2ASL3-FSG300SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY

PRODUCT INFORMATION AND SAFETY PRODUCT INFORMATION AND SAFETY PRODUCT SUPPORT Need extra help, please visit formswim.com/getstarted CLEANING • After each use and exposure to chlorine, salt water, sunscreen, and/or cosmetics, rinse the goggles with cold fresh water and allow to air dry in the included protective case, as chemicals left on the goggles may damage the materials and anti-fog coating. • DO NOT touch the inside of the goggle lens when it is dry or wipe it with a paper towel or cloth, as doing so may damage the anti-fog coating. FITTING The FORM Smart Swim Goggles are adult size. When properly adjusted, they should fit securely and comfortably with a watertight seal. The pre-installed Medium (M) nose bridge doesn’t fit all faces. If water leaks in, or if you feel tightness around your nose, try a different size nose bridge. If the nose bridge touches your nose, try one of the arched nose bridges. Note: the arched nose bridges are directional and may require reinstallation if the orientation of the goggles is changed. TIP: When you go for your first swim, take the nose bridge card in the case with you! The strap tension can be adjusted with the included buckle. Find a length that provides a snug fit without causing discomfort. WEARING The FORM Smart Swim goggles are designed to be worn like any other pair of swim goggles. To put them on: Place the goggles over your eyes. Pull the strap over your head and adjust if necessary. To take them off: Remove the strap from your head. Remove the goggles from your eyes. EYE SAFETY WARNING DO NOT pull any swim goggles away from your face without removing the strap first, as the goggles may spring back and cause eye damage. Use for surface swimming only. DO NOT use for recreational water sports or any other unintended use. DEVICE WARNINGS • DO NOT expose the goggles to detergents, solvents, chemical cleaners, or insect repellents. • DO NOT use cloth or paper to clean or dry the goggle lens, as this may cause damage. • DO NOT operate the goggles outside temperatures from 41°F to 113°F (5°C to 45°C). • DO NOT take the goggles into saunas, steam rooms, or hot tubs. • Exposure to these environments may cause permanent damage. • DO NOT store the goggles in direct sunlight or where prolonged exposure to extreme temperatures may occur. When not in use, store your goggles in the included protective case within temperatures from -4°F to 140°F (-20°C to 60°C). • The goggles will sink if dropped in water. • DO NOT use a charging cable that is not supplied or approved by FORM. • Connect the charging cable only to standard USB ports or adapters. • The charging cable is not waterproof. Make sure the goggles charging contacts and the surrounding area are completely dry before charging. HEALTH WARNINGS • Consult your physician before starting or modifying any exercise program. • If you experience unexpected pain or excessive fatigue when exercising, it is recommended that you stop the exercise. • The FORM Smart Swim goggles, accessories, and related data are intended to be used only for recreational purposes and not for medical purposes, and are not intended to diagnose, monitor, treat, cure, or prevent any disease or condition. • Heart rate measurements and data are for reference only, and no responsibility is accepted for the interpretation or consequences of any erroneous readings. • The FORM Smart Swim goggles rely on sensors that track your movement and other metrics. 4 2 1 4 3 2 1 EN 3 The data and information provided is intended to be a close estimation of your activity and metrics tracked, but may not be completely accurate. • If you experience any allergic reactions while using this product, discontinue use immediately and consult a physician. BATTERY WARNINGS This device contains a lithium-ion battery. Any unintended use or intentional disassembly may result in a risk of damage to the device, and/or injury to the user. • DO NOT attempt to remove, service or replace the non-user-replaceable battery. • DO NOT attempt to disassemble, modify, or damage the device or battery. • DO NOT expose the device or battery to fire, explosion, or other hazard. CHOKING HAZARD WARNING This product contains small parts that can be a choking hazard. This product is not suitable for children under 3 years old. REGULATORY NOTICES For all regulatory information, please visit formswim.com/regulatory To access product compliance information on your FORM Smart Swim goggles, go to: Settings > About > Regulatory This product complies with goggles and eyewear safety standards: • BS 5883:1996 Surface swimming goggles • EC 89/686/EEC directive for category 1 personal protective equipment (PPE) • ANSI Z80.3:2015 UVA/UVB 100% blocking • EN ISO 12312-1:2013(A1:2015) UVA/UVB 100% blocking • AS/NZS 1067.1:2016 UVA/UVB 100% blocking CALIFORNIA NOTICE WARNING: This product can expose you to chemicals including methylene chloride and antimony trioxide, whichare known to the State of California to cause cancer, and bisphenol A (BPA) and methanol which is known to the State of California to cause birth defects or other reproductive harm. For more information go to www.P65Warnings.ca.gov ENVIRONMENTAL POLICY AND PRODUCT RECYCLING FORM is committed to: • Protecting the environment and preventing pollution within our products’ lifecycle through responsible manufacturing and product design. • Compliance obligations with all applicable environmental legislation. • Registration with electronic equipment e-waste and packaging materials recycling programs. Electronic waste is hazardous to the environment and human health. If you have any electronic equipment at the end of its life, do not dispose of it in household waste. Please consult your local municipalities website for electronic equipment e-waste recycling programs. Separate collection and recycling of end of life electronic equipment and packaging materials helps reduce the environmental and human health impacts, and contributes to the co…

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REGULATORY NOTICES MANUFACTURER CompanyNameFORMAthleticaInc. CompanyAddress1090HomerStreet,Suite200, Vancouver,BCV6B2W9,CANADA BrandNameFORM Websitewww.formswim.com ModelNumberFSG3/FCH1 ProductNameSMARTSWIMMINGTRACKERW/BLUETOOTHCONNECTIVITY ProductTypeSurfaceswimminggoggles SuppliedAccessoriesUSBchargingcable,storagecase CountryoforiginMadeinTaiwan CONTENTS EU1 UK4 USA6 CANADA8 MEXICO9 JAPAN9 AUSTRALIAANDNEWZEALAND10 TAIWAN10 SOUTHKOREA11 SINGAPORE12 UN38.3TESTSUMMARY12 1 EU EUDECLARATIONOFCONFORMITY Thisdeclarationofconformityisissuedunderthesoleresponsibilityofthemanufacturer: CompanyNameFORMAthleticaInc. CompanyAddress1090HomerStreet,Suite200, Vancouver,BCV6B2W9,CANADA ModelNumberFSG3 ProductTypeSurfaceswimminggoggles SuppliedAccessoriesUSBchargingcable,storagecase TheModelNumberofthedeclarationdescribedaboveisinconformitywiththerelevant EuropeanUniondirectivesandharmonisationlegislation: Directive/HarmonisedstandardNotifiedBody 2014/53/EURadioEquipment ● Article3.1a-Safety ○ EN62368-1:2014/AC:2015 ● Article3.1b-EMC ○ EN301489-1V2.1.1 ○ EN301489-17V3.1.1 ● Article3.2-RFSpectrumEfficiency ○ EN300328V2.1.1 ● Theequipmenthasbeenconstructedtooperateinradiofrequenciesbetween 2.400-2.4835GHz,withapowerratingbelow20mW.Thisiswithintheradio equipmentessentialrequirementsofEN300328,whichisapplicabletoallEU memberstates. BureauVeritas 2011/65/EURecastdirective(RoHS) 2015/863/EUAmendingdirective(RoHS) BureauVeritas 1907/2006/ECREACHregulation BureauVeritas 2 IEC62133-2:2017Lithiumionbattery Dekra Signedforandonbehalfof,FORMAthleticaInc.: NameDanEisenhardt TitleCEO Signature PlaceanddateofissueVancouver,Canada-September4,2023 EUAuthorisedRepresentative ARExperts P.O.Box5047 3620AABreukelen TheNetherlands 3 EU WEEEDisposalInformation TheWEEEsymbolshownaboveindicatesthisproductand/oritsbatteryshallbedisposed ofseparatelyfromhouseholdwasteaccordingtolocallawsandregulations.Whenthis productreachesitsendoflife,takeittoacollectionpointdesignatedbylocalauthorities forsafedisposalorrecycling.Theseparatecollectionandrecyclingofyourproductand/or itsbatterywillhelpconservenaturalresources,protecthumanhealth,andpreservethe environment. 4 UK UKDECLARATIONOFCONFORMITY Thisdeclarationofconformityisissuedunderthesoleresponsibilityofthemanufacturer: CompanyNameFORMAthleticaInc. CompanyAddress1090HomerStreet,Suite200, Vancouver,BCV6B2W9,CANADA ModelNumberFSG3 ProductTypeSurfaceswimminggoggles SuppliedAccessoriesUSBchargingcable,storagecase TheModelNumberofthedeclarationdescribedaboveisinconformitywiththerelevant UKlegislation: UKlegislationNotifiedBody RadioEquipmentRegulations2017 ● Article3.1a-Safety ○ EN62368-1:2014/AC:2015 ● Article3.1b-EMC ○ EN301489-1V2.1.1 ○ EN301489-17V3.1.1 ● Article3.2-RFSpectrumEfficiency ○ EN300328V2.1.1 ● Theequipmenthasbeenconstructedtooperateinradiofrequencies between2.400-2.4835GHz,withapowerratingbelow20mW.Thisis withintheradioequipmentessentialrequirementsofEN300328. BureauVeritas TheRestrictionoftheUseofCertainHazardousSubstancesinElectricaland ElectronicEquipmentRegulations2012 BureauVeritas EN62133-2:2017Lithiumionbattery Dekra 5 Signedforandonbehalfof,FORMAthleticaInc.: NameDanEisenhardt TitleCEO Signature PlaceanddateofissueVancouver,Canada-September4,2023 UKResponsiblePerson UKCAExpertsLtd. Dept302,43OwstonRoad Carcroft,Doncaster,DN68DA UnitedKingdom 6 USA FCCID:2ASL3-FSG300 ThisdevicecomplieswithPart15oftheFCCRules. Operationissubjecttothefollowingtwoconditions: 1.Thisdevicemaynotcauseharmfulinterferenceand 2.Thisdevicemustacceptanyinterference,includinginterferencethatmaycause undesiredoperationofthedevice. FCCWarning Changesormodificationsnotexpresslyapprovedbythepartyresponsibleforcompliance couldvoidtheuser’sauthoritytooperatetheequipment. Note:ThisequipmenthasbeentestedandfoundtocomplywiththelimitsforaClassB digitaldevice,pursuanttopart15oftheFCCRules.Theselimitsaredesignedtoprovide reasonableprotectionagainstharmfulinterferenceinaresidentialinstallation.This equipmentgenerates,usesandcanradiateradiofrequencyenergyand,ifnotinstalledand usedinaccordancewiththeinstructions,maycauseharmfulinterferencetoradio communications.However,thereisnoguaranteethatinterferencewillnotoccurina particularinstallation.Ifthisequipmentdoescauseharmfulinterferencetoradioor televisionreception,whichcanbedeterminedbyturningtheequipmentoffandon,the userisencouragedtotrytocorrecttheinterferencebyoneormoreofthefollowing measures: ● Reorientorrelocatethereceivingantenna. ● Increasetheseparationbetweentheequipmentandreceiver. ● Connecttheequipmentintoanoutletonacircuitdifferentfromthattowhichthe receiverisconnected. ● Consultthedealeroranexperiencedradio/TVtechnicianforhelp. ThisdevicemeetstheFCCandICrequirementsforRFexposureinpublicoruncontrolled environments. 7 RadiationExposureStatement TheproductcomplywiththeFCCportableRFexposurelimitsetforthforanuncontrolled environmentandaresafeforintendedoperationasdescribedinthismanual.Thefurther RFexposurereductioncanbeachievediftheproductcanbekeptasfaraspossiblefrom theuserbodyorsetthedevicetoloweroutputpowerifsuchfunctionisavailable. CaliforniaProposition65 WARNING:Thisproductcanexposeyoutochemicalsincludingmethylenechlorideand antimonytrioxide,whichareknowntotheStateofCaliforniatocausecancer,and bisphenolA(BPA)andmethanol,whichisknowntotheStateofCaliforniatocausebirth defectsorotherreproductiveharm.Formoreinformationgotowww.P65Warnings.ca.gov CANADA IC:24807-FSG300 IndustryCanadaNotifications ThisdevicecomplieswithIndustryCanada’slicense-exemptRSSs.Operationissubjectto thefollowingtwoconditions: (1)Thisdevicemaynotcauseinterference;and (2)Thisdevicemustacceptanyinterference,includinginterferencethatmaycause undesiredoperationofthedevice. LeprésentappareilestconformeauxCNRd’IndustrieCanadaapplicablesauxappareils radioexemptsdelicence.L’exploitationestautoriséeauxdeuxconditionssuivantes: (1)l’appareilnedoitpasproduiredebrouillage; (2)l’utilisateurdel’appareildoitacceptertoutbrouillageradioélectriquesubi,mêmesile brouillageestsusceptibled’encompromettrele…

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Date: 2023-08-04 FCC ID: 2ASL3-FSG300 FCC E-Label Information: 1. According to FCC rule part 2.925 (d) justification of using the alternative method of e-labeling for the product The location was chosen to be in the device display due to limited space available for placement of the label. The device is very small in physical size and has many contoured surfaces. The front side of the electronics enclosure is the side that the end user sees during normal operation. Form Athletica Inc. wants to reserve the front side for brand information and does not want label information on this side. For these reasons, electronic display of the FCC ID using the integrated display is the only logical choice. 2. According to KDB 784748 D02 e labeling v02 section 4, for devices with an integrated electronic display, or those devices that only operate in conjunction with another associated product that has an electronic display, below info has been stated in e-label and/or user manual. A. User Steps to Access Information Starting from Main menu: Step 1 – press the rear button to navigate to the “Settings” menu Step 2 – once in settings, use the rear button to navigate to “About” Step 3 – Finally, use the rear button to navigate to “Regulatory”, where applicable regulatory information is displayed B. Products must not require special accessories or supplemental plug-ins (e.g., the installation of a SIM/USIM card) to access the information. No special accessories or supplemental plug-ins are required to access the regulatory information Instructions will be provided with the product at the time of purchase in the Product Information and Safety Leaflet End user instructions to access product website to obtain the regulatory information is provided at the time of purchase in the Product Information and Safety Leaflet (https://formswim.com/regulatory) Readability of Regulatory Information Information on E-label In Manual FCC ID number X X FCC logo X 15.19 statement (“This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”) X Class A / B Digital Device user manual statements X Caution to the user that changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment X Below screens which are displayed electronically are clearly legible with no need of magnification: It is not possible to fit “FCC ID: 2ASL3-FSG300” on one line due to the low display resolution of our device. C. Regulatory Information must be Secure The regulatory information is secured and implemented in a factory-set-unalterable format. The regulatory information will be capable of being retrieved and displayed locally and accessed by the end user. There is no way for the end user to modify the regulatory information. D. Physical and Temporary label for Purchasing and Importation Although the e-label has been used, the label on the packaging at the time of importation, marketing, and sales will be as shown below: E. Additional Considerations(Modular transmitters) Device is not a modular device. ----------------------------------- David Degraaf FORM Athletica Inc. Tel: 6048172762 FAX: 6048172762 E-mail: [email protected]

Date: 2023-08-04 FCC ID: 2ASL3-FSG300 To the attention of Federal Communications Commission Authorization and Evaluation Division Attestation Statements Attestation Statements Part 2.911(d)(5)(i) Filing FORM Athletica Inc. certifies that the equipment for which authorization is sought is not “covered” equipment prohibited from receivingan equipment authorization pursuant to section 2.903 of the FCC rules. Attestation Statements Part 2.911(d)(5)(ii) Filing FORM Athletica Inc. certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing “covered” equipment. Sincerely yours, ----------------------------------------------- David Degraaf FORM Athletica Inc. Tel: 6048172762 FAX: 6048172762 E-mail: [email protected]

Certification designating a U.S. Agent for service of process: As required by section 2.911(d)(7), the applicant must designate a contact located in the United States for purposes of acting as the applicant’s agent for service of process, regardless of whether the applicant is a domestic or foreign entity. An applicant located in the United States may designate itself as the agent for service of process. In either scenario, the designation of the U.S. agent for service of process should be provided as an attachment to the equipment authorization application. The applicant must provide a written certification, which must: i. Be signed by both the applicant and designated agent for service of process, if the agent is different from the applicant. ii. Acknowledge the applicant’s consent and the designated agent’s obligation to accept service of process. iii. Provide a physical U.S. address and email for the designated agent. iv. Acknowledge the applicant’s acceptance to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Unofficial information provided by FCC personnel on February 14, 2023, via the monthly call with the TCB Council: The Agent for Process of Service: • cannot be a TCB or affiliated with a TCB (e.g. could not be a person who works for a TCB or a company that owns or is owned by the TCB) • cannot be a [FCC recognised] Lab or affiliated with a test lab (e.g. could not be a person who works for a Lab or a company that owns or is owned by the Lab) • Agent can be Individual Entity or a Company Entity • Agent Entity must be located in US, US address/phone • Entity acting as Agent must have FRN (best practice, put FRN on Agent Letter) • Agent letter does not have to be FCC ID specific, can be general Agent for Grantee For devices being marketed or for which marketing has ceased for less than 1 year, if the Agent for Process of Service changes, then for every TC Number the TCB must request the FCC to put application into Audit Mode and Agent Letter needs to be updated (superseded). NOTE: The U.S. Agent for Service of Process should not be confused with the authorized agent used for signing the 731 form, other cover letters within the application, and/or the agent who may interface with the TCB. U.S. Agent Designation for Service of Process ATTENTION: Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA REGARDING: FCC Certification – Section 2.911(d)(7) Information Designated U.S. Agent Company Name: Approve-IT, Inc. Contact Name: Nathan Grinager Street Address: 8011 34 th Ave South, Suite 342 City/Province/Zip: Bloomington, MN 55425 Telephone No: 651-247-1678 Email: [email protected] FRN #: 0027533835 This letter is to confirm that we (“t he 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. U.S. Agent Signature: Date: September 12, 2023 Signed by (Printed Name/Title): Nathan Grinager / Co-President *This letter is valid indefinitely for all applications submitted within the period of 09/0 6/2023 – 09/06/2024. The Applicant confirms its explicit consent and 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: Form Athletica Grantee FRN: 0028285013 FCC ID: 2ASL3-FSG300 Contact Name: David Degraaf Street Address: 1090 Homer Street Suite 200 City/Province/Zip: Vancouver British Columbia, Canada Telephone No: 6048172762 Email: [email protected] Applicant Signature: Date: 9/6/2023 Signed by (Printed Name/Title): David Degraaf / Hardware Manager

Date: 2023-08-04 FCC ID: 2ASL3-FSG300 To the attention of Federal Communications Commission Authorization and Evaluation Division Permanent Confidentiality Request Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules, the Applicant hereby requests confidential treatment of information accompanying this Application as outlined below: Schematics Block Diagram Operational Description The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. The Applicant understands that pursuant to Rule 0.457, disclosure of this Application and all accompanying documentation will not be made before the date of the Grant for this application. Sincerely yours, ----------------------------------- David Degraaf FORM Athletica Inc. Tel: 6048172762 FAX: 6048172762 E-mail: [email protected]

Date: 2023-08-01 FCC ID: 2ASL3-FSG300 To the attention of Federal Communications Commission Authorization and Evaluation Division Confidentiality Request Pursuant to Sections 0.457 and 0.459 of the commission’s rules, we request short-term confidential treatment for the following information until 180 days after the Grant Date of Equipment Authorization in order to ensure sensitive business information remains confidential until the actual marketing of the device: External photos Test Setup photos User’s manual Internal Photos Sincerely yours, ----------------------------------- David Degraaf FORM Athletica Inc. Tel: 6048172762 FAX: 6048172762 E-mail: [email protected]

Date: 2023-08-04 FCC ID: 2ASL3-FSG300 A U T H O R I Z A T I O N L E T T E R To Whom It May Concern: FORM Athletica Inc. hereby authorizes Emerald Chen / Specialist of Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch (“BV CPS Taoyuan”), to act on its behalf in all matters relating to the Federal Communication Commission (“FCC”) application for equipment authorization in connection with the FCC ID listed above, including signing of all documents relating to these matters. Any and all acts carried out by Emerald Chen / Specialist of BV CPS Taoyuan on FORM Athletica Inc.’s behalf, within the scope of the powers granted herein, shall have the same effect as acts of its own. If you have any questions regarding the authorization, please don’t hesitate to contact us. Sincerely yours, ----------------------------------------------- David Degraaf FORM Athletica Inc. Tel: 6048172762 FAX: 6048172762 E-mail: [email protected]

Reference No.: BHZP-WTW-P22120944_EXT Page 1 of 5 CONSTRUCTION PHOTOS OF EUT Reference No.: BHZP-WTW-P22120944_EXT Page 2 of 5 Reference No.: BHZP-WTW-P22120944_EXT Page 3 of 5 Reference No.: BHZP-WTW-P22120944_EXT Page 4 of 5 Reference No.: BHZP-WTW-P22120944_EXT Page 5 of 5

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Reference No.: BHZP-WTW-P22120944_INT Page 1 of 5 CONSTRUCTION PHOTOS OF EUT Reference No.: BHZP-WTW-P22120944_INT Page 2 of 5 Reference No.: BHZP-WTW-P22120944_INT Page 3 of 5 Antenna Reference No.: BHZP-WTW-P22120944_INT Page 4 of 5 Reference No.: BHZP-WTW-P22120944_INT Page 5 of 5

FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 1 of 8 Report No. : SFBHZP-WTW-P22120944 Issued Date : Sep. 13, 2023 FCC SAR Exclusion Report Report No. : SFBHZP-WTW-P22120944 Applicant : FORM Athletica Inc. Address : 1090 Homer Street, Suite 200, Vancouver, BC V6B2W9, CANADA Product : SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY Brand : FORM FCC ID : 2ASL3-FSG300 Model No. : FSG3 Standards : FCC 47 CFR Part 2 (2.1093), IEEE C95.1:1992, IEEE Std 1528:2013 KDB 865664 D01 v01r04, KDB 865664 D02 v01r02, KDB 447498 D01 v06 Sample Received Date : Dec. 29, 2022 Date of Evaluation : Jan. 16, 2023 Lab Address : No. 47-2, 14th Ling, Chia Pau Vil., Lin Kou Dist., New Taipei City, Taiwan Test Location : No. 19, Hwa Ya 2nd Rd., Wen Hwa Vil., Kwei Shan Dist., Taoyuan City, Taiwan CERTIFICATION: The above equipment have been tested by Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch – Lin Kou Laboratories, and found compliance with the requirement of the above standards. The test record, data evaluation & Equipment Under Test (EUT) configurations represented herein are true and accurate accounts of the measurements of the sample’s SAR characteristics under the conditions specified in this report. It should not be reproduced except in full, without the written approval of our laboratory. The client should not use it to claim product certification, approval, or endorsement by TAF or any government agencies. Prepared By : Lena Wang / Specialist Approved By : Gordon Lin / Manager FCC Accredited No.: TW0003 This report is governed by, and incorporates by reference, the Conditions of Testing as posted at the date of issuance of this report at http://www.bureauveritas.com/home/about-us/our-business/cps/about-us/terms-conditions/ and is intended for your exclusive use. Any copying or replication of this report to or for any other person or entity, or use of our name or trademark, is permitted only with our prior written permission. This report sets forth our findings solely with respect to the test samples identified herein. The results set forth in this report are not indicative or representative of the quality or characteristics of the lot from which a test sample was taken or any similar or identical product unless specifically and expressly noted. Our report includes all of the tests requested by you and the results thereof based upon the information that you provided to us. Measurement uncertainty is only provided upon request for accredited tests. Statements of conformity are based on simple acceptance criteria without taking measurement uncertainty into account, unless otherwise requested in writing. You have 60 days from date of issuance of this report to notify us of any material error or omission caused by our negligence or if you require measurement uncertainty; provided, however, that such notice shall be in writing and shall specifically address the issue you wish to raise. A failure to raise such issue within the prescribed time shall constitute your unqualified acceptance of the completeness of this report, the tests conducted and the correctness of the report contents. FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 2 of 8 Report No. : SFBHZP-WTW-P22120944 Issued Date : Sep. 13, 2023 Table of Contents Release Control Record ............................................................................................................................................................... 3 1. Summary of Maximum SAR Value ....................................................................................................................................... 4 2. Description of Equipment Under Test ................................................................................................................................. 5 3. SAR Measurement Evaluation .............................................................................................................................................. 6 3.1 Maximum Output Power ............................................................................................................................................... 6 3.2 Time-Avg. Power calculation. ....................................................................................................................................... 6 3.3 SAR Testing Exclusions ............................................................................................................................................... 7 4. Information on the Testing Laboratories ............................................................................................................................. 8 FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 3 of 8 Report No. : SFBHZP-WTW-P22120944 Issued Date : Sep. 13, 2023 Release Control Record Issue No. Reason for Change Date Issued SFBHZP-WTW-P22120944 Initial release Sep. 13, 2023 FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 4 of 8 Report No. : SFBHZP-WTW-P22120944 Issued Date : Sep. 13, 2023 1. Summary of Maximum SAR Value Equipment Class Mode Highest Reported SAR 1g (W/kg) DTS Bluetooth Not Required Note: 1. The SAR limit (Head & Body: SAR 1g 1.6 W/kg) for general population / uncontrolled exposure is specified in FCC 47 CFR part 2 (2.1093) and ANSI/IEEE C95.1-1992. FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 5 of 8 Report No. : SFBHZP-WTW-P22120944 Issued Date : Sep. 13, 2023 2. Description of Equipment Under Test EUT Type SMART SWIMMING TRACKER W/ BLUETOOTH CONNECTIVITY Brand Name FORM FCC ID 2ASL3-FSG300 Model Name FSG3 Tx Frequency Bands (Unit: MHz) 2402 ~ 2480 Uplink Modulations GFSK Maximum Tune-up Conducted Power (Unit: dBm) Please refer to section 3.1 of this report Antenna Type Ceramic SMT Antenna (Peak Antenna Gain : 2.7 dBi) EUT Stage Engineering Sample Note: 1. The above EUT information is declared by manufacturer and for more detailed features description please…

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FSG3 Antenna Specifications ManufacturerMolex Manufacturer Address2222 Wellington Court Lisle, IL 60532 USA Part Number2119640001 TypeCeramic SMT Frequency Range2.4 - 2.5GHz Peak Gain (Max)2.7dBi Average Total Efficiency> 80% Return Loss< -6dB

APPLICATION SPECIFICATION REVISION: ECR/ECN INFORMATION: TITLE: 2.4GHz/5GHz Ceramic SMT antenna Application Specification SHEET No. B EC No: 1 of 27 DATE: DOCUMENT NUMBER: CREATED / REVISED BY: CHECKED BY: APPROVED BY: 2119640001 Liu Hai 2023/10/16 C…

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