FCC ID: Q3N-WR30 BT Barcode Scanner

FEDERALCOMMUNICATIONSCOMMISSIONINTERFERENCESTATEMENT ThisequipmenthasbeentestedandfoundtocomplywiththelimitsforaClassBdigitaldevice, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protectionagainstharmfulinterferenceinaresidentialinstallation.Thisequipmentgenerates, usesandcanradiateradiofrequencyenergyand,ifnotinstalledandusedinaccordancewith theinstructions,maycauseharmfulinterferencetoradiocommunications.However,thereis noguaranteethatinterferencewillnotoccurinaparticularinstallation.Ifthisequipmentdoes cause harmful interference to radio or television reception, which can be determined by turningtheequipmentoffandon,theuserisencouragedtotrytocorrecttheinterferenceby oneormoreofthefollowingmeasures:

Reorientorrelocatethereceivingantenna. Increasetheseparationbetweentheequipmentandreceiver. Connecttheequipmentintoanoutletonacircuitdifferentfromthattowhichthereceiveris connected. Consultthedealeroranexperiencedradio/TVtechnicianforhelp. CAUTION:

Anychangesormodificationsnotexpresslyapprovedbythegranteeofthisdevicecouldvoid theuser'sauthoritytooperatetheequipment. ThisdevicecomplieswithPart15oftheFCCRules.Operationissubjecttothefollowingtwo conditions:(1)thisdevicemaynotcauseharmfulinterference,and(2)thisdevicemust acceptanyinterferencereceived,includinginterferencethatmaycauseundesiredoperation. RFexposurewarning ThisdevicecontainstransmittersandreceiverswhichemitRadioFrequency(RF) energy.ThedeviceisdesignedtocomplywiththelimitsforexposuretoRFenergy setbytheFederalCommunicationsCommission(FCC)oftheUnitedStates,Industry Canada(IC)ofCanada,andtheregulatingentitiesofothercountries Canada,IndustryCanada(IC)Notices This device contains licence-exempt transmitter(s)/receiver(s) that comply with Innovation, Science and Economic Development Canadas licence-exempt RSS(s). Operation is subject to the following two conditions:

(1) This device may not cause interference.

(2)Thisdevicemustacceptanyinterference,includinginterferencethatmaycause undesiredoperationofthedevice. Canada,avisd'IndustryCanada(IC) Lmetteur/rcepteurexemptdelicencecontenudansleprsentappareilest conformeauxCNRdInnovation,SciencesetDveloppementconomiqueCanada applicablesauxappareilsradioexemptsdelicence.Lexploitationestautoriseaux deuxconditionssuivantes:

1. Lappareilnedoitpasproduiredebrouillage;

Lappareildoitacceptertoutbrouillageradiolectriquesubi,mmesilebrouillageest susceptibledencompromettrelefonctionnement. RadioFrequency(RF)ExposureInformation TheradiatedoutputpoweroftheWirelessDeviceisbelowtheIndustryCanada(IC) radiofrequencyexposurelimits.TheWirelessDeviceshouldbeusedinsuchamanner suchthatthepotentialforhumancontactduringnormaloperationisminimized. ThisdevicehasalsobeenevaluatedandshowncompliantwiththeICRFExposure limitsundermobileexposureconditions.(antennasaregreaterthan20cmfroma person'sbody). Informationsconcernantl'expositionauxfrquencesradio(RF) Lapuissancedesortiemiseparlappareildesansfilestinfrieurelalimite d'expositionauxfrquencesradiod'IndustryCanada(IC).Utilisezlappareildesansfil defaonminimiserlescontactshumainslorsdufonctionnementnormal. Cepriphriqueagalementtvaluetdmontrconformeauxlimites d'expositionauxRFd'ICdansdesconditionsd'expositiondesappareilsmobiles

(antennessontsuprieures20cmpartirducorpsd'unepersonne).

BT Barcode Scanner

(Ber ame eae) FE Model (##2!): WR30 FCC ID:Q3N-WR30 S

@Cxccccceon000xx] 938384 ROHS IS 13252(PART1)/ [C:5121A-WR30 1EC60950-1

R-41103144 www.bis.gov.in INPUT(#A) 5V===,1A Made in Taiwan S828 BT Barcode Scanner txmanam FC Model( #2): WR30 1 122521PARTH)IC:5121-WR30 Econesee INPUT(MA) SV:

Made in Taiwan a0

WARNING:pdfminer.pdfpage:The PDF <_io.BufferedReader name='/Volumes/Scratch/Incoming/eg-scratch/6560632.pdf'> contains a metadata field indicating that it should not allow text extraction. Ignoring this field and proceeding. Use the check_extractable if you want to raise an error in this case Certification Application Attestation Statements CIPHERLAB CO., LTD. 12 F, 333, Dunhua S. Rd., Sec. 2, Taipei, Taiwan To Whom It May Concern:

Statement for 47 CFR section 2.911(d)(5)(i) CIPHERLAB CO., LTD.certifies that as of the date of the application the equipment for which authorization is sought is not covered equipment1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not covered equipment. Additional Explanation: <N/A>

Statement for 47 CFR section 2.911(d)(5)(ii) CIPHERLAB CO., LTD.certifies that, as of the date of the filing of this application, the applicant

- is /

- is not (3) identified on the Covered List as an entity producing covered equipment. Date:

City:

Name(2) :

Function:

2023/05/15 Taipei Herbie Jiang R & D Engineer Telephone number:

+886-2-8647-1166 Email address:

Signature:

herbie.jiang@cipherlab.com.tw 1 - The Commissions Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commissions website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes covered equipment. https://www.fcc.gov/supplychain/coveredlist .

(2): For FCC it must be the Grantee Code owner or the authorized agent.

(3): double cllick on the appropriate box and select checked then OK Doc nr.

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City:

Country:

12 F, 333, Dunhua S. Rd., Sec. 2 Taipei Taiwan To: Kiwa Netherlands B.V., Dept. FCC TCB Wilmersdorf 50 7327 AC Apeldoorn The Netherlands Subject: Request for confidentiality FCC ID: Q3N-WR30 Reference number: ######

Dear FCC TCB, 1. Long-Term Confidentiality Pursuant to 47 CFR Section 0.459(a) & (b), we hereby requests non-disclosure and confidential treatment of the following materials submitted in support of FCC certification application:

Bill(s) of Material Block Diagrams Operational Description Schematic Diagrams Tune-up Procedure Above materials contain secrets, proprietary and technical information, which would customarily be guarded from competitors under 47 CFR, section 0.457(d)(2). Disclosure or publication or any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. 2. Short-Term Confidentiality (STC) Pursuant to Public Notice DA 04-1705 of the Commissions policy, in order to comply with the marketing regulations in 47 CFR 2.803 and the importation rules in 47 CFR 2.1204, applicant hereby requests Short-Term Confidential treatment of the following materials (See notes below):

Internal Photos Users Manual Test Set-up Photos External Photos Justification:

Name and signature of applicant: Herbie Jiang Date: 05/15/2023 Notes:

1) A document or type of document can only have ONE type of confidentiality!

2) Short-Term confidentiality is in principle for 45 days from date of grant; it can be extended max 3 times (total time 180 days max.)!

The planned date should state in the RF731 application form. 3) FCC must be informed when marketing begins earlier. 4) Release takes place automatically thus extension must be requested in time. Telefication does not remind you of this!

5) Request for extension or for release must be received by Kiwa NL B.V. at least 7 days before date of actual marketing or before expiration of the STC period

WARNING:pdfminer.pdfpage:The PDF <_io.BufferedReader name='/Volumes/Scratch/Incoming/eg-scratch/6560634.pdf'> contains a metadata field indicating that it should not allow text extraction. Ignoring this field and proceeding. Use the check_extractable if you want to raise an error in this case RF_160_05 Declaration of Authorisation Date of issue 02-01-2023 Declaration of Authorization We Name:

CIPHERLAB CO., LTD. Address:

12 F, 333, Dunhua S. Rd., Sec. 2 City:

Taipei Country:

Taiwan Declare that:

Name Representative of agent:

Agent Company name:

Address:

City:

Country Chenz Ker MRT Technology (Taiwan) Co., Ltd No. 38, Fuxing Second Rd., Guishan Dist., Taoyuan Taiwan is authorized to apply for Certification of the following product(s):

Product description: BT Barcode Scanner FCC ID: Q3N-WR30 IC: 5121A-WR30 Type designation: WR30 Trademark:

CIPHERLAB Validity/ expiry date: 2023/6/30 on our behalf. Date:

Name:

Function:

Signature:

2023/5/15 Herbie Jiang R & D Engineer

. Notes:

(1): Required for FCC application

(2): For FCC it must be the Grantee Code owner or the authorized agent.

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(Applicant and U.S. Agent are Separate Parties) TO:

Kiwa Nederland B.V. Wilmersdorf 50 7327 AC Apeldoorn Postbus 137 7300 AC Apeldoorn Netherlands ATTENTION: FCC Certification Section 2.911(d)(7) Information Designated U.S. Agent Company name:

FRN:

Contact person name: Luis Wu Street address:

ZIP/City/State Telephone number:

Email address:

Signature:

Date:

CipherLab USA, Inc. 0033565516 2552 Summit Avenue, STE 400 Plano, Texas 75074, USA

+1 469 241 9779 luis.wu@cipherlab.com.tw May _15_, 2023 This letter is to confirm that we (the Designated U.S. Agent) have accepted the responsibility to act as the Designated U.S. Agent for Service of Process as required by section 47 CFR 2.911(d)(7) on behalf of the Applicant noted below. The Applicant acknowledges that they must maintain an agent for no less than one year after terminating all marketing and importation OR the conclusion of any Commission-

related proceeding involving the equipment. The applicant further acknowledges their responsibility to inform the FCC whenever the Designated U.S. Agent information above changes. Applicant Company name:

Grantee Code:

Contact person name: Herbie Jiang Street address:

CipherLab Co., Ltd. Q3N 12 F, 333, Dunhua S. Rd., Sec. 2, Taipei, Taiwan Taipei

+886-2-8647-1166 herbie.jiang@cipherlab.com.tw May _15_, 2023 ZIP/City/State Telephone number:

Email address:

Signature:

Date:

Doc nr.