FCC ID: QDS-BRCM1095 802.11ax WLAN PCI-E Custom Combination Card

by: Broadcom Corporation latest update: 2020-12-07 model: BRCM1095

One grant has been issued under this FCC ID on 12/07/2020 (this is the only release in 2020 for this grantee). Public details available include internal & external photos, frequency information, and manuals. some products also feature user submitted or linked instructions, troubleshooting guides, warrantee terms, password defaults, & drivers.
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app s submitted / available
1 Installation Guidance Document rev9 Users Manual pdf 528.99 KiB November 23 2020 / February 20 2021 delayed release
1 User Manual rev1 Users Manual pdf 818.68 KiB August 26 2020 / February 20 2021 delayed release
1 Internal Photos 20200820 v1 - Internal Photos Internal Photos pdf 130.07 KiB August 26 2020 / February 20 2021 delayed release
1 External Photos 20200820 v1 - External Photos External Photos pdf 453.38 KiB August 26 2020 / February 20 2021 delayed release
1 Label and Location ID Label/Location Info pdf 31.25 KiB August 26 2020 / December 07 2020
1 Attestation Statements pdf October 16 2020 / December 07 2020
1 Attestation Statements pdf October 20 2020 / December 07 2020
1 LPI Client Device Declarations Rev 10-28-2020 Attestation Statements pdf 135.27 KiB November 02 2020 / December 07 2020
1 Cover Letter(s) pdf November 17 2020 / December 07 2020
1 Limited Modular Approval Request 11-20-20 Cover Letter(s) pdf 111.16 KiB November 23 2020 / December 07 2020
1 LoA Explanation Cover Letter(s) pdf 110.00 KiB November 23 2020 / December 07 2020
1 NDA agreement for OEM Operational Description pdf November 02 2020 confidential
1 Block Diagram rev1 Block Diagram pdf August 26 2020 confidential
1 Block Diagram rev2 Block Diagram pdf August 31 2020 confidential
1 FCC confidentiality letter Cover Letter(s) pdf 136.31 KiB August 26 2020 / December 07 2020
1 LOA Cover Letter(s) pdf 129.14 KiB August 26 2020 / December 07 2020
1 Cover Letter(s) pdf August 26 2020 / December 07 2020
1 OEM Installation Guidance Document rev1 Users Manual pdf August 26 2020 / February 20 2021 delayed release
1 OEM Installation Guidance Document rev3 Users Manual pdf August 31 2020 / February 20 2021 delayed release
1 OEM Installation Guidance Document rev4 Users Manual pdf September 10 2020 / February 20 2021 delayed release
1 OEM Installation Guidance Document rev8 Users Manual pdf November 02 2020 / February 20 2021 delayed release
1 Operation Description Operational Description pdf August 26 2020 confidential
1 Operation Description software security Operational Description pdf August 26 2020 confidential
1 Operation Description software security SDR Software/Security Inf pdf September 02 2020 confidential
1 RF Exposure test report rev2 RF Exposure Info pdf 287.65 KiB August 26 2020 / December 07 2020
1 Test Report pdf August 26 2020 / December 07 2020
1 Test Report pdf August 31 2020 / December 07 2020
1 Schematics rev1 Schematics pdf August 26 2020 confidential
1 Test Photos rev1 Test Setup Photos pdf 383.38 KiB August 26 2020 / February 20 2021 delayed release
1 software security rev 5 SDR Software/Security Inf pdf November 02 2020 confidential
1 software security rev 7 SDR Software/Security Inf pdf November 17 2020 confidential
1 Test report Rev 4 Test Report pdf 3.54 MiB November 17 2020 / December 07 2020
1 Installation Guidance Document rev9 Users Manual pdf 528.99 KiB November 23 2020 / February 20 2021 delayed release
1 User Manual rev1 Users Manual pdf 818.68 KiB August 26 2020 / February 20 2021 delayed release
1 Internal Photos 20200820 v1 - Internal Photos Internal Photos pdf 130.07 KiB August 26 2020 / February 20 2021 delayed release
1 External Photos 20200820 v1 - External Photos External Photos pdf 453.38 KiB August 26 2020 / February 20 2021 delayed release
1 Label and Location ID Label/Location Info pdf 31.25 KiB August 26 2020 / December 07 2020
1 LPI Client Device Declarations Rev 10-28-2020 Attestation Statements pdf 135.27 KiB November 02 2020 / December 07 2020
1 Limited Modular Approval Request 11-20-20 Cover Letter(s) pdf 111.16 KiB November 23 2020 / December 07 2020
1 LoA Explanation Cover Letter(s) pdf 110.00 KiB November 23 2020 / December 07 2020
1 FCC confidentiality letter Cover Letter(s) pdf 136.31 KiB August 26 2020 / December 07 2020
1 LOA Cover Letter(s) pdf 129.14 KiB August 26 2020 / December 07 2020
1 RF Exposure test report rev2 RF Exposure Info pdf 287.65 KiB August 26 2020 / December 07 2020
1 Test Photos rev1 Test Setup Photos pdf 383.38 KiB August 26 2020 / February 20 2021 delayed release
1 Test report Rev 4 Test Report pdf 3.54 MiB November 17 2020 / December 07 2020

frequency equipment class purpose
1 2020-12-07 6025 ~ 6985 6XD - 15E 6 GHz Low Power Indoor Client Original Equipment

Application Forms

app s Applicant Information
1 Effective 2020-12-07
1 Applicant's complete, legal business name Broadcom Corporation
1 FCC Registration Number (FRN) 0007091952
1 Physical Address 270 Innovation Drive
1 San Jose, CA
1 United States
app s TCB Information
1 TCB Application Email Address L******@ul.com
1 TCB Scope A4: UNII devices & low power transmitters using spread spectrum techniques
app s FCC ID
1 Grantee Code QDS
1 Equipment Product Code BRCM1095
app s Person at the applicant's address to receive grant or for contact
1 Name A**** L******
1 Title Manager, Compliance Engineering
1 Telephone Number 40892********
1 Fax Number 408-5********
1 E-mail a******@broadcom.com
app s Technical Contact
1 Firm Name Sporton International Inc.
1 Name S**** J******
1 Physical Address No.8, Lane 724, Bo-ai St.
1 Jhubei City
1 Taiwan
1 Telephone Number 886-3******** Extension:
1 Fax Number 886-3********
1 E-mail s******@sporton.com.tw
app s Non Technical Contact
n/a
app s Confidentiality (long or short term)
1 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
1 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
1 If so, specify the short-term confidentiality release date (MM/DD/YYYY format)02/20/2021
if no date is supplied, the release date will be set to 45 calendar days past the date of grant.
app s Cognitive Radio & Software Defined Radio, Class, etc
1 Is this application for software defined/cognitive radio authorization?No
1 Equipment Class6XD - 15E 6 GHz Low Power Indoor Client
1 Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant)802.11ax WLAN PCI-E Custom Combination Card
1 Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application?Yes
1 Modular Equipment TypeLimited Single Modular Approval
1 Purpose / Application is forOriginal Equipment
1 Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization?No
1 Related Equipment: 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
1 Grant CommentsOutput power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures.
1 Is there an equipment authorization waiver associated with this application?No
1 If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?No
app s Test Firm Name and Contact Information
1 Firm Name SPORTON International Inc.
1 Name S****** J****
1 Telephone Number 886-3******** Extension:
1 Fax Number 886-3********
1 E-mail s******@sporton.com.tw
Equipment Specifications
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
1 1 15E EP MO 6025.00000000 6985.00000000 0.0620000

 

some individual PII (Personally Identifiable Information) available on the public forms may be redacted, original source may include additional details

 

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