XKB-SELFADDONSelf Addon Radio

www.ingenico.com 28-32, boulevard de Grenelle, 75015 Paris - France / (T) +33 (0)1 58 01 80 00 / (F) +33 (0)1 58 01 91 35 Ingenico - SA au capital de 47 656 332 / 317 218 758 RCS Nanterre Self/045x Quick start Copyright© 2019 Ingenico All rights reserved 2 Self/045x 900040736 R11 000 05/1019 Contents 1_Introduction 2_Installation 3_Recommendation 3_1 Safety 3_2 Description 3_3 Approvals and markings 3_4 FCC statements 3_5 IC statements 4_Maintenance 4_1 Transport and storage 4_2 Environment (WEE, Bateries and Packaging) 3 4 4 5 5 6 8 9 9 4 7 7 3_6 Antennas Copyright© 2019 Ingenico All rights reserved 3 Self/045x 900040736 R11 000 05/1019 1_Introduction Thank you for choosing a payment terminal Ingenico. We recommend you to read carefully this guide : It gives you the necessary information about safety precautions, unpacking, installation, and maintenance of your terminal. Danke, dass Sie sich für einen Zahlungsterminal Ingenico entschieden haben. Wir empfehlen Ihnen, diese Installationsanleitung sorgfältig durchzulesen. Sie enthält die erforderlichen Informationen zu den Sicherheitsvorkehrungen, dem Auspackung, der Installation und der Wartung Ihres Terminals. Merci d’avoir choisi un terminal de paiement Ingenico. Nous vous recommandons de lire attentivement ce guide d’installation : Il vous donne les informations nécessaires sur les précautions de sécurité, le déballage, l’installation et l’entretien de votre terminal. WARRANTY / SECURITY To benefit from the guarantee-related product, and to respect the security, we ask you to use only accessories delivered in box with the product, entrusting maintenance operations only to an authorized person. GARANTIE / SICHERHEIT Um die Garantie für dieses Erzeugnis in Anspruch nehmen zu können und die Sicherheit zu gewährleisten, bitten wir Sie, nur die in der mit dem Erzeugnis gelieferten Karton enthaltenen Zubehörteile zu verwenden und die Wartung einer dazu befugten Person anzuvertrauen. GARANTIE / SECURITE Pour bénéficier de la garantie liée au produit, et afin de respecter la sécurité, nous vous demandons de n’utiliser que des accessoires livrés dans la boîte avec le produit, en confiant les opérations de maintenance seulement à une personne autorisée. Copyright© 2019 Ingenico All rights reserved 4 Self/045x 900040736 R11 000 05/1019 The Self/045x is powered by the main product. Self/045x power ratings : 9 – 16 V max 1,5 A Das Self/045x wird vom hauptprofukt gespeist. Nennleistungen des Self/045x : 9 – 16 V max 1,5 A Les Self/045x sont alimentés par le produit principal. Caractéristiques électriques d’alimentation des Self/045x : 9 – 16 V max 1,5 A Nota : Failure to comply with these instructions will void the manufacturer’s responsibility. Hinweis : Bei Nichteinhaltung dieser Anweisungen wird die Haftung des Herstellers aufgehoben. Nota : le non respect de ces instructions annule la responsabilité du fabricant. This symbol indicates an important Warning. Dieses Symbol stellt ein wichtiges Warnzeichen dar. Ce symbole indique un avertissement important. 2_Installation «BOX - RADIO» Self/045x is connected on slot after removing the protective cap. The connection is secured screwing the 2 screws. Torque : 0,3 Nm max. 3_Recommendation 3_1 Safety To power on or power down the Self/045x connect or disconnect the main product. Power on / Power down Zum ein oder ausschalten des self/045x das hauptproduct anshleßen oder trennen Starten / stoppen Pour allumer ou éteindre Self/045x connectez ou débranchez le produit principal. Mise en marche / Arrêt Temperature/ Temperatur/ Température -20°C to +65°C Operating conditions / Betriebsbedingungen / En fonctionnement : Copyright© 2019 Ingenico All rights reserved 5 Self/045x 900040736 R11 000 05/1019 3_2 Description Self/0WBR - Allow Self/x000 product range to communicate using bluetooth or radio. 'W': type of radio: 0 none / 2:2G / 3:3G / 4:4G 'B': 0 none / 5:BT 'R' used if W#0 for radio module version 0:europe / 1: North america / 2: Australia 3_3 Approvals and markings Mandatory conformity marking for products sold within the European Economic Area (EEA). It states that the product is assessed before being placed on the market and meets EU safety, health and environmental protection requirements Indicates that the product has been certified to applicable standards including standards written or administered by the American National Standards Institute (ANSI), Underwriters Laboratories (UL), CSA Group (CSA), NSF International (NSF), and other North American and global Organizations Indicates that when the end-user wishes to discard this product, it must be sent to separate collection facilities for recovery and recycling Indicates that the product operates with a continuous voltage. This symbol is followed by the ratings (voltage and current for instance) Indicates that the product has been certified to applicable standard. Copyright© 2019 Ingenico All rights reserved 6 Self/045x 900040736 R11 000 05/1019 3_4 FCC statement FCC standard compliance marking certifies that the product stipulated below : Self/045x conforms to the following harmonized standards : part 15 of the FCC rules This class (B) digital apparatus complies with industry Canada License- exempt RSS standard(s) . Information to users : Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. NOTE : This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instruction, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause …

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CONFIDENTIALITY REQUEST Curtis-Straus LLC One Distribution Center Circle #1 Littleton, MA 01460 USA December 5, 2019 Re: Confidentiality request FCC ID: XKB-SELFADDON Gentlemen, INGENICO requests, pursuant to 47CFR 0.457(d) and 0.459, post grant confidentiality for portions of the material contained in this application. The following document regarding this submission for FCC ID: XKB-SELFADDON shall be kept confidential: LONG-TERM CONFIDENTIALITY: 1.Schematic Diagram of the equipment(file: Schematic - XKB-SELFADDON.pdf) 2.Block Diagram description of the equipment(file: Block Diagram - XKB-SELFADDON.pdf) Specifically, these exhibits contain information relating to circuit function and complexity that could be of benefit to competitors. The material contains trade secrets and confidential information that INGENICO does not customarily release to the public and which is otherwise not generally available to the public. Regards, Responsible party: Nicolas JACQUEMONT Title: HW Norms & Marking Manager Signature:

Letter of Agency December 5, 2019 To: Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046-1609 Curtis-Straus LLC TCB One Distribution Center Circle #1 Littleton, MA 01460 We, the undersigned INGENICO hereby authorize Anthony MERLIN, LCIE SUD EST, to act on our behalf in all matters relating to all processes required for FCC certification of our devices. Any and all acts carried out by the above agent on our behalf shall have the same effects as acts of our own. This authorization is valid until: February 1st, 2020 If you have any questions regarding this authorization, let us know please. Sincerely, Nicolas JACQUEMONT Signature

DECLARATION OF PROFESSIONAL INSTALLATION Date: 2019-12-26 Subject: FCC ID: XKB-SELFADDON Professional installation according KDB 353028 D01 v01 To Whom It May Concern : We, Ingenico, as manufacturer of Self/xxxx range hereby declare that the product under FCC ID: XKB-SELFADDON is only sold to licensed (e.g. authorized dealer or installers) professional. This product as part of payment solution has been only designed for being integrated in a host system like self-service devices or terminals, such as vending machines, fuel pumps, ticket machines, kiosks, etc. According the intended use of this product in a host system professional installation is required. This device, and its antenna’s connectors as well, following the integration guide in the host system, is not intended to be accessible to consumers and general public. According to Ingenico, as manufacturer of Self/xxxx range, professional installation requirements according KDB 353028 D01 v01 are met. Yours faithfully Name Nicolas Jacquemont HW Certification Manager Company INGENICO Terminals SAS Signature

LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – France Page 1/3 EXTERNAL PHOTOS OF EQUIPMENT FCCID: XKB-SELFADDON LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – France Page 2/3 LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – France Page 3/3

LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE Page 1/2 PRODUCT LABELING FCCID: XKB-SELFADDON LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE Page 2/2

LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – France Page 1/1 INTERNAL PHOTOS OF EQUIPMENT FCCID: XKB-SELFADDON

LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE GENERAL INFORMATION FCCID: XKB-SELFADDON 1.1. Product description Data sheet of equipment LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE 1.2. Tested System Details LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE 1.3. Test Methodology Both conducted and radiated testing were performed according to the procedures in ANSI C63.4 or/and ANSI C63.10, FCC Part 15 SubPart 15C. Radiated testing was performed at an antenna to EUT distance of 10 meters. During testing, all equipment’s and cables were moved relative to each other in order to identify the worst case set-up. 1.4. Test facility Tests have been performed: October 10 to 22, 2019 This test facility has been fully described in a report and accepted by FCC as compliant with the radiated and AC line conducted test site criteria in ANSI C63.4 or/and ANSI C63.10. This test facility has also been accredited by COFRAC (French accreditation authority for European Union test lab accreditation organization) according to NF EN ISO/IEC 17025, as compliant with test site criteria and competence in 47 CFR Part 15/ANSI C63.4 and EN55032/CISPR32 norms for 89/336/EEC European EMC Directive application. All pertinent data for this test facility remains unchanged.

LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – FRANCE FCCID: XKB-SELFADDON RF Exposure Information When all the antennas are at least 20cm away from the user’s body (excluding hands and wrists during normal operation of the device), but individual antennas cannot be separated by more than 20cm from each other. [ Pd(1) / LPd(1) ] + [ Pd(2) / LPd(2) ] + ..... + [ Pd(n) / LPd(n) ] < 1, Where; Pd(n) = Power density of n th transmitter at 20cm LPd(n) = Power density limit for the n th transmitter § 1.1310 Radiofrequency radiation exposure limits. Prediction of MPE limit at a given distance Equation from page 18 of OET Bulletin 65, Edition 97-01 where: S = power density P = power input to the antenna G = power gain of the antenna in the direction of interest relative to an isotropic radiator R = distance to the center of radiation of the antenna 2 4 R PG S p = LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – FRANCE Calculations: For transmitter: Frequency:2480,00 Prediction distance:20,00 Output Power:1,55 Antenna gain(typical):0,56 1,00 Calculation: 1,55(dBm) 1,43(mW) 0,56(dBi) 1,14(numeric) 20,00(cm) 2480,00(MHz) 1,00(mW/cm^2) 0,000323(mW/cm^2) For transmitter: Frequency:826,40 Prediction distance:20,00 Output Power:25,00 Antenna gain(typical):2,15 1,00 Calculation: 25,00(dBm) 316,23(mW) 2,15(dBi) 1,64(numeric) 20,00(cm) 826,40(MHz) 1,00(mW/cm^2) 0,10321(mW/cm^2) Calculation: Colocation: <1 at the antenna terminal (dBm) cm (Portable:0.5cm / Mobile:20cm) MHz Bluetooth MPE limit for uncontrolled exposure at prediction frequency: (dBi) MPE limit for uncontrolled exposure at prediction frequency: Power density at prediction frequency: Maximum peak output power at the antenna terminal: Maximum peak output power at the antenna terminal: Antenna gain(typical): Maximum antenna gain: Prediction distance: Prediction frequency: MPE limit for uncontrolled exposure at prediction frequency: GSM 800 (worst case) MHz cm (Portable:0.5cm / Mobile:20cm) at the antenna terminal (dBm) (dBi) MPE limit for uncontrolled exposure at prediction frequency: Power density at prediction frequency: (Pd(2.4GHz) / LPd(2.4GHz)) + (Pd(FM) / LPd(FM)) = 0.0141 mW/cm² <1 0,10 Maximum peak output power at the antenna terminal: Maximum peak output power at the antenna terminal: Antenna gain(typical): Maximum antenna gain: Prediction distance: Prediction frequency: LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS – FRANCE Conclusion: The device complies with FCC’s RF radiation exposure limit for general population as a mobile device (d>20cm) under the collocation conditions described above.

Bluetooth Low Energy Template: Release September 27, 2019 This document shall not be reproduced, except in full, without the written approval of the LCIE. This document contains results related only to the items tested. It does not imply the conformity of the whole production to the items tested. . Unless otherwise specified or rule defined by the test method, the decision of conformity doesn’t take into account the uncertainty of measures.This document doesn’t anticipate any certification decision. TEST REPORT N°: 163285-741962-A(FILE#1029087) Version : 01 Subject Radio spectrum matters tests according to standards: 47 CFR Part 15.247 & RSS-247 Issue 2 & RSS-Gen Issue 5 Issued to INGENICO 9 Avenue de la Gare 26958-Valence FRANCE Apparatus under test  Product Self/045x  Trade mark INGENICO  Manufacturer INGENICO  Model under test Self/0451  Serial number 17055221314115110700000  FCC ID XKB-SELFADDON  IC 2586D-SELFADDON Conclusion See Test Program chapter Test date October 10, 2019 to October 22, 2019 Test location Fontenay Aux Roses Test Site 6230B-1 Sample receipt date October 8, 2019 Composition of document 71 pages Document issued on December 5, 2019 Written by : Approved by : Gaetan DESCHAMPS Anthony MERLIN Tests operator Technical manager TEST REPORT N° 163285-741962-A Version : 01 Page 2/71 PUBLICATION HISTORY Version Date Author Modification 01 December 5, 2019 Gaetan DESCHAMPS Creation of the document Each new edition of this test report replaces and cancels the previous edition. The control of the old editions of report is under responsibility of client. TEST REPORT N° 163285-741962-A Version : 01 Page 3/71 SUMMARY 1. TEST PROGRAM ............................................................................................................................... 4 2. EQUIPMENT UNDER TEST: CONFIGURATION (DECLARED BY PROVIDER) ................................ 5 3. OCCUPIED BANDWIDTH ................................................................................................................. 10 4. 20DB EMISSION BANDWIDTH ........................................................................................................ 15 5. CARRIER FREQUENCY SEPARATION ........................................................................................... 20 6. NUMBER OF HOPPING FREQUENCY ............................................................................................ 25 7. TIME OF OCCUPANCY .................................................................................................................... 30 8. MAXIMUM CONDUCTED OUTPUT POWER ................................................................................... 34 9. UNWANTED EMISSIONS INTO NON-RESTRICTED FREQUENCY BANDS AT THE BAND EDGE 40 10. UNWANTED EMISSIONS INTO NON-RESTRICTED FREQUENCY BANDS ................................... 51 11. AC POWER LINE CONDUCTED EMISSIONS.................................................................................. 54 12. UNWANTED EMISSIONS IN RESTRICTED FREQUENCY BANDS ................................................ 61 13. UNCERTAINTIES CHART ................................................................................................................ 71 TEST REPORT N° 163285-741962-A Version : 01 Page 4/71 1. TEST PROGRAM References  47 CFR Part 15.247  RSS 247 Issue 2  RSS Gen Issue 5  KDB 558074 D01 DTS Meas Guidance v05r02  ANSI C63.10-2013 Radio requirement: Clause (47CFR Part 15.247 & RSS-247 Issue 2 & RSS-Gen Issue 5) Test Description Test result - Comments Occupied Bandwidth  PASS  FAIL  NA  NP(1) 20dB Bandwidth  PASS  FAIL  NA  NP(1) Number of Hopping Frequency  PASS  FAIL  NA  NP(1) Carrier Frequency Separation  PASS  FAIL  NA  NP(1) Time of Occupancy  PASS  FAIL  NA  NP(1) Duty Cycle  PASS  FAIL  NA  NP(1) Maximum Conducted Output Power  PASS  FAIL  NA  NP(1) Conducted Spurious Emission at the Band Edge  PASS  FAIL  NA  NP(1) Unwanted Emissions into Non-Restricted Frequency Bands  PASS  FAIL  NA()  NP(1) AC Power Line Conducted Emission  PASS  FAIL  NA(2)  NP(1) Unwanted Emissions into Restricted Frequency Bands  PASS  FAIL  NA  NP(1) Receiver Radiated emissions  PASS  FAIL  NA  NP(1) This table is a summary of test report, see conclusion of each clause of this test report for detail. (1): Limited program (2): EUT not directly or indirectly connected to the AC Power Public Network PASS: EUT complies with standard’s requirement FAIL: EUT does not comply with standard’s requirement NA: Not Applicable NP: Test Not Performed TEST REPORT N° 163285-741962-A Version : 01 Page 5/71 2. EQUIPMENT UNDER TEST: CONFIGURATION (DECLARED BY PROVIDER) 2.1. HARDWARE IDENTIFICATION (EUT AND AUXILIARIES): Equipment under test (EUT): INGENICO Self/0451 Serial Number: 17055221314115110700000 Equipment Under Test Power supply: During all the tests, EUT is supplied by V nom : 28VDC For measurement with different voltage, it will be presented in test method. Name Type Rating Reference / Sn Comments Supply1  AC  DC  Battery 10-45VDC / For Host equipment Internal  AC  DC  Battery 9-16VDC / For ADD ON RADIO equipment (provided by Host equipment) Voltage table used (for Power Line Conducted Emissions): Type Measurement performed:  AC  120VAC/60Hz  240VAC/50Hz  DC  +12VDC  -....VDC  Battery  +3.6VDC  -....VDC  USB (Laptop auxiliary)  120VAC/60Hz (Laptop auxiliary)  240VAC/50Hz(Laptop auxiliary) TEST REPORT N° 163285-741962-A Version : 01 Page 6/71 Inputs/outputs - Cable: Access Type Length used (m) Declared <3m Shielded Under test Comments Supply1 2 wires 0.30    / COM0 RS232 1.8    / COM2 RS232 1.8    / Host USB1 USB 1.5    / Host USB2 USB 1.5    / ETH RJ45 ( Ethernet) 1.8    / Access6 SAM1 -    / Access7 SAM2 -    / Access8 μUSB -    / Slave USB USB 1    / Auxiliary equipment used during test: Type Reference Sn Comments AC/DC power source KEYSIGHT AC6802A - A7042305 Bluetooth Tester…

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LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE Page 1/3 CONDUCTED AND RADIATED MEASUREMENT PHOTO FCCID: XKB-SELFADDON 1.1 Conducted emission LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE Page 2/3 1.2 Radiated emissions LCIE SUD EST Laboratoire de Moirans Z.I. Centr’Alp 170, Rue de Chatagnon 38430 MOIRANS - FRANCE Page 3/3