SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, United States Georgia 30024 Applicant Declaration Room 202, Floor 2, Building 23, No.2 North street Jingyuan, BDA,Beijing,China, I 00176 Ap plicant Legal Business Name Beijing Dynamics Technology Co.,L TD Address Code Grantee FCCID 2AZV7 2AZV7-P20l Authorized Contact Name Kiwi He Contact Email Contact Phone kiwi@beijingdynamics.com 86-13811464719 I, the undersign.ceythat I am an authorized signatory for the Applicant declare;
and therefore a) in accordance with 47CFR2.911 knowlgeand belief.
(d), all of the statement s herein and the exhibits attached hereto are true and correct to the best of my b) in accepting a Grant of Equipment Authorization issubya TCB, under the authority of the FCC, as a result of the representations made in this application, theplicantis responsible for:
the equipment
(1) labeling
(2) compneestatement
(3)compneeof the equipment with the exact FCC ID as specified pursuant to the applicable labeling technical in this application, rules, rules, with the applicable c) 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. d) in accordance with 4 7 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e) in accordance with 1S017065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements.
(1) theplicantunderstands,
(2) the Applicant
(3) theplicantshall, upon request shall make provisions accepts FCC and/or ISED as instructThesample shall include software required for evaluation, review, of products ceficationand audit surveillance by SGS, at theplicant's and agrees that a sample may be requested to always have a production for surveillance testing by SGS, FCC and/or ISED. upon request sample available provide all support devices, expense, a production cables, software, certified sample of the requested accessories by SGS. or other hardware or product to SGS, f) neither the Appntnor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, for possession or distribution of a controlled pursuant to Section substance. See 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862 because of a conviction 47CFR 12002(b) of aparty" for these purposes. for the definition g) theplicanthas read, understood, acce pts and agrees to abide by the SGS North America, lnc.(TCB) terms and conditions. Link to CFRs: htt s://www.f . ov/wireless/bureau-divisio Link to KDBs:'1ttpli://9ppli Link to RSP-100:
https:/lwww.ic.ll9-Ci!l:ic/mt-q/enq/}11Q.html
.fc9.qQv/oetlkQl;>/inQi:xm ns/technolo ies-s stems-and-innovation-divisi on/rules-re ulations-t itle-47 Applicant Signature: W'i e Print Name: Kiwi He Date:
12..
) Title: Chief Operating Officer
"NOTE: This declarati on cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database Appllcant Declaration Rev:0.0