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COF-BM25-EXT802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module

Universal Global Scientific Industrial Co., Ltd.
802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module - FCC ID COF-BM25-EXT - Universal Global Scientific Industrial Co., Ltd.
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Application Details

Equipment Class
DTS - Digital Transmission System
Date of Grant
Sep 09, 2024
Application Purpose
Original Equipment
Date of Application
Sep 04, 2024
Equipment Note
802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module
Frequency Range
2412.00000000 - 2462.00000000
Company
Universal Global Scientific Industrial Co., Ltd.
Country
Taiwan

Documents & Files

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Users Manual

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Attestation Statements

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Cover Letter(s)

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External Photos

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ID Label/Location Info

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Internal Photos

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RF Exposure Info

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Test Report

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Test Setup Photos

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

All rights are reserved by USI. No part of this technical document can be reproduced in any form without permission of USI. WM-BAC-BM-25-UFL module, Wi-Fi/Bluetooth user manual, revision 1.0 Page 1 WM-BAC-BM-25-UFL Wi-Fi/Bluetooth Module user manual FCC ID: COF-BM25-EXT IC: 10293A- BM25EXT XXX-XXXXXX D24-XXXXXXX Revision history Revision Date Change description 1.0 2024/07/19 First draft of the document. All rights are reserved by USI. No part of this technical document can be reproduced in any form without permission of USI. WM-BAC-BM-25-UFL module, Wi-Fi/Bluetooth user manual, revision 1.0 Page 2 Table of Contents 1. Introduction ....................................................................................... 3 1.1 Brief Technology Features ................................................................... 3 1.2 Technical Specification ......................................................................... 3 2. OEM Integrators Installation Manual ................................................. 4 2.1 Important Notice to OEM Integrators ................................................. 4 2.2 Antenna Specifications ........................................................................ 5 2.3 Note Information ................................................................................. 5 3. Federal Communication Commission Compliance Statement ............... 6 4. ISED Compliance Statement .............................................................. 10 All rights are reserved by USI. No part of this technical document can be reproduced in any form without permission of USI. WM-BAC-BM-25-UFL module, Wi-Fi/Bluetooth user manual, revision 1.0 Page 3 1. Introduction The WM-BAC-BM-25-UFL SiP module is one of the product families in USI’s product offering, targeting for system integration requiring a smaller form factor. It also provides the standard migration to high data rate for USI’s current SIP customers. The purpose of this document is defined the product specification for 802.11a/b/g/n/ac Wi-Fi with BT5.0 combo module. All the data in this document is based on Broadcom BCM43455 datasheet and other documents provided from Broadcom. This product is designated for using in embedded applications mainly in the IoT device, which required small size and high data rate wireless connectivity. 1.1 Brief Technology Features ⚫ Full IEEE 802.11a/b/g/n/ac legacy compatibility. ⚫ Support 20, 40 and 80MHz channels for the 1x1 5GHz radio, and 20 MHz channels for the 1x1 2.4GHz radio. ⚫ Supports standard SDIO v3.0 (including DDR50 mode at 50MHz and SDR104 mode at 208 MHz, 4- bit and 1-bit) interfaces for WiFi control. ⚫ Supports UART/I2S/PCM interfaces for BT control. ⚫ Lead Free design which supporting Green design requirement, RoHS Compliance, and halogen-free. ⚫ Small size suitable for low volume system integration. Low power consumption & excellent power management performance extend battery life. ⚫ Easy for integrating into IoT device with flexible system configuration and antenna design. 1.2 Technical Specification The WM-BAC-BM-25-UFL module complies with the following features and standards; Features Description WLAN Standards - IEEE 802 Part 11a/b/g/n/ac - Single-stream spatial multiplexing up to 433.3 Mbps data rate Bluetooth Bluetooth TM 5.0 compliance Antenna Port Support single streaming antenna shared between Bluetooth and WLAN Frequency band 2.412 to 2.472GHz (1 to 13 channels ) 5.180 to 5.825GHz Temperature -40°C - +85°C Operating Voltage Max. 4.8V, Typ. 3.6V, Min. 3.2V All rights are reserved by USI. No part of this technical document can be reproduced in any form without permission of USI. WM-BAC-BM-25-UFL module, Wi-Fi/Bluetooth user manual, revision 1.0 Page 4 2. OEM Integrators Installation Manual 2.1 Important Notice to OEM integrators ⚫ This module is limited to OEM installation ONLY. ⚫ This module is limited to installation in mobile or fixed applications, according to Part 2.1091(b). ⚫ The separate approval is required for all other operating configurations, including portable configurations with respect to Part 2.1093 and different antenna configurations ⚫ For FCC Part 15.31 (h) and (k): The host manufacturer is responsible for additional testing to verify compliance as a composite system. When testing the host device for compliance with Part 15 Subpart B, the host manufacturer is required to show compliance with Part 15 Subpart B while the transmitter module(s) are installed and operating. The modules should be transmitting and the evaluation should confirm that the module's intentional emissions are compliant (i.e. fundamental and out of band emissions). The host manufacturer must verify that there are no additional unintentional emissions other than what is permitted in Part 15 Subpart B or emissions are complaint with the transmitter(s) rule(s). Antenna Installation 1) The antenna must be installed such that 20 cm is maintained between the antenna and users. 2) The transmitter module may not be co-located with any other transmitter or antenna. 3) To comply with FCC/IC regulations limiting both maximum RF output power and human exposure to RF radiation, the maximum antenna gain including cable loss in a mobile exposure condition must not exceed the values in section 2.2. In the event that these conditions cannot be met (for example certain laptop configurations or co- location with another transmitter), then the FCC/IC authorization is no longer considered valid and the FCC ID/IC ID cannot be used on the final product. In these circumstances, the OEM integrator will be responsible for re-evaluating the end product (including the transmitter) and obtaining a separate FCC/IC authorization. All rights are reserved by USI. No part of this technical document can be reproduced in any form without permission of USI. WM-BAC-BM-25-UFL module, Wi-Fi/Bluetooth user manual, revision 1.0 Page 5 2.2 Antenna Specifications Below show antenna specification for certification …

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Attestation Statements

V02072023 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: August 17, 2024 Ref: Attestation Statement Part 2.911(d)(7) Filing FCC ID: COF-BM25-EXT Universal Global Scientific Industrial Co., Ltd. certifies that, as of the dates of this application, Americas Compliance Consulting LLC dba iCertifi “iCertifi” is our designated U.S. agent for service of process for the above referenced FCC ID. Universal Global Scientific Industrial Co., Ltd. accepts 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. iCertifi accepts, as of the date of the filing of the application, the obligation of the designated U.S. agent for service process for the above referenced FCC ID. Designated U.S. Agent Information: Name: Americas Compliance consulting, LLC dba iCertifi FCC FRN: 0033399411 Address: 2445 NE Division St, ste 202 Bend, OR 97703 United States Contact Person: Paul A Preston Tel: 866-885-4575 Email: [email protected] Sincerely, Universal Global Scientific Industrial Co., Ltd. 0021670591 Americas Compliance Consulting LLC dba iCertifi Martin Shin Paul Preston Signature V02072023

Attestation Statements

Covered list attestation FCC application letter Kiwa Page 1 of 1 RF_755_02 15-02-2023 Certification Application Attestation Statements Universal Global Scientific Industrial Co., Ltd. No. 141, Lane 351, Sec.1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan Subject: FCC ID: COF-BM25-EXT To Whom It May Concern: Statement for 47 CFR section 2.911(d)(5)(i) [Universal Global Scientific Industrial 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) [Universal Global Scientific Industrial Co., Ltd.] (“the applicant”) certifies that, as of the date of the filing of this application, the applicant - is / - is not (3) identified on the Covered List as an entity producing “covered” equipment. Date: August 27, 2024 Name (2) : Martin Shih Function: Manager Telephone number: 886-49-235-0876 Email address: [email protected] Signature: 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): For FCC it must be the Grantee Code “owner” or the authorized agent. (3): double click on the appropriate box and select ‘’checked” then “OK”

Cover Letter(s)

RF_160_05 Declaration of Authorisation Date of issue 02-01-2023 Declaration of Authorization We Name: Universal Global Scientific Industrial Co., Ltd. Address: No. 141, Lane 351, Sec.1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan City: Nantou County Country: Taiwan Declare that: Name Representative of agent: Shawn Wu Agent Company name: Compliance Certification Services Inc. Address: No. 11. Wugong 6th Road City: New Taipei City Country Taiwan is authorized to apply for Certification of the following product(s): Product description: 802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module Type designation: WM-BAC-BM-25-UFL Trademark: USI Validity/ expiry date: 2025/02/28 on our behalf. Name: Martin Shih Function: Manager Signature: ............................... Notes: (1): Required for FCC application (2): For FCC it must be the Grantee Code “owner” or the authorized agent.

Cover Letter(s)

FCC, Request for non-disclosure Date: 23-06-2023 RF_501, Issue 11 Page 1 of 1 Company Name: Universal Global Scientific Industrial Co., Ltd. Address : No. 141, Lane 351, Sec.1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan City: Nantou County Country: Taiwan To: Kiwa Netherlands B.V., Dept. FCC TCB Wilmersdorf 50 7327 AC Apeldoorn The Netherlands Subject: Request for confidentiality FCC ID: COF-BM25-EXT Reference number: ###### Dear FCC TCB, 1. Long-Term Confidentiality Pursuant to 47 CFR Section 0.459(a) & (b), we hereby requests non-disclosure and confidential treatment of the following materials submitted in support of FCC certification application: Bill(s) of Material Block Diagrams Operational Description Schematic Diagrams Tune-up Procedure Above materials contain secrets, proprietary and technical information, which would customarily be guarded from competitors under 47 CFR, section 0.457(d)(2). Disclosure or publication or any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. 2. Short-Term Confidentiality (STC) Pursuant to Public Notice DA 04-1705 of the Commission’s policy, in order to comply with the marketing regulations in 47 CFR §2.803 and the importation rules in 47 CFR §2.1204, a pplicant hereby requests Short-Term Confidential treatment of the following materials (See notes below): Internal Photos User’s Manual Test Set-up Photos External Photos Justification: Date: 27 August 2024 Name and signature of applicant: Martin Shih / Manager Notes: 1) A document or type of document can only have ONE type of confidentiality! 2) Short-Term confidentiality is in principle for 45 days from date of grant; it can be extended max 3 times (total time 180 days max.)! The planned date should state in the RF731 application form. 3) FCC must be informed when marketing begins earlier. 4) Release takes place automatically thus extension must be requested in time. Telefication does not remind you of this! 5) Request for extension or for release must be received by Kiwa NL B.V. at least 7 days before date of actual marketing or before expiration of the STC period

Cover Letter(s)

RF_734_05 FCC Modular Approval Request Page 1 of 2 28-12-2022 Modular Approval Request FCC (KDB 996369 D01 & Part 15.212) FCC ID: COF-BM25-EXT Items to be covered by Single modular transmitters. Answer from applicant 1. The radio elements must have the radio frequency circuitry shielded. Physical components and tuning capacitor(s) may be located external to the shield, but must be on the module assembly. Y The EUT provides the RF shielding. See EUT photo. 2. The module must have buffered modulation/data inputs to ensure that the device will comply with Part 15 requirements with any type of input signal. Y The EUT has its buffered modulation. Main chip, CYW43455, the WLAN host interface supports SDIO v3.0 modes, providing a raw data transfer rate up to 300 Mbps when operating in 4-bit mode. An independent, high-speed UART is provided for the Bluetooth host interface. 3. The module must contain power supply regulation on the module Y The EUT has its own power supply regulation. One Buck regulator, multiple LDO regulators, and a power management unit (PMU) are integrated into the main chip CYW43455. All regulators are programmable via the PMU. These blocks simplify power supply design for Bluetooth and WLAN functions in embedded designs. 4. The module must contain a permanently attached antenna, or contain a unique antenna connector, and be marketed and operated only with specific antenna(s), per §§ 15.203, 15.204(b), 15.204(c), 15.212(a), 2.929(b). Y The EUT meets the FCC antenna requirements; unique antenna connector and photo of antenna are shown in the test report. 5. The module must demonstrate compliance in a stand-alone configuration. Y The EUT was tested with a test board, please see test report and setup photo. 6. The module must be labeled with its permanently affixed FCC ID label, or use an electronic display (see KDB Publication 784748). Y Please see the exhibition of label file for the FCC ID of this module. And also in the exhibition of user manual, there are instructions given to the OEM on how to label the end product. 7. The module must comply with all specific rules applicable to the transmitter, including all the conditions provided in the integration instructions by the grantee. Y The EUT is compliant with all applicable FCC rules. Details instructions for maintaining compliance are RF_734_05 FCC Modular Approval Request Page 2 of 2 28-12-2022 given in the user manual. 8. The module must comply with RF exposure requirements. Y The EUT complies with Rf exposure requirement. Items to be covered by Split modular transmitters. Answer from applicant 1. The modular transmitter must comply with all requirements of a single modular transmitter except for items (1) & (5) of the above single modular approval requirements. 2. Only the radio front end must be shielded. The physical crystal and tuning capacitors may be located external to the shielded radio elements. The interface between the split sections of the modular system must be digital with a minimum signalling amplitude of 150 mV peak-to-peak. 3. Control information and other data may be exchanged between the transmitter control elements and radio front end. 4. The sections of a split modular transmitter must be tested installed in a host device(s) similar to that which is representative of the platform(s) intended for use. 5. Manufacturers must ensure that only transmitter control elements and radio front end components that have been approved together are capable of operating together. The transmitter module must not operate unless it has verified that the installed transmitter control elements and radio front end have been authorized together. Manufacturers may use means including, but not limited to, coding in hardware and electronic signatures in software to meet these requirements, and must describe the methods in their application for equipment authorization. Note: A limited modular approval (LMA) may be granted for single or split modular transmitters that comply partially with the requirements above. Name and surname of applicant (or authorized representative): Name: Martin Shih Function: Manager Signature: ...............................

External Photos

This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 1 / 3 Project No.: TM-2407000112P Rev. 00 APPENDIX 1 - PHOTOGRAPHS OF EUT EXTERNAL PHOTOGRAPHS OF EUT This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 2 / 3 Project No.: TM-2407000112P Rev. 00

ID Label/Location Info

This document and information herein is the property of USI and all unauthorized use and reproduction is prohibited. Copyright © by UniversalScientific Industrial Co., Ltd. 2024-06-22 1/ 1 Ver.1.0 Label Information A laser engraving machanism is adapted to engrave label information on the shielding case of WM-BAC-BM-25-UFL module. The FCC, IC, TELEC ID as well as model name have listed on label. The TELEC log height is 3.1mm +/- 0.1mm. Please see label drawing below in detail. Label Location

Internal Photos

This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 3 / 3 Project No.: TM-2407000112P Rev. 00 INTERNAL PHOTOGRAPHS OF EUT RF IC Crystal

RF Exposure Info

Project No: TM-2407000112P FCC ID: COF-BM25-EXT Page 1 / 15 Report No.: TMWK2407002222KS Rev.: 00 No.11, Wugong 6th Rd., Wugu Dist., New Taipei City , Taiwan /新北市五股區五工六路11號 t:(886-2) 2299-9720 f:(886-2) 2299-9721 www.sgs.com.tw Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明,此報告結果僅對測試之樣品負責,同時此樣品僅保留90天。本報告未經本公司書面許可,不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of client’s instruction, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced, except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Compliance Certification Services Inc. 程智科技股份有限公司 Member of the SGS Group RF Exposure Evaluation Report FCC 47 CFR § 2.1091 for 802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module Model: WM-BAC-BM-25-UFL Prepared for: Universal Global Scientific Industrial Co., Ltd. No. 141, Lane 351, Sec. 1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan Prepared by Compliance Certification Services Inc. Wugu Laboratory No.11, Wugong 6th Rd., Wugu Dist., New Taipei City, Taiwan Issued Date: August 28, 2024 Note: This document may be altered or revised by Compliance Certification Services Inc. personnel only, and shall be noted in the revision section of the document. The client should not use it to claim product endorsement by TAF, NIST or any government agencies. The test results in the report only apply to the tested sample. This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 2 / 15 Report No.: TMWK2407002222KS Rev.: 00 Revision History Rev. Issue Date Revisions Effect Page Revised By 00 August 28, 2024 Initial Issue ALL Peggy Tsai This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 3 / 15 Report No.: TMWK2407002222KS Rev.: 00 Table of Contents 1 ATTESTATION OF TEST RESULTS ............................................................................. 4 2 TEST SPECIFICATION, METHODS AND PROCEDURES ............................................ 5 3 DEVICE UNDER TEST (DUT) INFORMATION .............................................................. 6 3.1 DUT DESCRIPTION .............................................................................................. 6 3.2 WIRELESS TECHNOLOGIES ............................................................................... 7 4 MAXIMUM PERMISSIBLE EXPOSURE ......................................................................... 9 4.1 LIMITS FOR MAXIMUM PERMISSIBLE EXPOSURE (MPE) ................................ 9 4.2 MPE CALCULATION METHOD ........................................................................... 10 4.3 MPE EXEMPTION ............................................................................................... 11 4.4 MULTIPLE RF SOURCES ................................................................................... 12 5 MPE EXEMPTION OPTION B ...................................................................................... 13 6 SIMULTANEOUS TRANSMISSION ANALYSIS .......................................................... 14 6.1 SUM OF THE WIFI 2.4GHZ + BLUETOOTH ....................................................... 14 6.2 SUM OF THE WIFI 5GHZ + BLUETOOTH .......................................................... 14 7 FACILITIES .................................................................................................................. 15 This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 4 / 15 Report No.: TMWK2407002222KS Rev.: 00 1 Attestation of Test Results Applicant Universal Global Scientific Industrial Co., Ltd. No. 141, Lane 351, Sec. 1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan Manufacturer Universal Global Scientific Industrial Co., Ltd. No. 141, Lane 351, Sec. 1, Taiping Road, Tsaotuen, Nantou County 542007, Taiwan Model Name WM-BAC-BM-25-UFL Applicable Standards FCC 47 CFR § 2.1091 FCC 47 CFR § 1.1307 FCC 47 CFR § 1.1310 Published RF exposure KDB procedures Receive EUT Date: July 12, 2024 Compliance Certification Services Inc. , tested the above equipment in accordance with the requirements set forth in the above standards. Determination of compliance is based on the results of the compliance measurement,not taking into account measurement instrumentation uncertainy.All indications of Pass/Fail in this report are opinions expressed by Compliance Certification Services Inc, based on interpretations and/or observations of test results. The test results show that the equipment tested is capable of demonstrating compliance with the requirements as documented in this report. Approved & Released By: Sky Zhou Asst. Section Manager This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page 5 / 15 Report No.: TMWK2407002222KS Rev.: 00 2 Test Specification, Methods and Procedures The tests documented in this report were performed in accor…

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Test Report

www.amphenolrf.com Wi-Fi ST0224-10-401-A Electrical Specifications Antenna Characteristics Antenna TypeRadiation PatternPolarizationMax. Input PowerImpedance FPCAntennaOmniLinear1W50Ω FPCAntenna Datasheet RoHS 2.4-2.5GHz & 5.15-5.85GHz Internal Antenna Features: Adhesive backing on the FPC simplifies mounting within the device Global frequency coverage FPC antenna assembly Applications: Smart metering and utilities Industrial IoT Quick service restaurants Medical devices 30 ×10 ×0.2mm Page 1 of 5 www.amphenolrf.com Mechanical Specifications Environmental Te m p e r a t u r e Range(°C)-40 to 85 HumidityNon-condensing 65°C 95% RH RoHS Compliant Mechanical Drawing ST0224-10-401-A Part Number Dim. (mm) Weight (g) Conn. Type Cable Type MaterialAdhesive ST0224-10-401-A 30 ×10 ×0.2 0.67 I-PEX MHF 1 Ø 1.37PI3M 467 Unit : mm Wi-Fi ST0224-10-401-A Cable length options available Page 2 of 5 www.amphenolrf.com Charts In Free Space Return Loss [dB] Efficiency [%] Test setup, measurement performed in 3D anechoic chamber. Blue background represents frequency response. Wi-Fi ST0224-10-401-A Page 3 of 5 www.amphenolrf.com Radiation Pattern -Free Space XY -Plane YZ -Plane XZ-Plane Wi-Fi ST0224-10-401-A Page 4 of 5 www.amphenolrf.com NOTICE -These drawings, specifications, or other data ( I) are, and remain the property of Amphenol corp. (2) must be returned upon request; and (3) are confidential and not to be disclosed to any person other than those to whom they are given by Amphenol Corp. the furnishing of these drawings, specifications, or other data by Amphenol Corp., or to any other person to anyone for any purpose is not to be regarded by implication or otherwise in any manner licensing, granting rights to permitting such holder or any other person to manufacture, use or sell any product, process or design, patented or otherwise, that may in any way be related to or disclosed by said drawings, specifications, or other data. Wi-Fi ST0224-10-401-A Revisions RevDescriptionDateECNApproval AInitial Release2022-10-25ST0224-10-401-A-RA00ATC BAdditional info added. RF Performance update. 2023-01-02ST0224-10-401-A-RB00ATC Page 5 of 5 Mouser Electronics Authorized Distributor Click to View Pricing, Inventory, Delivery & Lifecycle Information: Amphenol: ST0224-10-401-A

Test Report

Project No: TM-2407000112P FCC ID: COF-BM25-EXT Page: 1 / 121 Report No.: TMWK2407002219KR Rev.: 00 No.11, Wugong 6th Rd., Wugu Dist., New Taipei City , Taiwan /新北市五股區五工六路11號 t:(886-2) 2299-9720 f:(886-2) 2299-9721 www.sgs.com.tw Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明,此報告結果僅對測試之樣品負責,同時此樣品僅保留90天。本報告未經本公司書面許可,不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of client’s instruction, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced, except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Compliance Certification Services Inc. 程智科技股份有限公司 Member of the SGS Group RADIO TEST REPORT FCC 47 CFR PART 15 SUBPART C Test Standard FCC Part 15.247 Product name 802.11a/b/g/n/ac 1x1 with BT 5.0 SiP Module Brand Name USI Model No. WM-BAC-BM-25-UFL Test Result Pass Statements of Conformity Determination of compliance is based on the results of the compliance measurement, not taking into account measurement instrumentation uncertainty. The test Result was tested by Compliance Certification Services Inc. The test data, data evaluation, test procedures, and equipment configurations shown in this report were given in ANSI C63.10: 2013 and compliance standards. The test results of this report relate only to the tested sample (EUT) identified in this report. The test Report of full or partial shall not copy. Without written approval of Compliance Certification Services Inc. (Wugu Laboratory) Approved by: Sehni Hu Supervisor This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page: 2 / 121 Report No.: TMWK2407002219KR Rev.: 00 Revision History Rev. Issue Date Revisions Effect Page Revised By 00 August 28, 2024 Initial Issue ALL Peggy Tsai This document cannot be reproduced except in full, without prior written approval of the Company. 本報告未經本公司書面許可,不可部份複製。 Page: 3 / 121 Report No.: TMWK2407002219KR Rev.: 00 Table of contents 1. GENERAL INFORMATION ............................................................................................... 4 1.1 EUT INFORMATION ......................................................................................................... 4 1.2 EUT CHANNEL INFORMATION ....................................................................................... 5 1.3 ANTENNA INFORMATION ............................................................................................... 5 1.4 MEASUREMENT UNCERTAINTY .................................................................................... 6 1.5 FACILITIES AND TEST LOCATION................................................................................. 6 1.6 INSTRUMENT CALIBRATION ......................................................................................... 7 1.7 SUPPORT AND EUT ACCESSORIES EQUIPMENT ....................................................... 9 1.8 TEST SETUP DIAGRAM ................................................................................................ 10 1.9 TEST PROGRAM ........................................................................................................... 10 1.10 TEST PROGRAM .............................…

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Contact Information

Applicant

Martin Shih(Manager)
[email protected]886-49-235-0876Fax: 886-49-233-2061

Technical Contact

Compliance Certification Services Inc. Wugu Lab.Angel Cheng
[email protected]886-2-2299-9720

No.11, Wugong 6th Rd., Wugu Dist., · Taiwan

Non-Technical Contact

Compliance Certification Services Inc. Wugu Lab.Angel Cheng
[email protected]886-2-2299-9720

Test Firm

Compliance Certification Services Inc. Wugu Lab.Hank Lee
[email protected]886-2-2299-9720Fax: +886-2-2299-9721

Technical Specifications

#Rule PartsFrequency RangePower Output
215C2.41 GHz - 2.46 GHz250.00 mW
Modular Type
Single Modular Approval
Confidentiality
Long Term
Grant Notes
Power output listed is conducted. This grant is valid only when the module is sold to OEM integrators and must be installed by the OEM or OEM integrators. The antenna's as listed in this application must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter. End-users may not be provided with the module installation instructions. OEM integrators and end-users must be provided with transmitter operating conditions for satisfying RF exposure compliance. This device has 20/40 MHz bandwidth modes.

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802.11a/b/g/n/ac/ax 1x1 + BT 5.3 Combo Module

Feb 23, 2026

Equipment Class

NII - Unlicensed National Information Infrastructure TX
802.11a/b/g/n/ac 2x2 MIMO + BT 5.1 Combo Module - FCC ID COF-WMBACAT49 - Universal Global Scientific Industrial Co., Ltd.
COF-WMBACAT49

802.11a/b/g/n/ac 2x2 MIMO + BT 5.1 Combo Module

Feb 24, 2021

Equipment Class

NII - Unlicensed National Information Infrastructure TX
Azure Sphere Module - FCC ID COF-AS01 - Universal Global Scientific Industrial Co., Ltd.
COF-AS01

Azure Sphere Module

Jun 22, 2020

Equipment Class

DTS - Digital Transmission System
3G Module - FCC ID COF-UNA-A - Universal Global Scientific Industrial Co., Ltd.
COF-UNA-A

3G Module

May 19, 2015

Equipment Class

PCB - PCS Licensed Transmitter
LTE Module - FCC ID COFVZ22Q - Universal Global Scientific Industrial Co., Ltd.
COFVZ22Q

LTE Module

Feb 01, 2015

Equipment Class

TNB - Licensed Non-Broadcast Station Transmitter