Meer, Richard van der

Attestation Statements

AVITA Corporation SPW-62BR1 Pulse Oximeter UV3SPW-62BR1 UV3SPW62BR1 spw 62br1

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Document DEVICE REPORTGetApplicationAttachment.html?id=8147789 
Certification Application Attestation Statements

AViTA Corporation 9F, No. 78, Sec. 1, Kwang-Fu Road, San-Chung District, New Taipei City 24158, Taiwan

To Whom It May Concern:

Statement for 47 CFR section 2.911(d)(5)(i)
AViTA Corporation certifies that as of the date of the application the equipment for which authorization is sought is not "covered" equipment1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules.
If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not "covered" equipment.
Additional Explanation: <N/A>

Statement for 47 CFR section 2.911(d)(5)(ii)
AViTA Corporation certifies that, as of the date of the filing of this application, the applicant
- is / - is not (3)
identified on the Covered List as an entity producing "covered" equipment.

Date: City: Name(2) : Function: Telephone number: Email address: Signature:

2025/3/10 New Taipei City Terry yang Deputy Manager +886-2-85121568 [email protected]

1 - The Commission's Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commission's website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes "covered" equipment. https://www.fcc.gov/supplychain/coveredlist .
(2): For FCC it must be the Grantee Code "owner" or the authorized agent. (3): double cllick on the appropriate box and select `'checked" then "OK"
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