RF_160, Issue 04 Declaration of Authorization We Name: Fanstel Corporation, Taipei Address: 40F-10, No. 79, Sec. 1, Hsin Tai Wu-Rd., Hsi-Chih, City: New Taipei City 221 Country: Taiwan Declare that:
Name Representative of agent: ......-.. o Agent Company name: International Standards Laboratory Corp. Address: No. 120, Lane 180, Hsin Ho Rd., Lung-Tan Dist., City: Tao Yuan City 325 Country Taiwan. is authorized to apply for Certification of the following product(s):
Product description: Bluetooth 5.1 Module Type designation: BM833F, BM833E, BM833 Trademark: Fanstel Validity/ expiry date on our behalf. Date: 2019/10/21 City: New Taipei City Name: Paudy Tung Function: Engineer Signature: pee m TI Wn Notes:
(1): Required for FCC application
(2): For FCC it must be the Grantee Code owner or the authorized agent.