B3QT77H505IEEE802.11b/g/n Wi-Fi module

BROTHER INDUSTRIES, LTD. 15-1, Naeshiro-cho,Mizuho-ku,Nagoya, Aichi,Japan. Date: 2014/3/18 GENERAL DECLARATION We, BROTHER INDUSTRIES, LTD. declare that the device does not support channel 12 ~ 13 in 2.4GHz band and any non-US channels in all the operational mode(s) for the following product. FCC ID: B3QT77H505 If you have any questions regarding the authorization, please don’t hesitate to contact us. Thank you! Signature: Takashi Fujiwara Team Manager BROTHER INDUSTRIES, LTD. TEL: +81-52-824-2348 FAX: +81-52-824-2734 E-mail: [email protected]

FCC ID: B3QT77H505 Report No.: RF140311E07 Modular Approval Request Letter Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch April 24, 2014 Dear Application Examiner, BROTHER INDUSTRIES, LTD., IEEE802.11b/g/n Wi-Fi module, FCC ID: B3QT77H505, would like to have your authorization as a modular approval specific to the mobile RF exposure condition. The requirements of Public Notice DA00-1407 have been met and shown on the following statements. 1. “The modular transmitter must have its own RF shielding.” The radio portion of this module has been shielded, please see exhibition External Photo. 2. “The modular transmitter must have buffered modulation/data inputs.” The EUT has buffered data inputs, it is integrated in chip BCM43143KMLG. 3. “The modular transmitter must have its own power supply regulation.” The part number of this regulator is BCM43143KMLG. 4. “The modular transmitter must comply with the antenna requirements of section 15.203 and 15.204(C).” The EUT meets the FCC antenna requirements. The spurious emission, unique antenna connector and photo of antennas are shown in the test report. 5. “The modular transmitter must be tested in a stand-alone configuration” The EUT was tested in a stand-alone configuration via a USB extender. Please see section Photographs of Test Configuration in the test report, the EUT was plugged in this extender. 6. “The modular transmitter must be labeled with its own FCC ID number.” Please see exhibition Label Sample for the FCC ID of this module. And also in the exhibition Users Manual, there are instructions give to the OEM on how to label the end product. 7. “The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacturer must provide adequate instructions along with the module to explain any such requirements.” The EUT is compliant with all applicable FCC rules. Detail instructions for maintaining compliance are given in the Users Manual. 8. “The modular transmitter must comply with any applicable RF exposure requirements.” The EUT is compliant with all applicable RF exposure requirements. RF Exposure is addressed in the RF exposure exhibition. Please contact me if you have any further questions. Thanks for your attention. Best Regards, Hank Chung Assistant Manager Bureau Veritas Consumer Products Services (H.K.) Ltd., Hsinchu Branch

Report No.: 140311E07 Page 1 CONSTRUCTION PHOTOS OF EUT

(Fig. 1) FCC ID: B3QT77H505 FCC LABEL LOCATION The label will be permanently affixed at a conspicuous location on the device. Label XXXXXXX.XXXXX.00XXX.005Taim Sunny 2013.06.201N/AN/A First Release Taim Brother Model: T77H505 FCC ID: B3QT77H505 IC: 1112C-T77H505 Back of PCB XXXXXXXXXXXXXX XXX-XXXXXX 2.4DS4/OF4 R XXXXXXXXXX MSIP-CRM-bik-T77H505

Report No.: 140311E07 Page 2

FCC ID: B3QT77H505 Report No.: RF140311E07 Operational Description This device is a IEEE802.11b/g/n Wi-Fi module, which operates in 2.4GHz band only; the maximum data rate could be up to 150Mbps which OFDM technique. If the signal to noise radio is too poor which could not support 150Mbps, the 11Mbps data rate with DSSS technique will be applied. The transmitter of the EUT is powered by DC 3.3V from host equipment. The antenna is PCB antenna without antenna connectors. The other instruction, please have a look at the users manual.

Report No.: SA140311E07 1 of 6 Report Format Version 5.0.0 RF EXPOSURE REPORT REPORT NO.: SA140311E07 MODEL NO.: T77H505 FCC ID: B3QT77H505 RECEIVED: Mar. 11, 2014 TESTED: Apr. 02, 2014 ISSUED: Apr. 21, 2014 APPLICANT: BROTHER INDUSTRIES, LTD. ADDRESS: 15-1, Naeshiro-cho,Mizuho-ku,Nagoya, Aichi,Japan. ISSUED BY: Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch Hsin Chu Laboratory LAB ADDRESS: No. 81-1, Lu Liao Keng, 9th Ling,Wu Lung Tsuen, Chiung Lin Hsiang, Hsin Chu Hsien 307, Taiwan, R.O.C. This report should not be used by the client to claim product certification, approval, or endorsement by any government agencies. This report is 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. You have 60 days from date of issuance of this report to notify us of any material error or omission caused by our negligence, 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. Unless specific mention, the uncertainty of measurement has been explicitly taken into account to declare the compliance or non-compliance to the specification Report No.: SA140311E07 2 of 6 Report Format Version 5.0.0 TABLE OF CONTENTS RELEASE CONTROL RECORD ..................................................................................... 3 1. CERTIFICATION ...................................................................................................... 4 2. RF EXPOSURE LIMIT ............................................................................................. 5 3. MPE CALCULATION FORMULA ............................................................................. 5 4. CLASSIFICATION .................................................................................................... 5 5. ANTENNA GAIN ...................................................................................................... 5 6. CALCULATION RESULT OF MAXIMUM CONDUCTED POWER .......................... 6 Report No.: SA140311E07 3 of 6 Report Format Version 5.0.0 RELEASE CONTROL RECORD ISSUE NO. REASON FOR CHANGE DATE ISSUED SA140311E07 Original release Apr. 21, 2014 Report No.: SA140311E07 4 of 6 Report Format Version 5.0.0 1. CERTIFICATION PRODUCT: IEEE802.11b/g/n Wi-Fi module BRAND NAME: Brother MODEL NO.: T77H505 TEST SAMPLE: ENGINEERING SAMPLE APPLICANT: BROTHER INDUSTRIES, LTD. TESTED DATE: Apr. 02, 2014 STANDARDS: FCC Part 2 (Section 2.1091) FCC OET Bulletin 65, Supplement C (01-01) IEEE C95.1 The above equipment (Model: T77H505) has been tested by Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch, 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 EMC characteristics under the conditions specified in this report. PREPARED BY : , DATE: Apr. 21, 2014 ( Claire Kuan, Specialist ) APPROVED BY : , DATE:Apr. 21, 2014 ( May Chen, Manager ) Report No.: SA140311E07 5 of 6 Report Format Version 5.0.0 2. RF EXPOSURE LIMIT LIMITS FOR MAXIMUM PERMISSIBLE EXPOSURE (MPE) FREQUENCY RANGE (MHz) ELECTRIC FIELD STRENGTH (V/m) MAGNETIC FIELD STRENGTH (A/m) POWER DENSITY (mW/cm 2 ) AVERAGE TIME (minutes) LIMITS FOR GENERAL POPULATION / UNCONTROLLED EXPOSURE 300-1500 ... ... F/1500 30 1500-100,000 ... ... 1.0 30 F = Frequency in MHz 3. MPE CALCULATION FORMULA Pd = (Pout*G) / (4*pi*r 2 ) where Pd = power density in mW/cm 2 Pout = output power to antenna in mW G = gain of antenna in linear scale pi = 3.1416 r = distance between observation point and center of the radiator in cm 4. CLASSIFICATION The antenna of this product, under normal use condition, is at least 20cm away from the body of the user. So, this device is classified as Mobile Device. 5. ANTENNA GAIN The antenna provided to the EUT, please refer to the following table: Gain (dBi) Antenna Type Connecter Type Frequency range (MHz to MHz) Cable Loss (dB) 2.12 PCB NA 2400~2500 NA Report No.: SA140311E07 6 of 6 Report Format Version 5.0.0 6. CALCULATION RESULT OF MAXIMUM CONDUCTED POWER For WLAN FREQUENCY BAND (MHz) MAX POWER (mW) ANTENNA GAIN (dBi) DISTANCE (cm) POWER DENSITY (mW/cm 2 ) LIMIT (mW/cm 2 ) 2412-2462 240.436 2.12 20 0.07793 1 NOTE: Directional gain = 10 log[(10 G1/20 + 10 G2/20 ) 2 / 2] = 5.74dBi --- END --- CONCLUSION: Both of the WLAN and Zigbee can transmit simultaneously, the formula of calculated the MPE is: CPD 1 / LPD 1 + CPD 2 / LPD 2 + ......etc. < 1 CPD = Calculation power density LPD = Limit of power density Therefore, the worst-case situation is 0.05078 / 1 + 0.00154 / 1= 0.052, which is less than “1”. This confirmed that the device comply with FCC 1.1310 MPE limit.

Report No.: RF140311E07 1 of 61 Report Format Version 5.2.0 FCC TEST REPORT REPORT NO.: RF140311E07 MODEL NO.: T77H505 FCC ID: B3QT77H505 RECEIVED: Mar. 11, 2014 TESTED: Mar. 17 to Apr. 02, 2014 ISSUED: Apr. 21, 2014 APPLICANT: BROTHER INDUSTRIES, LTD. ADDRESS: 15-1, Naeshiro-cho,Mizuho-ku,Nagoya, Aichi,Japan. ISSUED BY: Bureau Veritas Consumer Products Services (H.K.) Ltd., Taoyuan Branch Hsin Chu Laboratory LAB ADDRESS : No. 81-1, Lu Liao Keng, 9th Ling, Wu Lung Tsuen, Chiung Lin Hsiang, Hsin Chu Hsien 307, Taiwan, R.O.C. TEST LOCATION (1): No. 81-1, Lu Liao Keng, 9th Ling, Wu Lung Tsuen, Chiung Lin Hsiang, Hsin Chu Hsien 307, Taiwan, R.O.C. TEST LOCATION (2): No. 49, Ln. 206, Wende Rd., Shangshan Tsuen, Chiung Lin Hsiang, Hsin Chu Hsien 307, Taiwan, R.O.C. This report should not be used by the client to claim product certification, approval, or endorsement by TAF or any government agencies. This report is 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. You have 60 days from date of issuance of this report to notify us of any material error or omission caused by our negligence, 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. Unless specific mention, the uncertainty of measurement has been explicitly taken into account to declare the compliance or non-compliance to the specification Report No.: RF140311E07 2 of 61 Report Format Version 5.2.0 Table of Contents RELEASE CONTROL RECORD .......................................................................................... 4 1. CERTIFICATION ...................................................................................................... 5 2. SUMMARY OF TEST RESULTS .............................................................................. 6 2.1 MEASUREMENT UNCERTAINTY ........................................................................... 7 3. GENERAL INFORMATION ....................................................................................... 8 3.1 GENERAL DESCRIPTION OF EUT ......................................................................... 8 3.2 DESCRIPTION OF TEST MODES ......................................................................... 10 3.2.1 TEST MODE APPLICABILITY AND TESTED CHANNEL DETAIL ......................... 11 3.3 GENERAL DESCRIPTION OF APPLIED STANDARDS ........................................ 14 3.4 DUTY CYCLE OF TEST SIGNAL ........................................................................... 15 3.5 DESCRIPTION OF SUPPORT UNITS ................................................................... 16 3.6 CONFIGURATION OF SYSTEM UNDER TEST .................................................... 17 4. TEST TYPES AND RESULTS ................................................................................ 18 4.1 CONDUCTED EMISSION MEASUREMENT ......................................................... 18 4.1.1 LIMITS OF CONDUCTED EMISSION MEASUREMENT....................................... 18 4.1.2 TEST INSTRUMENTS ........................................................................................... 18 4.1.3 TEST PROCEDURES ............................................................................................ 19 4.1.4 DEVIATION FROM TEST STANDARD .................................................................. 19 4.1.5 TEST SETUP ......................................................................................................... 19 4.1.6 EUT OPERATING CONDITIONS ........................................................................... 20 4.1.7 TEST RESULTS ..................................................................................................... 21 4.2 RADIATED EMISSION AND BANDEDGE MEASUREMENT ................................. 23 4.2.1 LIMITS OF RADIATED EMISSION AND BANDEDGE MEASUREMENT .............. 23 4.2.2 TEST INSTRUMENTS ........................................................................................... 24 4.2.3 TEST PROCEDURES ............................................................................................ 25 4.2.4 DEVIATION FROM TEST STANDARD .................................................................. 25 4.2.5 TEST SETUP ......................................................................................................... 26 4.2.6 EUT OPERATING CONDITIONS ........................................................................... 26 4.2.7 TEST RESULTS ..................................................................................................... 27 4.3 6DB BANDWIDTH MEASUREMENT ..................................................................... 40 4.3.1 LIMITS OF 6DB BANDWIDTH MEASUREMENT .................................................. 40 4.3.2 TEST INSTRUMENTS ........................................................................................... 40 4.3.3 TEST PROCEDURE .............................................................................................. 40 4.3.4 DEVIATION FROM TEST STANDARD .................................................................. 40 4.3.5 TEST SETUP ........................................................................…

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Report No.: 130725E04 1 of 4 PHOTOGRAPHS OF THE TEST CONFIGURATION CONDUCTED EMISSION TEST Report No.: 130725E04 2 of 4 RADIATED EMISSION TEST (Below 1GHz) Report No.: 130725E04 3 of 4 RADIATED EMISSION TEST (Above 1GHz) Report No.: 130725E04 4 of 4