd. Taoyuan Branch

First Name: Richard

Last Name: Chen

Telephone Number:

886-3-3183232

Extension:

1885

Fax Number: 886-3-2115834

E-mail: richard.chen@tw.bureauveritas.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. Single Modular Approval for mobile RF Exposure conditions. Device is an 802.11b/g/n module operating in a 2x2 MIMO configuration as described in this filing. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. Approval is limited to OEM installation only. 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. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter.

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: Davis Lin

Title of authorized signature:

FCC ID XKIPPDW3011-3

XKI-PPDW3011-3, XKI PPDW30113, XKIPPDW3011-3, XKIPPDW3O11-3, XKIPPDW30II-3, XK1PPDW3011-3

AVerMedia INFORMATION, Inc 300N Wireless LAN INIC Module (IEEE 802.11b/g/n, 2T2R)

AVerMedia INFORMATION, Inc

Approved Operating Frequencies

Exhibits

All Available Documents

APP # 1 (2011-06-03) Documents

Correspondence

Grants

TCB Grant from App #1 (2011-06-03)

EAS Grant from App #1 (2011-06-03)

Applications for this FCC ID

Form App # 1 (2011-06-03)

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