FCC ID QDS-BRCM1020

QDSBRCM1020, QDS BRCM1020, QDS-BRCM1020, QDS-BRCM1O2O, QDS-BRCMI020, QD5-BRCM1020, ODS-BRCM1020, 0DS-BRCM1020

Broadcom Corporation 802.11g Wireless LAN PCI-E Mini Card BRCM1020

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-BRCM1020 is QDS. The remaining characters of the FCC ID, -BRCM1020, 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: 802.11g Wireless LAN PCI-E Mini Card

App # Purpose Date Unique ID
1 Original Equipment 2005-07-22 BZPiTYkeEDkRLKEYudIj+w==
2 Class II Permissive Change 2005-11-30 l7YsH2BTSJ6kmsPv/S5Qqg==
3 Class II Permissive Change 2006-01-10 dZ7Qbv76quMjCTctMg7WwA==
4 Class II Permissive Change 2006-04-14 k6oBErwuTMyittoruyL87w==
5 Class II Permissive Change 2006-11-11 yGPR7fe6liQXtvmUaI0zWw==
6 Class II Permissive Change 2007-01-17 w6gGUc1j1xD5HpXNIjPY3Q==
7 Class II Permissive Change 2007-04-12 QMahlagFB+JYi4SwvgD7Wg==
8 Class II Permissive Change 2007-07-05 cpAadbiyHfW8SYgrUo/4Zg==
9 Class II Permissive Change 2007-07-19 r0zG7+pZqRZGEUQMjrgFsA==
10 Class II Permissive Change 2007-07-26 ULXR2MOFt59/ObCArSTW/Q==
11 Class II Permissive Change 2007-07-30 dEwZmvxDq4alvApedHRq1Q==
12 Class II Permissive Change 2007-08-23 3dg6tTtXZXmCYBmDBm5qYw==
13 Class II Permissive Change 2007-09-24 VngoPHKoHJ4chorlFeW7QA==

Exhibits

Available Exhibits

App #Document Type Submitted
Available
13 Test Setup Photos ParkerTest Setup Photos
Adobe Acrobat PDF (381 kB)
2007-09-24
2007-09-24
13 Test Setup Photos Hawke SpearsTest Setup Photos
Adobe Acrobat PDF (326 kB)
2007-09-24
2007-09-24
13 Test Report Spears HawkeTest Report
Adobe Acrobat PDF (413 kB)
2007-09-24
2007-09-24
13 Test Report ParkerTest Report
Adobe Acrobat PDF (608 kB)
2007-09-24
2007-09-24
13 Spears User ManualUsers Manual
Adobe Acrobat PDF (2384 kB)
2007-09-24
2007-09-24
13 Spears SAR ReportRF Exposure Info
Adobe Acrobat PDF (256 kB)
2007-09-24
2007-09-24
13 Spears SAR Appendix CRF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24
2007-09-24
13 Spears SAR Appendix BRF Exposure Info
Adobe Acrobat PDF (92 kB)
2007-09-24
2007-09-24
13 Spears SAR Appendix ARF Exposure Info
Adobe Acrobat PDF (50 kB)
2007-09-24
2007-09-24
13 Spears Antenna LocationInternal Photos
Adobe Acrobat PDF (64 kB)
2007-09-24
2007-09-24
13 Spears Acon Antenna SpecAttestation Statements
Adobe Acrobat PDF (378 kB)
2007-09-24
2007-09-24
13 SAR Probe Calibration DataRF Exposure Info
Adobe Acrobat PDF (379 kB)
2007-09-24
2007-09-24
13 Parker User ManualUsers Manual
Adobe Acrobat PDF (2761 kB)
2007-09-24
2007-09-24
13 Parker SAR ReportRF Exposure Info
Adobe Acrobat PDF (266 kB)
2007-09-24
2007-09-24
13 Parker SAR Appendix CRF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24
2007-09-24
13 Parker SAR Appendix BRF Exposure Info
Adobe Acrobat PDF (174 kB)
2007-09-24
2007-09-24
13 Parker SAR Appendix ARF Exposure Info
Adobe Acrobat PDF (69 kB)
2007-09-24
2007-09-24
13 Parker Amphenol Antenna Spec and LocationAttestation Statements
Adobe Acrobat PDF (346 kB)
2007-09-24
2007-09-24
13 Parker Acon Antenna Spec and LocationAttestation Statements
Adobe Acrobat PDF (633 kB)
2007-09-24
2007-09-24
13 Hawke User ManualUsers Manual
Adobe Acrobat PDF (1802 kB)
2007-09-24
2007-09-24
13 Hawke SAR ReportRF Exposure Info
Adobe Acrobat PDF (248 kB)
2007-09-24
2007-09-24
13 Hawke SAR Appendix CRF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24
2007-09-24
13 Hawke SAR Appendix BRF Exposure Info
Adobe Acrobat PDF (102 kB)
2007-09-24
2007-09-24
13 Hawke SAR Appendix ARF Exposure Info
Adobe Acrobat PDF (50 kB)
2007-09-24
2007-09-24
13 Hawke Antenna LocationInternal Photos
Adobe Acrobat PDF (183 kB)
2007-09-24
2007-09-24
13 Hawke Acon Antenna SpecAttestation Statements
Adobe Acrobat PDF (1162 kB)
2007-09-24
2007-09-24
13 External Photos Hawke SpearsExternal Photos
Adobe Acrobat PDF (186 kB)
2007-09-24
2007-09-24
13 External Photos ParkerExternal Photos
Adobe Acrobat PDF (385 kB)
2007-09-24
2007-09-24
13 Summary ReportsCover Letter(s)
Adobe Acrobat PDF (27 kB)
2007-09-24
2007-09-24
13 Request for Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-09-24
2007-09-24
13 Antenna SummaryAttestation Statements
Adobe Acrobat PDF (10 kB)
2007-09-24
2007-09-24
12 Antenna specificationParts List/Tune Up Info
Adobe Acrobat PDF (362 kB)
2007-08-23
2007-08-23
12 Class II permissive change letterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-08-23
2007-08-23
12 Authorization letterCover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-08-23
2007-08-23
12 Test reportTest Report
Adobe Acrobat PDF (762 kB)
2007-08-23
2007-08-23
12 Test setup photosTest Setup Photos
Adobe Acrobat PDF (131 kB)
2007-08-23
2007-08-23
11 User Manual Regulatory and RFx StatementsUsers Manual
Adobe Acrobat PDF (11 kB)
2007-07-30
2007-07-30
11 User ManualUsers Manual
Adobe Acrobat PDF (2260 kB)
2007-07-30
2007-07-30
11 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (801 kB)
2007-07-30
2007-07-30
11 Test ReportTest Report
Adobe Acrobat PDF (586 kB)
2007-07-30
2007-07-30
11 SAR ReportRF Exposure Info
Adobe Acrobat PDF (241 kB)
2007-07-30
2007-07-30
11 SAR PlotsRF Exposure Info
Adobe Acrobat PDF (43 kB)
2007-07-30
2007-07-30
11 SAR Calibration Data Part 2RF Exposure Info
Adobe Acrobat PDF (1372 kB)
2007-07-30
2007-07-30
11 SAR Calibration Data Part 1RF Exposure Info
Adobe Acrobat PDF (216 kB)
2007-07-30
2007-07-30
11 SAR Appendix PhotosRF Exposure Info
Adobe Acrobat PDF (119 kB)
2007-07-30
2007-07-30
11 LabelID Label/Location Info
Adobe Acrobat PDF (12 kB)
2007-07-30
2007-07-30
11 Internal Photos Antenna RoutingInternal Photos
Adobe Acrobat PDF (145 kB)
2007-07-30
2007-07-30
11 External PhotosExternal Photos
Adobe Acrobat PDF (2727 kB)
2007-07-30
2007-07-30
11 Request for Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-30
2007-07-30
11 Antenna DistanceAttestation Statements
Adobe Acrobat PDF (65 kB)
2007-07-30
2007-07-30
11 Antenna InformationAttestation Statements
Adobe Acrobat PDF (11 kB)
2007-07-30
2007-07-30
10 Attestation Statement Ad Hoc DeclarationAttestation Statements
Adobe Acrobat PDF (90 kB)
2007-07-26
2007-07-26
10 Cover Letter PermissionCover Letter(s)
Adobe Acrobat PDF (27 kB)
2007-07-26
2007-07-26
10 Cover Letter Description of ChangeCover Letter(s)
Adobe Acrobat PDF (14 kB)
2007-07-26
2007-07-26
10 RF Exposure InfoRF Exposure Info
Adobe Acrobat PDF (31 kB)
2007-07-26
2007-07-26
10 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (264 kB)
2007-07-26
2007-07-26
10 Test ReportTest Report
Adobe Acrobat PDF (3224 kB)
2007-07-26
2007-07-26
10 Operational DescriptionOperational Description
Adobe Acrobat PDF (13 kB)
2007-07-26
2007-07-26
10 Internal PhotosInternal Photos
Adobe Acrobat PDF (604 kB)
2007-07-26
2007-07-26
10 External PhotosExternal Photos
Adobe Acrobat PDF (395 kB)
2007-07-26
2007-07-26
9 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (198 kB)
2007-07-19
2007-07-19
9 Test ReportTest Report
Adobe Acrobat PDF (955 kB)
2007-07-19
2007-07-19
9 Antennan SpecificationParts List/Tune Up Info
Adobe Acrobat PDF (109 kB)
2007-07-19
2007-07-19
9 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-07-19
2007-07-19
9 Agent Authorization LetterCover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-19
2007-07-19
8 User ManualUsers Manual
Adobe Acrobat PDF (3612 kB)
2007-07-05
2007-07-05
8 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (1074 kB)
2007-07-05
2007-07-05
8 Test ReportTest Report
Adobe Acrobat PDF (574 kB)
2007-07-05
2007-07-05
8 SAR Appendix PhotosRF Exposure Info
Adobe Acrobat PDF (277 kB)
2007-07-05
2007-07-05
8 SAR Appendix CalibrationRF Exposure Info
Adobe Acrobat PDF (230 kB)
2007-07-05
2007-07-05
8 SAR Probe CalibrationRF Exposure Info
Adobe Acrobat PDF (379 kB)
2007-07-05
2007-07-05
8 SAR Appendix PlotsRF Exposure Info
Adobe Acrobat PDF (56 kB)
2007-07-05
2007-07-05
8 Notebook Regulatory GuideUsers Manual
Adobe Acrobat PDF (1944 kB)
2007-07-05
2007-07-05
8 LabelID Label/Location Info
Adobe Acrobat PDF (315 kB)
2007-07-05
2007-07-05
8 Internal PhotosInternal Photos
Adobe Acrobat PDF (3672 kB)
2007-07-05
2007-07-05
8 External PhtosExternal Photos
Adobe Acrobat PDF (1174 kB)
2007-07-05
2007-07-05
8 Request for Class II Permissive ChangeCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-05
2007-07-05
7 Antennan 226Parts List/Tune Up Info
Adobe Acrobat PDF (336 kB)
2007-04-12
2007-04-12
7 Antennan 229Parts List/Tune Up Info
Adobe Acrobat PDF (2646 kB)
2007-04-12
2007-04-12
7 Regulatory ManualUsers Manual
Adobe Acrobat PDF (1886 kB)
2007-04-12
2007-04-12
7 Manual 435816Users Manual
Adobe Acrobat PDF (2660 kB)
2007-04-12
2007-04-12
7 Manual 435813Users Manual
Adobe Acrobat PDF (526 kB)
2007-04-12
2007-04-12
7 Manual 435751Users Manual
Adobe Acrobat PDF (526 kB)
2007-04-12
2007-04-12
7 Manual 435748Users Manual
Adobe Acrobat PDF (2557 kB)
2007-04-12
2007-04-12
7 Manual 434155Users Manual
Adobe Acrobat PDF (281 kB)
2007-04-12
2007-04-12
7 RF Exposure Info MPERF Exposure Info
Adobe Acrobat PDF (116 kB)
2007-04-12
2007-04-12
7 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-04-12
2007-04-12
7 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (54 kB)
2007-04-12
2007-04-12
6 Regulatory InfoUsers Manual
Adobe Acrobat PDF (14 kB)
2007-01-17
2007-01-17
6 LabelID Label/Location Info
Adobe Acrobat PDF (31 kB)
2007-01-17
2007-01-17
6 SAR ReportRF Exposure Info
Adobe Acrobat PDF (218 kB)
2007-01-17
2007-01-17
6 External PhotosExternal Photos
Adobe Acrobat PDF (932 kB)
2007-01-17
2007-01-17
6 SAR Annex ARF Exposure Info
Adobe Acrobat PDF (120 kB)
2007-01-17
2007-01-17
6 User GuideUsers Manual
Adobe Acrobat PDF (1054 kB)
2007-01-17
2007-01-17
6 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (161 kB)
2007-01-17
2007-01-17
6 Test ReportTest Report
Adobe Acrobat PDF (236 kB)
2007-01-17
2007-01-17
6 SAR Annex CRF Exposure Info
Adobe Acrobat PDF (194 kB)
2007-01-17
2007-01-17
6 SAR Annex BRF Exposure Info
Adobe Acrobat PDF (134 kB)
2007-01-17
2007-01-17
6 SAR CalRF Exposure Info
Adobe Acrobat PDF (1372 kB)
2007-01-17
2007-01-17
6 Cover LetterCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-01-17
2007-01-17
6 StatementAttestation Statements
Adobe Acrobat PDF (17 kB)
2007-01-17
2007-01-17
5 Revised test reportTest Report
Adobe Acrobat PDF (1073 kB)
2006-11-11
2006-11-11
5 test setupTest Setup Photos
Adobe Acrobat PDF (410 kB)
2006-11-07
2006-11-11
5 external photosExternal Photos
Adobe Acrobat PDF (1596 kB)
2006-11-07
2006-11-11
5 correspondence re filing issuesCover Letter(s)
Adobe Acrobat PDF (17 kB)
2006-11-07
2006-11-11
5 Attestation C2PCAttestation Statements
Adobe Acrobat PDF (18 kB)
2006-11-07
2006-11-11
5 Attestation freq rangeAttestation Statements
Adobe Acrobat PDF (17 kB)
2006-11-07
2006-11-11
5 MPE calculationRF Exposure Info
Adobe Acrobat PDF (31 kB)
2006-11-07
2006-11-11
4 Test ReportTest Report
Adobe Acrobat PDF (1332 kB)
2006-04-18
2006-04-14
4 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (364 kB)
2006-04-18
2006-04-14
4 Antenna PhotosExternal Photos
Adobe Acrobat PDF (313 kB)
2006-04-18
2006-04-14
4 Antennan SpecificationParts List/Tune Up Info
Adobe Acrobat PDF (1090 kB)
2006-04-18
2006-04-14
4 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (55 kB)
2006-04-18
2006-04-14
4 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (54 kB)
2006-04-18
2006-04-14
3 Cover LetterCover Letter(s)
Adobe Acrobat PDF (56 kB)
2006-01-10
2006-01-10
3 SAR ReportRF Exposure Info
Adobe Acrobat PDF (232 kB)
2006-01-10
2006-01-10
3 User ManualUsers Manual
Adobe Acrobat PDF (806 kB)
2006-01-10
2006-01-10
3 LabelID Label/Location Info
Adobe Acrobat PDF (359 kB)
2006-01-10
2006-01-10
3 PlotsRF Exposure Info
Adobe Acrobat PDF (39 kB)
2006-01-10
2006-01-10
3 RF Exposure Info CalRF Exposure Info
Adobe Acrobat PDF (231 kB)
2006-01-10
2006-01-10
3 PhotosRF Exposure Info
Adobe Acrobat PDF (396 kB)
2006-01-10
2006-01-10
2 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (432 kB)
2005-11-30
2005-11-30
2 Test ReportTest Report
Adobe Acrobat PDF (1378 kB)
2005-11-30
2005-11-30
2 Antenna SpecificationParts List/Tune Up Info
Adobe Acrobat PDF (257 kB)
2005-11-30
2005-11-30
2 Agency letterCover Letter(s)
Adobe Acrobat PDF (28 kB)
2005-11-30
2005-11-30
2 Class II change letterCover Letter(s)
Adobe Acrobat PDF (55 kB)
2005-11-30
2005-11-30
1 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (72 kB)
2005-07-22
2005-07-22
1 Antenna SpecificationParts List/Tune Up Info
Adobe Acrobat PDF (232 kB)
2005-07-22
2005-07-22
1 TCB Q and ACover Letter(s)
Adobe Acrobat PDF (10 kB)
2005-07-22
2005-07-22
1 Modular approval cover letterCover Letter(s)
Adobe Acrobat PDF (6 kB)
2005-07-22
2005-07-22
1 Confidentiality LetterCover Letter(s)
Adobe Acrobat PDF (54 kB)
2005-07-22
2005-07-22
1 Users ManualUsers Manual
Adobe Acrobat PDF (849 kB)
2005-07-22
2005-07-22
1 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (442 kB)
2005-07-22
2005-07-22
1 Test ReportTest Report
Adobe Acrobat PDF (2191 kB)
2005-07-22
2005-07-22
1 Internal PhotosInternal Photos
Adobe Acrobat PDF (771 kB)
2005-07-22
2005-07-22
1 ID Label Location InfoID Label/Location Info
Adobe Acrobat PDF (73 kB)
2005-07-22
2005-07-22
1 External PhotosExternal Photos
Adobe Acrobat PDF (771 kB)
2005-07-22
2005-07-22

APP # 13 (2007-09-24)

App # Document Type Submitted
Available
13 Test Setup Photos Parker Test Setup Photos
Adobe Acrobat PDF (381 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Test Setup Photos Hawke Spears Test Setup Photos
Adobe Acrobat PDF (326 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Test Report Spears Hawke Test Report
Adobe Acrobat PDF (413 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Test Report Parker Test Report
Adobe Acrobat PDF (608 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears User Manual Users Manual
Adobe Acrobat PDF (2384 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears SAR Report RF Exposure Info
Adobe Acrobat PDF (256 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears SAR Appendix C RF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears SAR Appendix B RF Exposure Info
Adobe Acrobat PDF (92 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears SAR Appendix A RF Exposure Info
Adobe Acrobat PDF (50 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears Antenna Location Internal Photos
Adobe Acrobat PDF (64 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Spears Acon Antenna Spec Attestation Statements
Adobe Acrobat PDF (378 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 SAR Probe Calibration Data RF Exposure Info
Adobe Acrobat PDF (379 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker User Manual Users Manual
Adobe Acrobat PDF (2761 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker SAR Report RF Exposure Info
Adobe Acrobat PDF (266 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker SAR Appendix C RF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker SAR Appendix B RF Exposure Info
Adobe Acrobat PDF (174 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker SAR Appendix A RF Exposure Info
Adobe Acrobat PDF (69 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker Amphenol Antenna Spec and Location Attestation Statements
Adobe Acrobat PDF (346 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Parker Acon Antenna Spec and Location Attestation Statements
Adobe Acrobat PDF (633 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke User Manual Users Manual
Adobe Acrobat PDF (1802 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke SAR Report RF Exposure Info
Adobe Acrobat PDF (248 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke SAR Appendix C RF Exposure Info
Adobe Acrobat PDF (498 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke SAR Appendix B RF Exposure Info
Adobe Acrobat PDF (102 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke SAR Appendix A RF Exposure Info
Adobe Acrobat PDF (50 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke Antenna Location Internal Photos
Adobe Acrobat PDF (183 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Hawke Acon Antenna Spec Attestation Statements
Adobe Acrobat PDF (1162 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 External Photos Hawke Spears External Photos
Adobe Acrobat PDF (186 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 External Photos Parker External Photos
Adobe Acrobat PDF (385 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Summary Reports Cover Letter(s)
Adobe Acrobat PDF (27 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Request for Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00
13 Antenna Summary Attestation Statements
Adobe Acrobat PDF (10 kB)
2007-09-24 00:00:00
2007-09-24 00:00:00

APP # 12 (2007-08-23)

App # Document Type Submitted
Available
12 Antenna specification Parts List/Tune Up Info
Adobe Acrobat PDF (362 kB)
2007-08-23 00:00:00
2007-08-23 00:00:00
12 Class II permissive change letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-08-23 00:00:00
2007-08-23 00:00:00
12 Authorization letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-08-23 00:00:00
2007-08-23 00:00:00
12 Test report Test Report
Adobe Acrobat PDF (762 kB)
2007-08-23 00:00:00
2007-08-23 00:00:00
12 Test setup photos Test Setup Photos
Adobe Acrobat PDF (131 kB)
2007-08-23 00:00:00
2007-08-23 00:00:00

APP # 11 (2007-07-30)

App # Document Type Submitted
Available
11 User Manual Regulatory and RFx Statements Users Manual
Adobe Acrobat PDF (11 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 User Manual Users Manual
Adobe Acrobat PDF (2260 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (801 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Test Report Test Report
Adobe Acrobat PDF (586 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 SAR Report RF Exposure Info
Adobe Acrobat PDF (241 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 SAR Plots RF Exposure Info
Adobe Acrobat PDF (43 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 SAR Calibration Data Part 2 RF Exposure Info
Adobe Acrobat PDF (1372 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 SAR Calibration Data Part 1 RF Exposure Info
Adobe Acrobat PDF (216 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 SAR Appendix Photos RF Exposure Info
Adobe Acrobat PDF (119 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Label ID Label/Location Info
Adobe Acrobat PDF (12 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Internal Photos Antenna Routing Internal Photos
Adobe Acrobat PDF (145 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 External Photos External Photos
Adobe Acrobat PDF (2727 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Request for Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Antenna Distance Attestation Statements
Adobe Acrobat PDF (65 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
11 Antenna Information Attestation Statements
Adobe Acrobat PDF (11 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00

APP # 10 (2007-07-26)

App # Document Type Submitted
Available
10 Attestation Statement Ad Hoc Declaration Attestation Statements
Adobe Acrobat PDF (90 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Cover Letter Permission Cover Letter(s)
Adobe Acrobat PDF (27 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Cover Letter Description of Change Cover Letter(s)
Adobe Acrobat PDF (14 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 RF Exposure Info RF Exposure Info
Adobe Acrobat PDF (31 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (264 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Test Report Test Report
Adobe Acrobat PDF (3224 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Operational Description Operational Description
Adobe Acrobat PDF (13 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 Internal Photos Internal Photos
Adobe Acrobat PDF (604 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00
10 External Photos External Photos
Adobe Acrobat PDF (395 kB)
2007-07-26 00:00:00
2007-07-26 00:00:00

APP # 9 (2007-07-19)

App # Document Type Submitted
Available
9 Setup Photos Test Setup Photos
Adobe Acrobat PDF (198 kB)
2007-07-19 00:00:00
2007-07-19 00:00:00
9 Test Report Test Report
Adobe Acrobat PDF (955 kB)
2007-07-19 00:00:00
2007-07-19 00:00:00
9 Antennan Specification Parts List/Tune Up Info
Adobe Acrobat PDF (109 kB)
2007-07-19 00:00:00
2007-07-19 00:00:00
9 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-07-19 00:00:00
2007-07-19 00:00:00
9 Agent Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-19 00:00:00
2007-07-19 00:00:00

APP # 8 (2007-07-05)

App # Document Type Submitted
Available
8 User Manual Users Manual
Adobe Acrobat PDF (3612 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (1074 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Test Report Test Report
Adobe Acrobat PDF (574 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 SAR Appendix Photos RF Exposure Info
Adobe Acrobat PDF (277 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 SAR Appendix Calibration RF Exposure Info
Adobe Acrobat PDF (230 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 SAR Probe Calibration RF Exposure Info
Adobe Acrobat PDF (379 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 SAR Appendix Plots RF Exposure Info
Adobe Acrobat PDF (56 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Notebook Regulatory Guide Users Manual
Adobe Acrobat PDF (1944 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Label ID Label/Location Info
Adobe Acrobat PDF (315 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Internal Photos Internal Photos
Adobe Acrobat PDF (3672 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 External Phtos External Photos
Adobe Acrobat PDF (1174 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00
8 Request for Class II Permissive Change Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-05 00:00:00
2007-07-05 00:00:00

APP # 7 (2007-04-12)

App # Document Type Submitted
Available
7 Antennan 226 Parts List/Tune Up Info
Adobe Acrobat PDF (336 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Antennan 229 Parts List/Tune Up Info
Adobe Acrobat PDF (2646 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Regulatory Manual Users Manual
Adobe Acrobat PDF (1886 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Manual 435816 Users Manual
Adobe Acrobat PDF (2660 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Manual 435813 Users Manual
Adobe Acrobat PDF (526 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Manual 435751 Users Manual
Adobe Acrobat PDF (526 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Manual 435748 Users Manual
Adobe Acrobat PDF (2557 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Manual 434155 Users Manual
Adobe Acrobat PDF (281 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 RF Exposure Info MPE RF Exposure Info
Adobe Acrobat PDF (116 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00
7 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (54 kB)
2007-04-12 00:00:00
2007-04-12 00:00:00

APP # 6 (2007-01-17)

App # Document Type Submitted
Available
6 Regulatory Info Users Manual
Adobe Acrobat PDF (14 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 Label ID Label/Location Info
Adobe Acrobat PDF (31 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 SAR Report RF Exposure Info
Adobe Acrobat PDF (218 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 External Photos External Photos
Adobe Acrobat PDF (932 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 SAR Annex A RF Exposure Info
Adobe Acrobat PDF (120 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 User Guide Users Manual
Adobe Acrobat PDF (1054 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (161 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 Test Report Test Report
Adobe Acrobat PDF (236 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 SAR Annex C RF Exposure Info
Adobe Acrobat PDF (194 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 SAR Annex B RF Exposure Info
Adobe Acrobat PDF (134 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 SAR Cal RF Exposure Info
Adobe Acrobat PDF (1372 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00
6 Statement Attestation Statements
Adobe Acrobat PDF (17 kB)
2007-01-17 00:00:00
2007-01-17 00:00:00

APP # 5 (2006-11-11)

App # Document Type Submitted
Available
5 Revised test report Test Report
Adobe Acrobat PDF (1073 kB)
2006-11-11 00:00:00
2006-11-11 00:00:00
5 test setup Test Setup Photos
Adobe Acrobat PDF (410 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00
5 external photos External Photos
Adobe Acrobat PDF (1596 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00
5 correspondence re filing issues Cover Letter(s)
Adobe Acrobat PDF (17 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00
5 Attestation C2PC Attestation Statements
Adobe Acrobat PDF (18 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00
5 Attestation freq range Attestation Statements
Adobe Acrobat PDF (17 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00
5 MPE calculation RF Exposure Info
Adobe Acrobat PDF (31 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00

APP # 4 (2006-04-14)

App # Document Type Submitted
Available
4 Test Report Test Report
Adobe Acrobat PDF (1332 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00
4 Setup Photos Test Setup Photos
Adobe Acrobat PDF (364 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00
4 Antenna Photos External Photos
Adobe Acrobat PDF (313 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00
4 Antennan Specification Parts List/Tune Up Info
Adobe Acrobat PDF (1090 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00
4 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (55 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00
4 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (54 kB)
2006-04-18 00:00:00
2006-04-14 00:00:00

APP # 3 (2006-01-10)

App # Document Type Submitted
Available
3 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (56 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 SAR Report RF Exposure Info
Adobe Acrobat PDF (232 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 User Manual Users Manual
Adobe Acrobat PDF (806 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 Label ID Label/Location Info
Adobe Acrobat PDF (359 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 Plots RF Exposure Info
Adobe Acrobat PDF (39 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 RF Exposure Info Cal RF Exposure Info
Adobe Acrobat PDF (231 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00
3 Photos RF Exposure Info
Adobe Acrobat PDF (396 kB)
2006-01-10 00:00:00
2006-01-10 00:00:00

APP # 2 (2005-11-30)

App # Document Type Submitted
Available
2 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (432 kB)
2005-11-30 00:00:00
2005-11-30 00:00:00
2 Test Report Test Report
Adobe Acrobat PDF (1378 kB)
2005-11-30 00:00:00
2005-11-30 00:00:00
2 Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (257 kB)
2005-11-30 00:00:00
2005-11-30 00:00:00
2 Agency letter Cover Letter(s)
Adobe Acrobat PDF (28 kB)
2005-11-30 00:00:00
2005-11-30 00:00:00
2 Class II change letter Cover Letter(s)
Adobe Acrobat PDF (55 kB)
2005-11-30 00:00:00
2005-11-30 00:00:00

APP # 1 (2005-07-22)

App # Document Type Submitted
Available
1 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (72 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (232 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 TCB Q and A Cover Letter(s)
Adobe Acrobat PDF (10 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Modular approval cover letter Cover Letter(s)
Adobe Acrobat PDF (6 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Confidentiality Letter Cover Letter(s)
Adobe Acrobat PDF (54 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Users Manual Users Manual
Adobe Acrobat PDF (849 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (442 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Test Report Test Report
Adobe Acrobat PDF (2191 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Internal Photos Internal Photos
Adobe Acrobat PDF (771 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 ID Label Location Info ID Label/Location Info
Adobe Acrobat PDF (73 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (771 kB)
2005-07-22 00:00:00
2005-07-22 00:00:00
1 Operational Description Operational Description
Adobe Acrobat PDF (89 kB)
2005-07-22 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (645 kB)
2005-07-22 00:00:00
N/A

APP # 5 (2006-11-11)

App # Document Type Submitted
Available
5 Test Report Test Report
Adobe Acrobat PDF (1076 kB)
2006-11-07 00:00:00
2006-11-11 00:00:00

APP # 1 (2005-07-22)

App # Document Type Submitted
Available
1 Parts List Parts List/Tune Up Info
Adobe Acrobat PDF (165 kB)
2005-07-22 00:00:00
N/A
1 Block Diagram Block Diagram
Adobe Acrobat PDF (69 kB)
2005-07-22 00:00:00
N/A

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: QDSBRCM1020
Unique Application Identifier: BZPiTYkeEDkRLKEYudIj+w==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Compliance Certification Services Inc
First Name:   Steve
Last Name:   Cheng
Telephone Number: 408-463-0885 Extension: 110
Fax Number:  408-463-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.
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:  Mike Heckrotte
Title of authorized signature:  Engineering Manager(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: QDSBRCM1020
Unique Application Identifier: l7YsH2BTSJ6kmsPv/S5Qqg==
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: -BRCM1020

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?:   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): Broadcom 802.11g Wireless LAN 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?   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:   Compliance Certification Services Inc
First Name:   Steve
Last Name:   Cheng
Telephone Number: 408-463-0885 Extension: 110
Fax Number:  408-463-0888
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. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.
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:  Thu Chan
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: QDSBRCM1020
Unique Application Identifier: dZ7Qbv76quMjCTctMg7WwA==
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: -BRCM1020

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?:   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): Broadcom 802.11g Wireless LAN 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?   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:  [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 allow portable configuration. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) for lapheld configuration as shown in this filing. The highest reported body SAR value for this device is 0.128 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:  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: QDSBRCM1020
Unique Application Identifier: k6oBErwuTMyittoruyL87w==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Compliance Certification Services Inc
First Name:   Steve
Last Name:   Cheng
Telephone Number: 408-463-0885 Extension: 119
Fax Number:  408-463-0888
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. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.
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:  Mike Heckrotte
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: QDSBRCM1020
Unique Application Identifier: yGPR7fe6liQXtvmUaI0zWw==
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: -BRCM1020

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:
Elliott Labs.
First Name: Juan
Last Name: Martinez
Line 1:
684 W.Maude Ave
City: Sunnyvale
State: California
Country:
United States
Zip Code: 95085
Telephone Number:
408 245 7800

Extension:
Fax Number: 408 245 3499
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?:   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): 802.11g Wireless LAN 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?   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:   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:
Class II permissive change filing. Modular approval. Power listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.
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:  Manager, Compliance Engineering

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: QDSBRCM1020
Unique Application Identifier: w6gGUc1j1xD5HpXNIjPY3Q==
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: -BRCM1020

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?:   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): Broadcom 802.11g Wireless LAN 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?   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:   Cetecom Inc.
First Name:   Lothar
Last Name:   Schmidt
Telephone Number: 408-586-6200 Extension:
Fax Number:  510-252-0559
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. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration (associated FCC ID: QDS-BRCM1018) for lapheld and other positions as shown in this filing. The highest reported body SAR value for this device is 0.631 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:  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: QDSBRCM1020
Unique Application Identifier: QMahlagFB+JYi4SwvgD7Wg==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   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 to be co-located with specific WWAN module as documented in the filing. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lapheld and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 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:  Mike Heckrotte
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: QDSBRCM1020
Unique Application Identifier: cpAadbiyHfW8SYgrUo/4Zg==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Franz
Last Name:   Engert
Telephone Number: 408-586-6249 Extension:
Fax Number:  408-586-6299
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 allow portable configuration in specific host as described in this filling. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 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:  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: QDSBRCM1020
Unique Application Identifier: r0zG7+pZqRZGEUQMjrgFsA==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   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 to add antennas for Mobile only configurations. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap-held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
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: QDSBRCM1020
Unique Application Identifier: ULXR2MOFt59/ObCArSTW/Q==
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: -BRCM1020

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:
Advance Data Technology Corporation (Hsin Chu)
First Name: Eric
Last Name: Lin
Line 1:
81-1 Luliaoken, 9th Lin, Wulung Tsuen Chiunglin
City: Hsinchu
Country:
Taiwan
Zip Code: 307
Telephone Number:
886-3-593-5343

Extension:
1719
Fax Number: 886-3-593-4728
E-Mail:

Non Technical Contact
Firm Name: Advance Data Technology Corporation
First Name: Eric
Last Name: Lin
Line 1: 81-1 Luliaoken, 9th Lin, Wulung Tsuen Chiunglin
City: Hsinchu
Country: Taiwan
Zip Code: 307
Telephone Number: 886-3-593-5343 Extension: 1719
Fax Number: 886-3-593-4728
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?:   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): Broadcom 802.11g Wireless LAN 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?   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: 886-2-2605-2180-3 Extension:
Fax Number:  886-2-2605-2943
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 new antenna and replace amplifier as described in this filling. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.
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:  Eric Lin
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: QDSBRCM1020
Unique Application Identifier: dEwZmvxDq4alvApedHRq1Q==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Franz
Last Name:   Engert
Telephone Number: 408-586-6249 Extension:
Fax Number:  408-586-6299
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 allow portable configuration in specific host as described in this filling. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 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:  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: QDSBRCM1020
Unique Application Identifier: 3dg6tTtXZXmCYBmDBm5qYw==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
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 to add antennas for Mobile only configurations. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap-held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 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:  Dan 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: QDSBRCM1020
Unique Application Identifier: VngoPHKoHJ4chorlFeW7QA==
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: -BRCM1020

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?:   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): 802.11g Wireless LAN 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?   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:   Franz
Last Name:   Engert
Telephone Number: 408-586-6249 Extension:
Fax Number:  408-586-6299
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 allow portable configuration in specific hosts as described in this filling. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 1.14 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:  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:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 08/23/2007

Application Dated: 08/23/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II permissive change to add antennas for Mobile only configurations. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap-held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 W/kg.

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

>
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: 07/05/2007

Application Dated: 07/05/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II Permissive Change to allow portable configuration in specific host as described in this filling.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 W/kg.


>
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: 07/30/2007

Application Dated: 07/30/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II Permissive Change to allow portable configuration in specific host as described in this filling.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 W/kg.


>
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: 01/10/2006

Application Dated: 01/10/2006
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change to allow portable configuration.

Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) for lapheld configuration as shown in this filing. The highest reported body SAR value for this device is 0.128 W/kg.


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: 01/10/2006

Application Dated: 01/10/2006
 
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change to allow portable configuration.

Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) for lapheld configuration as shown in this filing. The highest reported body SAR value for this device is 0.128 W/kg.



Mail To:


EA525333
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 04/14/2006

Application Dated: 04/14/2006
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change filing. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

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: 04/14/2006

Application Dated: 04/14/2006
 
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change filing. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.



Mail To:


EA958087
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 11/30/2005

Application Dated: 11/30/2005
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change filing. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

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: 11/30/2005

Application Dated: 11/30/2005
 
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2472.0 0.414  

Class II permissive change filing. Modular approval. Power output listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.



Mail To:


EA518601
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 04/12/2007

Application Dated: 04/12/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II permissive change to be co-located with specific WWAN module as documented in the filing. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lapheld and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 W/kg.

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 07/19/2007

Application Dated: 07/19/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II permissive change to add antennas for Mobile only configurations. Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap-held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 0.631 W/kg.

>
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: 07/26/2007

Application Dated: 07/26/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II Permissive Change to add new antenna and replace amplifier as described in this filling.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.


>
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: 09/24/2007

Application Dated: 09/24/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II Permissive Change to allow portable configuration in specific hosts as described in this filling.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 1.14 W/kg.


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: 09/24/2007

Application Dated: 09/24/2007
 
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II Permissive Change to allow portable configuration in specific hosts as described in this filling.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 than described in filings under this FCC ID. OEM integrators and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration for lap held and other positions as shown in filings under this FCC ID. The highest reported body SAR value for this device is 1.14 W/kg.



Mail To:


EA996130
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: 01/17/2007

Application Dated: 01/17/2007
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: Broadcom 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II permissive change.

Modular approval. Power output listed is conducted. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

For operation in portable RF exposure conditions, SAR compliance was evaluated in specific notebook computer(s) with specific multi-transmitter configuration (associated FCC ID: QDS-BRCM1018) for lapheld and other positions as shown in this filing. The highest reported body SAR value for this device is 0.631 W/kg.


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

  National Technical Systems - Silicon Valley
41039 Boyce Road
Fremont, CA 94538
Date of Grant: 11/11/2006

Application Dated: 11/06/2006
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-BRCM1020
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11g Wireless LAN PCI-E Mini Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.414  

Class II permissive change filing. Modular approval. Power listed is conducted. The maximum output power on certain channel(s) adjacent to the band edge must be reduced as specified within this application. This module may only be installed by the OEM or an OEM integrator. 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 and End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

>

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