Ses North America Inc. Annlicant Declaration 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States NINGBO HAISHU TIANXIANG WINCH i ee ae Address No.3, Lingfeng Road, Meilianggiao Village, Hengjie Town, Haishu, Ningbo,China Grantee Code 2A5AU :
Authorized Contact Name Alex Cui Contact Email Pee See eee RNAOS FAA NONXALSOO NOM Gh FOP INE Te l MVOVUFS FT OOVIFIOO
|, the undersigned, certify that | am an authorized signatory for the Applicant and therefore declare;
a} in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b) in accepting a Grant of Equipment Authorization issued by a TCB, under the authorily of the FCC, as a result of the representations made in this application, the Applicant is responsible for:
(1) labeling the equipment with the exact FCC ID as specified in this application,
(2) compliance statement labeling pursuant to the applicable rules. 42) pnmnfianca nf thea anitinmant usth the annliizahla tacrknizal riilac ae ee eee ee See ee eens Yee me
) _ 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 eouinment will continue to comnly with the ECC's technical requirements. SPI LATO ON Se AE BT NN ee a RT ATES REBT LO eS Se at ee Ne, Se TE Se Bee ten es SE EAM, OTR OAS Bs SSE IVER STIS SEO aS AN EDA Ee Set an ep EST d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and acree to abide by their responsibilities as specified under 47 CFR 2.9098 and KDB394321. e) in accordance with |SO17065, 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 understands, accepts and agrees that a sample may be requested for surveillance testing.
(2) the Applicant shall make provisions to always | have a production sample available upon request by SGS, FCC and/or SED.
{3) the Applicant shai, upon request DY oe, alle APplicdlt's Expense, Provide d ProgUcuon SalNple OF Ie PEQuUeSted PrOoguct lO oe, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862 because of a conviction for possession or distribution of a controlled substance. Sc-e aaa a el ee ei de ei a ON I RR SIO Level (U7 TOP WIS GOH Uh a pal Is Ee ee g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https:/Awww.foc.goviwireless/bureau-divisions/technologies-systenis-and-innovation-division/rules-regulations-title-47 link tn WD Re: hftnc Hanne frre anuinoirefiiiahiindey cfm ee Se ae fa Link to RSP-100: hitps:/Avww.ic.qc.ca/eic/site/smt-ast.nsffeng/sf01130.html eet fe te ~~
Alex (ul
| Date:2022-03-08 Pa]
2 SEIN GL INIA ASL iL a. Te ee . NOTE: This declaration cannot be signed by an Agent, it shall be signed by ait re. fce son. sted in the FCC database Applicant Declaration Rev:0.0