ADM00513

Certificate Of Radio Equipment in JAPAN No.: 142150392/AA/00 Telefication, operating as Conformity Assessment Body (CAB ID Number: 201) with respect to Japan, declares that the listed product complies with the Technical Regulations Conformity Certification of Specified Radio equipment (ordinance of MPT N° 37,1981) Product description: Trademark: Family name: Type designation: Serial No: Hard-|Software release No: Manufacturer: Address: City: Country: Bluetooth® 4.1 Low Energy Module Microchip -RN4020 --Microchip Technology Inc. 2355 West Chandler Blvd. 85224-6199 Chandler,Arizona United States This certificate is granted to: Name: Address: City: Country: Microchip Technology Inc. 2355 West Chandler Blvd. 85224-6199 Chandler,Arizona United States This certificate has THREE Annexes. Zevenaar, 13 October 2014 CAB W.J.M. Jong Manager Product Certification Annex 1 to Certificate of Radio Equipment in Japan Number: 142150392/AA/00 13 October 2014 Annex 1, Page 1 of 1 • The validity of this Certificate is limited to products, which are equal to the one examined in the type-examination. • When the manufacturer (or holder of this certificate) is placing the product on the Japanese market, the product must be affixed with the following Specified Radio Equipment marking: R 201-140392 Remarks and observations The following conditions are applicable: Antennas for Bluetooth: PCB antenna, max gain of -0.23 dBi at 2.4 GHz Telefication, Edisonstraat 12A, 6902 PK Zevenaar, The Netherlands Tel: +31 316 583 180, Fax: +31 316 583 189 Annex 2 to Certificate of Radio Equipment in Japan Number: 142150392/AA/00 13 October 2014 Annex 2, Page 1 of 2 Documentation lodged for this type-examination Test Reports: - Worldwide Testing Services (Taiwan) Co., Ltd.: W6M21409-14480-J-1, 25 September 2014 Product Documentation: - Assembly drawings - Bill of materials - Block diagram - Electric diagrams - Antenna specifications - Photos - User manual Technical Standards and Specifications The product shows no non-compliances with: - Equipment Radio Regulations: 2008 (including amendments) Chapter I, General Provisions Chapter II, Transmitting Equipment Chapter III, Receiving Equipment Chapter IV, section 4.17 article 49.20 Radio equipment specified in: Item (19) of article 2, paragraph 1 Telefication, Edisonstraat 12A, 6902 PK Zevenaar, The Netherlands Tel: +31 316 583 180, Fax: +31 316 583 189 Annex 2 to Certificate of Radio Equipment in Japan Number: 142150392/AA/00 13 October 2014 Annex 2, Page 2 of 2 Technical features and characteristics The product includes the following features and characteristics: Bluetooth LE - Operating frequency range: 2402-2480 MHz (40 channels) - ITU designation: 1M31F1D - Maximum output power: 4 mW rated Telefication, Edisonstraat 12A, 6902 PK Zevenaar, The Netherlands Tel: +31 316 583 180, Fax: +31 316 583 189 Annex 3 to Certificate of Radio Equipment in Japan Number: 142150392/AA/00 13 October 2014 Annex 3, Page 1 of 1 The product as described in this Certificate includes the following type designations: - Product description: - Trademark: - Type Designation: Bluetooth® 4.1 Low Energy Module Microchip RN4020 Telefication, Edisonstraat 12A, 6902 PK Zevenaar, The Netherlands Tel: +31 316 583 180, Fax: +31 316 583 189