| Brand | Device Name | Model | Type | Certification Date |
|---|---|---|---|---|
| ICOM Incorporated | Bluetooth Dual Module | 387300 | FCC ID  |
2023-07-24 |
FCC Application Details
| Equipment | Bluetooth Dual Module |
| FRN | 0005855366 |
| Grantee Code | AFJ |
| Product Code | 387300 |
| Applicant Business | ICOM Incorporated |
| Business Address | 1-1-32 Kamiminami Hirano-ku, Osaka, N/A Japan 547-0003 |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| TCB Email | [email protected] |
| Applicant | Atsushi Tomiyama – General Manager |
| Applicant Phone | |
| Applicant Fax | +81667933336 |
| Applicant Email | [email protected] |
| Applicant MailStop | |
| Test Firm | UltraTech Engineering Labs Inc |
| Test Firm Contact | Tri Luu |
| Test Firm Phone | |
| Test Firm Fax | 905-829-8050 |
| Test Firm Email | [email protected] |
| Certified By | Santhosh Fernandez – Authorized Agent |
| ICOM Incorporated | Bluetooth Dual Module | 387300 | FCC ID |
2023-01-20 |
FCC Application Details
| Equipment | Bluetooth Dual Module |
| FRN | 0005855366 |
| Grantee Code | AFJ |
| Product Code | 387300 |
| Applicant Business | ICOM Incorporated |
| Business Address | 1-1-32 Kamiminami Hirano-ku, Osaka, N/A Japan 547-0003 |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| TCB Email | [email protected] |
| Applicant | Atsushi Tomiyama – General Manager |
| Applicant Phone | |
| Applicant Fax | +81667933336 |
| Applicant Email | [email protected] |
| Applicant MailStop | |
| Test Firm | UL Japan, Inc.(Ise) |
| Test Firm Contact | Takayuki Shimada |
| Test Firm Phone | |
| Test Firm Fax | 81-596-24-8124 |
| Test Firm Email | [email protected] |
| Certified By | Santhosh Fernandez – Authorized Agent |
Further Details May Be Available From: fcc.id/AFJ387300 or 
fcc.report/FCC-ID/AFJ387300
| Description | Exhibit Type | File Type | Display Type | File Size | Submission Date | Date Available |
|---|---|---|---|---|---|---|
 Document 6684227 Mirror: FCCID.io - 6684227 SAR Appendix 1 | RF Exposure Info | Adobe Acrobat PDF | 2.51 M | 2023-07-24 | 2023-07-24 | |
 Document 6684226 Mirror: FCCID.io - 6684226 SAR Appendix 2 | RF Exposure Info | Adobe Acrobat PDF | 941.31 K | 2023-07-24 | 2023-07-24 | |
 Document 6684225 Mirror: FCCID.io - 6684225 SAR Report | RF Exposure Info | Adobe Acrobat PDF | 940.25 K | 2023-07-24 | 2023-07-24 | |
 Document 6684224 Mirror: FCCID.io - 6684224 Cover letter | Cover Letter(s) | Adobe Acrobat PDF | 156.32 K | 2023-07-24 | 2023-07-24 | |
 Document 6684223 Mirror: FCCID.io - 6684223 SDoC for Unintentional | Attestation Statements | Adobe Acrobat PDF | 61.74 K | 2023-07-24 | 2023-07-24 | |
 Document 6684222 Mirror: FCCID.io - 6684222 Confidentiality request | Cover Letter(s) | Adobe Acrobat PDF | 25.15 K | 2023-07-24 | 2023-07-24 | |
 Document 6684221 Mirror: FCCID.io - 6684221 C2PC Letter | Attestation Statements | Adobe Acrobat PDF | 23.75 K | 2023-07-24 | 2023-07-24 | |
 Document 6684220 Mirror: FCCID.io - 6684220 Agent Authority letter | Attestation Statements | Adobe Acrobat PDF | 29.3 K | 2023-07-24 | 2023-07-24 | |
 Document 6684219 Mirror: FCCID.io - 6684219 US Agent declaration | Attestation Statements | Adobe Acrobat PDF | 89.31 K | 2023-07-24 | 2023-07-24 | |
 Document 6684218 Mirror: FCCID.io - 6684218 2.911-d-5-i-ii declarations | Attestation Statements | Adobe Acrobat PDF | 25.68 K | 2023-07-24 | 2023-07-24 | |
 Document 6684217 Mirror: FCCID.io - 6684217 Label and location | ID Label/Location Info | Adobe Acrobat PDF | 170.17 K | 2023-07-24 | 2023-07-24 | |
 Document 6684216 Mirror: FCCID.io - 6684216 External Photos | External Photos | Adobe Acrobat PDF | 392.67 K | 2023-07-24 | 2023-07-24 | |
 Document 6684215 Mirror: FCCID.io - 6684215 Internal photos | Internal Photos | Adobe Acrobat PDF | 501.5 K | 2023-07-24 | 2023-07-24 | |
 Document 6684214 Mirror: FCCID.io - 6684214 User manual | Users Manual | Adobe Acrobat PDF | 263.97 K | 2023-07-24 | 2023-07-24 | |
| Document 6684074 Mirror: FCCID.io - 6684074 SAR Appendix 1 | RF Exposure Info | Adobe Acrobat PDF | 2.51 M | 2023-07-24 | 2023-07-24 | |
| Document 6684073 Mirror: FCCID.io - 6684073 SAR Appendix 2 | RF Exposure Info | Adobe Acrobat PDF | 941.31 K | 2023-07-24 | 2023-07-24 | |
| Document 6684070 Mirror: FCCID.io - 6684070 SAR Report | RF Exposure Info | Adobe Acrobat PDF | 940.25 K | 2023-07-24 | 2023-07-24 | |
| Document 6684069 Mirror: FCCID.io - 6684069 Cover letter | Cover Letter(s) | Adobe Acrobat PDF | 156.32 K | 2023-07-24 | 2023-07-24 | |
| Document 6684068 Mirror: FCCID.io - 6684068 SDoC for Unintentional | Attestation Statements | Adobe Acrobat PDF | 61.74 K | 2023-07-24 | 2023-07-24 | |
| Document 6684067 Mirror: FCCID.io - 6684067 Confidentiality request | Cover Letter(s) | Adobe Acrobat PDF | 25.15 K | 2023-07-24 | 2023-07-24 | |
| Document 6684066 Mirror: FCCID.io - 6684066 C2PC Letter | Cover Letter(s) | Adobe Acrobat PDF | 23.75 K | 2023-07-24 | 2023-07-24 | |
| Document 6684065 Mirror: FCCID.io - 6684065 Agent Authority letter | Attestation Statements | Adobe Acrobat PDF | 29.3 K | 2023-07-24 | 2023-07-24 | |
| Document 6684064 Mirror: FCCID.io - 6684064 US Agent declaration | Attestation Statements | Adobe Acrobat PDF | 89.31 K | 2023-07-24 | 2023-07-24 | |
| Document 6684063 Mirror: FCCID.io - 6684063 2.911-d-5-i-ii declarations | Attestation Statements | Adobe Acrobat PDF | 25.68 K | 2023-07-24 | 2023-07-24 | |
| Document 6684062 Mirror: FCCID.io - 6684062 Label and location | ID Label/Location Info | Adobe Acrobat PDF | 170.17 K | 2023-07-24 | 2023-07-24 | |
| Document 6684061 Mirror: FCCID.io - 6684061 External Photos | External Photos | Adobe Acrobat PDF | 392.67 K | 2023-07-24 | 2023-07-24 | |
| Document 6684060 Mirror: FCCID.io - 6684060 Internal photos | Internal Photos | Adobe Acrobat PDF | 501.5 K | 2023-07-24 | 2023-07-24 | |
| Document 6684059 Mirror: FCCID.io - 6684059 User manual | Users Manual | Adobe Acrobat PDF | 263.97 K | 2023-07-24 | 2023-07-24 | |
 Document 6340649 Mirror: FCCID.io - 6340649 Sample host labeling info | ID Label/Location Info | Adobe Acrobat PDF | 71.2 K | 2023-01-20 | 2023-01-20 | |
 Document 6340648 Mirror: FCCID.io - 6340648 External photos | External Photos | Adobe Acrobat PDF | 198.26 K | 2023-01-20 | 2023-01-20 | |
 Document 6340647 Mirror: FCCID.io - 6340647 Justification about labelling | ID Label/Location Info | Adobe Acrobat PDF | 18.98 K | 2023-01-20 | 2023-01-20 | |
 Document 6340646 Mirror: FCCID.io - 6340646 Agent Authorization | Attestation Statements | Adobe Acrobat PDF | 28.92 K | 2023-01-20 | 2023-01-20 | |
 Document 6340645 Mirror: FCCID.io - 6340645 Change ID cover letter from Applicant | Cover Letter(s) | Adobe Acrobat PDF | 74.78 K | 2023-01-20 | 2023-01-20 | |
 Document 6340644 Mirror: FCCID.io - 6340644 Change in ID letter from original grant holder | Cover Letter(s) | Adobe Acrobat PDF | 18.61 K | 2023-01-20 | 2023-01-20 | |
| Document 6340522 Mirror: FCCID.io - 6340522 Sample host labeling info | ID Label/Location Info | Adobe Acrobat PDF | 71.2 K | 2023-01-20 | 2023-01-20 | |
| Document 6340521 Mirror: FCCID.io - 6340521 External photos | External Photos | Adobe Acrobat PDF | 198.26 K | 2023-01-20 | 2023-01-20 | |
| Document 6340520 Mirror: FCCID.io - 6340520 Justification about labelling | ID Label/Location Info | Adobe Acrobat PDF | 18.98 K | 2023-01-20 | 2023-01-20 | |
| Document 6340519 Mirror: FCCID.io - 6340519 Agent Authorization | Attestation Statements | Adobe Acrobat PDF | 28.92 K | 2023-01-20 | 2023-01-20 | |
| Document 6340518 Mirror: FCCID.io - 6340518 Change ID cover letter from Applicant | Cover Letter(s) | Adobe Acrobat PDF | 74.78 K | 2023-01-20 | 2023-01-20 | |
| Document 6340517 Mirror: FCCID.io - 6340517 Change in ID letter from original grant holder | Cover Letter(s) | Adobe Acrobat PDF | 18.61 K | 2023-01-20 | 2023-01-20 | |
SAR Report | RF Exposure Info | Adobe Acrobat PDF | 940.25 K | 2023-07-24 | 2023-07-24 | |
Cover letter | Cover Letter(s) | Adobe Acrobat PDF | 156.32 K | 2023-07-24 | 2023-07-24 | |
Confidentiality request | Cover Letter(s) | Adobe Acrobat PDF | 25.15 K | 2023-07-24 | 2023-07-24 | |
External Photos | External Photos | Adobe Acrobat PDF | 392.67 K | 2023-07-24 | 2023-07-24 | |
Schematics | Schematics | Adobe Acrobat PDF | 675.54 K | 2023-07-24 | ||
Internal photos | Internal Photos | Adobe Acrobat PDF | 501.5 K | 2023-07-24 | 2023-07-24 | |
Label and location | ID Label/Location Info | Adobe Acrobat PDF | 170.17 K | 2023-07-24 | 2023-07-24 | |
SAR Appendix 1 | RF Exposure Info | Adobe Acrobat PDF | 2.51 M | 2023-07-24 | 2023-07-24 | |
C2PC Letter | Cover Letter(s) | Adobe Acrobat PDF | 23.75 K | 2023-07-24 | 2023-07-24 | |
User manual | Users Manual | Adobe Acrobat PDF | 263.97 K | 2023-07-24 | 2023-07-24 | |
US Agent declaration | Attestation Statements | Adobe Acrobat PDF | 89.31 K | 2023-07-24 | 2023-07-24 | |
SDoC for Unintentional | Attestation Statements | Adobe Acrobat PDF | 61.74 K | 2023-07-24 | 2023-07-24 | |
SAR Appendix 2 | RF Exposure Info | Adobe Acrobat PDF | 941.31 K | 2023-07-24 | 2023-07-24 | |
2.911-d-5-i-ii declarations | Attestation Statements | Adobe Acrobat PDF | 25.68 K | 2023-07-24 | 2023-07-24 | |
Agent Authority letter | Attestation Statements | Adobe Acrobat PDF | 29.3 K | 2023-07-24 | 2023-07-24 | |
Agent Authorization | Attestation Statements | Adobe Acrobat PDF | 28.92 K | 2023-01-20 | 2023-01-20 | |
Change ID cover letter from Applicant | Cover Letter(s) | Adobe Acrobat PDF | 74.78 K | 2023-01-20 | 2023-01-20 | |
Change in ID letter from original grant holder | Cover Letter(s) | Adobe Acrobat PDF | 18.61 K | 2023-01-20 | 2023-01-20 | |
External photos | External Photos | Adobe Acrobat PDF | 198.26 K | 2023-01-20 | 2023-01-20 | |
Justification about labelling | ID Label/Location Info | Adobe Acrobat PDF | 18.98 K | 2023-01-20 | 2023-01-20 | |
Sample host labeling info | ID Label/Location Info | Adobe Acrobat PDF | 71.2 K | 2023-01-20 | 2023-01-20 |
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