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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
Leave this field blank
