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IoT Quotation Form
Quotation Request
General
Applicant
*
*
Address details
*
Contact name
*
*
Contact details (email)
*
*
Manufacturer Information (tick when same as applicant)
Address Details
*
Contact Name
*
Contact Details
*
Functional description device
*
*
Status
*Model numbers
Product Name
*
*
Main Model
*
Variant Model
*
Difference with main model?
*
*Technologies/modulations/bandwidth to be incorporated by applicant: tick (more then 1 is possible).
Bluetooth
RLAN 802.11
Bandwidths in MHz
Cellular
SRD
Bluetooth additional information
Power class level
Class 1 (PAV > 0dBm)
Class 2 (-6dBm < PAV < 4dBm)
Class 3 ( PAV < 0dBm)
Peak antenna gain (dBi)
*
*
RF Cable Loss (dBm)
*
*
SIG Membership Account - Username
*
SIG Membership Account - Password
*
SIG Membership Registration
Required
Not Required
Rated Voltage (Vdc)
*
Hardware Version
*
Software Version
*
Core Specific Version
Core Configuration
New LE Features introduced in Bluetooth® 5
Max TX Length (bytes 37 - 255)
*
Max RX Length (bytes 37 - 255)
*
Direction Finding Features (5.1 or later)
LE Audio Profile (5.2 or later)
*Type Radio Module incorporated: (In case chipsets, no information required).
Brand
*
Type
*
Certificate Number
*
Device Type (For 5GHz wifi function only):
Slave
Master
*Minimum distance device to human body:
*
Antenna Information
*
Internal Antenna
External Antenna
Available communication Ports:
Amount of Ports
*
Max Length in Cm
*
Information external / internal power supply (type, current, certificates)
*
Battery information
*
Additional Information
*
Requested Services
Testing and guidance execution
World approval guidance
Compliance Route Guidance Package
Hourly guidance and consultancy
Primary Countries Requested
Other Countries
*
Signing Details
Name
*
*
Date
*
*
I agree with the information submitted. By signing this document I am requesting a quotation only.
*
I agree with the information submitted. By signing this document I am requesting a quotation only.
No
I agree with the information submitted. By signing this document I am requesting a quotation only.
Yes
