
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
120623-17 rev 9 Certification Application Attestation Statements Date: August 28, 2024 American Certification Body, Inc. 313 Park Avenue Suite 300 Falls Church, VA 22046 To Whom It May Concern: Statement for 47 CFR section 2.911(d)(5)(i) ______Samsung Electronics Co., Ltd.______ certifies that as of the date of the application the equipment for which authorization is sought is not “covered” equipment 1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not “covered” equipment. Additional Explanation: <N/A> Statement for 47 CFR section 2.911(d)(5)(ii) ______Samsung Electronics Co., Ltd.______ (“the applicant”) certifies that, as of the date of the filing of this application, the applicant □ - is / ■ - is not identified on the Covered List (as a specifically named entity or any of its subsidiaries or affiliates – see KDB 986446 Question 5) as an entity producing “covered” equipment. Thank you, By: __________________________ _______Jenni Chunn _____ (Signature 2 ) (Print name) Title: _____General Manager _______ Company: __Samsung Electronics America, Inc._ Telephone: ___+1-973-808-6375______________ 1 - The Commission’s Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commission’s website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes “covered” equipment. https://www.fcc.gov/supplychain/coveredlist . 2 - Letters must be placed on appropriate letterhead.
092723-17 Rev 9 U.S. Agent Designation for Service of Process (Applicant is Both Grantee and U.S. Agent) TO: American Certification Body, Inc. 313 Park Avenue Suite 300 Falls Church, VA 22046 ATTENTION: FCC Certification – Section 2.911(d)(7) Information This letter is to confirm that the Applicant will also serve as the U.S. Agent for Service of Process as required by 47 CFR 2.911(d)(7). The Applicant 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 changes. Applicant Company name: Samsung Electronics America, Inc. FRN #: 0027908797 Grantee Code: A3L Contact Name: Jenni Chun Street Address: 19 Chapin Rd., Building D City/Province/Zip: Pine Brook/New Jersey/07058 Telephone No: +1-973-808-6361 Email: [email protected] Applicant Signature 2 : Date: 25/Aug/2024 Signed by (Printed Name/Title): Jenni Chun / General Manager 2 - Letters must be placed on appropriate letterhead. The signee for the applicant must be one of the following: Applicant (grantee) contact of record in the FCC’s authorization system, or authorized officers or employee of the applicant (grantee).
041521 – 14 Authority to Act as Agent Date: August 30, 2024 American Certification Body, Inc. 6731 Whittier Avenue Suite C110 McLean, VA 22101 To Whom It May Concern: _____BV CPS ADT Korea Ltd._____ is authorized to act on our behalf, until otherwise notified, for applications to American Certification Body, Inc. (ACB). We certify that we are not subject to 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. Further, no party, as defined in 47 CFR 1.2002 (b), to the application is subject to denial of federal benefits, that includes FCC benefits. We also declare that the information provided to the FCC is true and correct to the best of our knowledge (47 CFR 2.911(d)) and we have been informed of the grantee responsibilities (47 CFR 2.909) with regard to certified equipment. Thank you, Agency Agreement Expiration Date: _____12 Month By: _________ ____ ___________ Ms. Jenni Chun _____________ (Signature 1 ) (Print name) Title: _______General Manager_____ On behalf of: ___Samsung Electronics America, Inc.__ (Company Name) Telephone: ___+1-973-808-6375 _________________ 1 - Must be signed by applicant contact given for applicant on the FCC site, or by the authorized agent if an appropriate authorized agent letter has been provided. Letters should be placed on appropriate letterhead. 041521 – 14 Request for Confidentiality Date: August 30, 2024 Subject: Confidentiality Request for: ______A3LNP960QHA / 649E-NP960QHA Pursuant to FCC 47 CFR 0.457(d) and 0.459 and IC RSP-100, Section 12.4, the applicant requests that a part of the subject FCC application be held confidential. Type of Confidentiality Requested Exhibit ☐ Short Term ☒ Permanent Block Diagrams ☐ Short Term External Photos ☒ Short Term ☐ Permanent * 2 Internal Photos ☐ Short Term ☒ Permanent Operation Description/Theory of Operation ☐ Short Term ☒ Permanent Parts List & Placement/BOM ☐ Short Term ☒ Permanent Tune-Up Procedure ☐ Short Term ☒ Permanent Schematics ☐ Short Term Test Setup Photos ☒ Short Term ☐ Permanent * 3 User’s Manual Samsung Electronics Inc._has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Permanent Confidentiality: The applicant requests the exhibits listed above as permanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Short-Term Confidentiality: The applicant requests the exhibits selected above as short term confidential be withheld from public view for a period of ___(specify number of days not to exceed 180) 3 ___ days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to notify ACB in the event information regarding the product or the product is made available to the public before the requested period has expired. ACB will then release the documents listed above for public disclosure pursuant to FCC Public Notice DA 04-1705. NOTE for Industry Canada Applications: IC currently only distinguishes Permanent Confidentiality exhibits as shown above. Short Term confidentiality is not considered applicable to IC applications. Sincerely, J By: __________________________ ___ Jenni Chun________ (Signature/Title 4 ) (Print name) 2 - The asterisked items (*) require further information to be provided to ACB before permanent confidentiality will be extended to these exhibits. Please refer to FCC KDB 726920 and the specific Document link for D01 found at: https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=41731 and review section II, 3) regarding specific information that must accompany these requests. 3 - Please refer to https://acbcert.com/documents/misc-docs/Memo-Short-Term-Vs-Standard-Confidentiality.pdf for complete details. 4 - Must be signed by applicant contact given for applicant on the FCC site, or by the authorized agent if an appropriate authorized agent letter has been provided. Letters should be placed on appropriate letterhead.
Samsung Electronics Co., Ltd. To: Intel Corporation 100 Center Point Circle, Suite 200 Columbia,SC 29210 USA We, Samsung Electronics Co.,Ltd. issue this Declaration of applying for New Grants; The RF characters of NP964QHA is precisely the same as NP960QHA . The only difference is model name. Antenna design of these platforms have electrically and mechanically identical as below listed antenna part numbers. Platform name Antenna Type Antenna Manufacturer Antenna Part Number NP960QHAPIFA Galtronics Main: BA42-00789A Aux: BA42-00 790A NP964QHA PIFA Galtronics Your kind assistance in facilitating the approval of our applications for these devices is highly appreciated. Respectfully, Name: Kyungjae Kim Singature: Title: Engineer/EZΘϮ'ƌŽƵƉ;DyͿ Company full name: Samsung Electronics Co., Ltd. Tel: нΘϮͲϯϭͲϮϳεͲϮϮρκ E-mail: ŬƉĂƐƐŝŽŶ͘ŬŝŵΛƐĂŵƐƵŶŐ͘ĐŽŵ Main: BA42-00789A Aux: BA42-00 790A
P hotographs of EUT - NP960QHA/NP964QHA < Laptop Mode> Front Side of EUT Rear Side of EUT Top Side of EUT B ottom Side of EUT L eft Side of EUT R ight Side of EUT Inside of EUT <Tablet Mode> Front Side of EUT R ear Side of EUT To p Side of EUT B ottom Side of EUT L eft Side of EUT Right Side of EUT
FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 1 of 9 Report No. : SFACHI-WTW-P24070446 Issued Date : Aug. 26, 2024 FCC SAR Exclusion Report Report No. : SFACHI-WTW-P24070446 Applicant : Samsung Electronics Co., Ltd. Address : 129, Samsung-ro Yeongtong-gu, Suwon-si Gyeonggi-do 16677, Korea Product : Notebook Brand : SAMSUNG Model No. : NP960QHA Series Model No. : NP964QHA (refer to section 2 for more details) FCC ID : A3LNP960QHA FCC Rule Part : CFR §2.1093 Standards : IEEE Std 1528:2013 KDB 865664 D01 v01r04, KDB 865664 D02 v01r02, KDB 447498 D01_v06_2015.10.23_General RF Exposure Guidance Sample Received Date : Jul. 17, 2024 Date of Evaluation : Aug. 23, 2024 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 FCC Accredited No. : TW0003 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 : Vera Huang / Specialist Approved By : Gordon Lin / Manager 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 9 Report No. : SFACHI-WTW-P24070446 Issued Date : Aug. 26, 2024 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 SAR Testing Exclusions ............................................................................................................................................... 7 4. Information on the Testing Laboratories ............................................................................................................................. 9 FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 3 of 9 Report No. : SFACHI-WTW-P24070446 Issued Date : Aug. 26, 2024 Release Control Record Issue No. Reason for Change Date Issued SFACHI-WTW-P24070446 Initial release Aug. 26, 2024 FCC SAR Exclusion Report Report Format Version 6.0.0 Page No. : 4 of 9 Report No. : SFACHI-WTW-P24070446 Issued Date : Aug. 26, 2024 1. Summary of Maximum SAR Value Equipment Class Mode Highest Reported SAR 10g (W/kg) DCD Digitizer 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 9 Report No. : SFACHI-WTW-P24070446 Issued Date : Aug. 26, 2024 2. Description of Equipment Under Test EUT Type Notebook Brand Name SAMSUNG Model Name NP960QHA Series Model Name NP964QHA Model Difference Refer to Note FCC ID A3LNP960QHA Tx Frequency Bands 531.2-562.3kHz Maximum Tune-up Conducted Power (Unit: dBm) Please refer to section 3.1 of this report Antenna Type Coil Antenna EUT Stage Engineering Sample Note: 1. All models are listed as below. The model of NP960QHA was chosen for final test. Brand Model name Difference SAMSUNG NP960QHA For marketing purpose NP964QHA 2. S-PEN is a non-active pen. 3. The EMR (electronic-magnetic resonance) technology consis…
Text truncated - open the document above for the full version.
Reference No.: ACHI-WTW-P24070446_TSup Page No. 1 / 3 PHOTOGRAPHS OF THE TEST CONFIGURATION Conducted Emission Test Reference No.: ACHI-WTW-P24070446_TSup Page No. 2 / 3 Radiated Emission Test 30MHz~1GHz Reference No.: ACHI-WTW-P24070446_TSup Page No. 3 / 3 Radiated Emission Test Below 30MHz
No. 47-2, 14th Ling, Chia Pau Vil, Lin Kou Dist,., · New Taipei · Taiwan
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 0.5312 MHz - 0.5623 MHz | - |
Bluetooth Headset
Equipment Class
DTS - Digital Transmission SystemPortable Handset
Equipment Class
CXX - Communications Rcvr for use w/ licensed Tx and CBsPortable Handset
Equipment Class
6VL - 15E 6 GHZ Very Low Power DeviceBT,BLE Tablet DTS,UNII a,b,g,n,ac,ax,be and digitizer
Equipment Class
DTS - Digital Transmission SystemPortable Handset
Equipment Class
6CD - 15E 6 GHz Low Power Dual Client