L s Code Inc. SGS North America 620 Old Peachtree Road SUITE 100 Suwanee, United States Georgia 30024 Applicant Declaration
. , .... , Applicant Name Legal Business DewertOkin Technology Group Co., Ltd. Address Room 247, Floor 6, Jiaxing Photovoltaic Science and Innovation Park, 1288 Kanghe Road ,Xiuzhou District,Jiaxing City, Zhejiang Province,China Grantee 2AVJ8 FCCID 2AVJ8-RF3407A Authorized Contact Name Mia Ye Contact Email
Contact Phone mia.ye@refinedchina.com
+86-573-82281072 I, the undersigned, cefythat I am an authorized signatory for the Applicant and therefore declare;
a) in accordance knowledge and belief. with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my b) in accepting this application, a Grant of Equipment the Applicant Authorization for:
is responsible issued by a TCB, under the authority of the FCC, as a result of the representations made 1n
(1) labeling
(2)compliance
(3)compliance the equipment statement of the equipment with the exact pursuant labeling in this application, rules, to the applicable rules, technical with the applicable FCC ID as specified c) if the Applicant that production is not the actual units of this equipment manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure will continue to comply with the FCC's technical requirements. d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified has read, understood 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)the Applicant
(2) the Applicant shall
(3)the Applicant understands, accepts make provisions shall, upon request by SGS, at the Applicant's and agrees that a sample may be requested to always have a production for surveillance testing. by SGS, FCC and/or ISED. expense, sample available provide all support devices, upon request a production cables, of products sample of theequested software, accessories by SGS certified product or other hadwareor and audit surveillance to SGS, FCC and/or ISED as instructed. for evaluation, software required The sample shall include review, certification f) neither the Applicant nor any party to the application is subject to a denial of Federal of a conviction benefits, for possession or distribution FCC benefits, pursuant of a controlled to Section See substance. that includes 5301 of the Anti-Drug Abuse 47CFR 1.2002(b) Act of 1988, 21 U.S.C. 862 because of a "party''for these for the definition purposes. g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, lnc.(TCB) terms and conditions. Link to CFRs: s://www.fcc ov/wless/bureau-
Link to KDBs: https://
Link to RSP-100:
apps.fcc.qov/Qtc;;f/l<
db/ini:le1<.cfm rnl hps:/lwww.ic.qc.ca/4;lic;;/site/smt-qst.nsf/enq/sf01130.ht ivisions/technolo i s-s stems-and-innovation-division/
les-ulations-
itle-47 Applicant Signature: ,;Jt,-
Print Name Mia Ye Title: I Manager
*NOTE: This declaration Date:2021 /04/14 cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
, Applicant Declaration Rev:0.0