Y56QSLMA781BBluetooth Adaptor

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SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China FCC Confidentiality Request Number: CF303 Version: V01 Date: 01-02-2010 To the FCC and FCC TCB handling this application for certification Pursuant to 47 CFR Section 0.459(a) & (b), we, (the applicant / grantee) Company name SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. Addresss 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China City Shenzhen Country China FF request non-disclosure and confidential treatment for our certification under: Grantee Code Product Number FCC ID: Y56 QSLMA781B of the following materials submitted within this certification application: (please cross what is applicable, or add other documents) Operational Description Block Diagrams Schematics Diagrams 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. We understand that pursuant to 47 CFR section 0.457(d)(1)(ii) disclosure of the applicant and all accompanying documentation will not be made before the date of the grant. Attestation: City and Country: Date: Name: (this must be a person) Function: Signature: (or official company stamp) Shenzhen China 2012-12-7 Huang Derong manager

SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China FCC Authorization Letter Number: CF304 Version: V01 Date: 01-02-2010 . We, (the approval holder) Company name SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. Addresss 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China City Shenzhen Country China declare that the following representative (agent): Name (person) Ruby Zhang Function Supervisor Company name Compliance Certification Services (Shenzhen) Inc. Addresss No10-1, Mingkeda Logistics Park, No.18 Huanguan South RD. Guan lan Town, Baoan District, Shenzhen China City Shenzhen Country China is hereby authorized to apply the following equipment for certification on our behalf: Product Description Bluetooth Adapter Type or Model(s) MA-781-B Tradename or Brand(s) N/A We also authorize Teleconformity, Mr. M. Koop, (address: Rietven 31, 7534NH Enschede, Netherlands) to process this application. Attestation: City and Country: Date: Name: (this must be a person) Function: Signature: (or official company stamp) Shenzhen China 2012-12-7 Huang Derong Manager

Report No: C121204Z01-RP1 Page 1 / 5 External Photos of EUT Report No: C121204Z01-RP1 Page 2 / 5 Report No: C121204Z01-RP1 Page 3 / 5 Report No: C121204Z01-RP1 Page 4 / 5 Audio In Cable Report No: C121204Z01-RP1 Page 5 / 5 USB Cable

FCC ID: Y56QSLMA781B 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.

Report No: C121204Z01-RP1 Page 1 / 3 Internal Photos of EUT Report No: C121204Z01-RP1 Page 2 / 3 Report No: C121204Z01-RP1 Page 3 / 3

FCC RF Exposure Calculation FCC ID: Y56QSLMA781B Frequency: 2402-2480 MHz (79 channels) Modulation: FHSS (GFSK, π/4-DQPSK , 8DPSK) Mid-Channel: 2.441 GHz (channel 39) Mid-Channel Peak Power, Conducted: -2.10 dBm == 0.62 mW Antenna Gain: G = 0 dBi Calculation: Limit = 60/2.441 = 24.58 mW P radiated, max = P conducted, dBm + G dBi = -2.10 dBm + 0 dBi == -2.10 dBm = 0.62 mW Conclusion: The emitted power appears to be (far) below the required limit, so PASS. Note 1: f shall be the mid-band frequency expressed in GHz; the limit calculated with this mid-band frequency applies to all channels. For PTT with body-worn or face-held modes, d is the distance from the device case to a parson’s body; for modules with antennas inside laptops, d is the distance from the antenna to the person’s body. Note 2: Average Power levels are always equal or below the measured Peak Power levels, which means that calculating the EIRP using the Peak power can be considered as worst case.)

Report No.: C121204Z01-RP1 Note: This report shall not be reproduced except in full, without the written approval of Compliance Certification Services Inc. 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, A2LA, NVLAP, NIST or any government agencies. The test result of this report relate only to the tested sample identified in this report. FCC ID: Y56QSLMA781B Page 1 / 60 FCC 47 CFR PART 15 SUBPART C TEST REPORT For Bluetooth Adapter Model: MA-781-B Brand: N/A Test Report Number: C121204Z01-RP1 Prepared for SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China Prepared by COMPLIANCE CERTIFICATION SERVICES (SHENZHEN) INC. No.10-1, Mingkeda Logistics Park, No.18, Huanguan South Rd., Guan Lan Town, Baoan District, Shenzhen China TEL: 86-755-28055000 FAX: 86-755-28055221 Issued Date: December 10,2012 Report No.: C121204Z01-RP1 FCC ID: Y56QSLMA781B Page 2 of 60 This report shall not be reproduced except in full, without the written approval of Compliance Certification Services. Revision History Rev. Issue No. Revisions Effect Page Revised By 00 C121204Z01-RP1 Initial Issue ALL Anna Liu Report No.: C121204Z01-RP1 FCC ID: Y56QSLMA781B Page 3 of 60 This report shall not be reproduced except in full, without the written approval of Compliance Certification Services. TABLE OF CONTENTS 1. TEST RESULT CERTIFICATION .....................................................................................4 2. EUT DESCRIPTION..........................................................................................................5 3. TEST METHODOLOGY....................................................................................................6 3.1 DESCRIPTION OF TEST MODES ................................................................................6 4. FACILITIES AND ACCREDITATIONS .............................................................................7 4.1 FACILITIES....................................................................................................................7 4.2 ACCREDITATIONS .......................................................................................................7 4.3 MEASUREMENT UNCERTAINTY ................................................................................7 5. SETUP OF EQUIPMENT UNDER TEST ..........................................................................8 5.1 SETUP CONFIGURATION OF EUT .............................................................................8 5.2 SUPPORT EQUIPMENT .............................................................................................8 6. FCC PART 15.247 REQUIREMENTS ..............................................................................9 6.1 20dB BANDWIDTH........................................................................................................9 6.2 PEAK POWER.............................................................................................................14 6.3 PEAK POWER SPECTRAL DENSITY ........................................................................15 6.4 BAND EDGES MEASUREMENT ................................................................................17 6.5 FREQUENCY SEPARATION ......................................................................................27 6.6 NUMBER OF HOPPING FREQUENCY ......................................................................30 6.7 TIME OF OCCUPANCY (DWELL TIME) .....................................................................33 6.8 SPURIOUS EMISSIONS .............................................................................................40 6.9 POWERLINE CONDUCTED EMISSIONS ..................................................................58 Report No.: C121204Z01-RP1 FCC ID: Y56QSLMA781B Page 4 of 60 This report shall not be reproduced except in full, without the written approval of Compliance Certification Services. 1. TEST RESULT CERTIFICATION Product: Bluetooth Adapter Model: MA-781-B Brand: N/A Tested: December 04~10, 2012 Applicant: SHENZHEN QI SHENGLONG INDUSTRIALIST CO.,LTD. 5F.,Blk 6A, Jing Nan Industry,Bai Ge long,Buji,Shenzhen,China Manufacturer: DONGGUAN FEIHAO INDUSTRIALIST CO.,LTD No.8,Fengyi Road, Dakan Village, Huangjiang, DongGuan, China APPLICABLE STANDARDS STANDARD TEST RESULT FCC 47 CFR Part 15 Subpart C No non-compliance noted We hereby certify that: The above equipment was tested by Compliance Certification Services Inc. The test data, data evaluation, test procedures, and equipment configurations shown in this report were made in accordance with the procedures given in ANSI C63.4:2009 and the energy emitted by the sample EUT tested as described in this report is in compliance with conducted and radiated emission limits of FCC Rules Part 15.207, 15.209 and 15.247. The test results of this report relate only to the tested sample EUT identified in this report. Approved by: Reviewed by: Tom Gan Supervisor of EMC Dept. Compliance Certification Service Inc. Ruby Zhang Supervisor of Report Dept. Compliance Certification Service Inc. Report No.: C121204Z01-RP1 FCC ID: Y56QSLMA781B Page 5 of 60 This report shall not be reproduced except in full, without the written approval of Compliance Certification Services. 2. EUT DESCRIPTION Product Bluetooth Adapter Model Number MA-781-B Brand N/A Model Discrepancy N/A Identify Number C121204Z01-RP1 Power Supply DC5V supplied by the PC or DC3.7V supplied by the battery Received Date December 04, 2012 Frequency Range 2402 ~ 2480 MHz Transmit Power GFSK : -2.10dBm 8DPSK :-3.57dBm Modulation Technique FHSS (GFSK for 1Mbps, π/4-DQPSK for 2Mbps, 8DPSK for 3Mbps) Number of Channels 79 Channels Antenna Specification Integral Antenna with 0dBi gain(Max) Temperature Range -10°C ~ +55°C Note: This submittal(s) (test re…

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Report No.: C121204Z01-RP1 FCC ID : Y56QSLMA781B Page 1 / 2 PHOTOGRAPHS OF THE TEST CONFIGURATION RADIATED EMISSION TEST Report No.: C121204Z01-RP1 FCC ID :Y56QSLMA781B Page 2 / 2 . CONDUCTED EMISSION TEST