04 Qubic Connect AutLet-U

briesemeister m1

QRI-QCONNECT AutLet

BIOTRONIK SE & Co. KG QCONNECT QRI-QCONNECT QRIQCONNECT qconnect

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Document DEVICE REPORTGetApplicationAttachment.html?id=6342052
BIOTRONIK SE & Co. KG · Postfach 470255 · 12311 Berlin
Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046

Tel +49 (0) 30 68905-1282 Fax +49 (0) 30 68905-1921 [email protected] www.biotronik.com
Berlin, 20-Oct-22

To whom it may concern:
We, the undersigned, hereby authorize Eurofins Product Service GmbH to act on our behalf in all matters relating to applications for equipment authorization FCC ID: QRI-QCONNECT including the signing of all documents related to these matters. Any and all acts carried out by Eurofins Product Service GmbH on our behalf shall have the same effect as acts of our own. By signing this form, we agree to Eurofins' current valid General Terms and Conditions (AGB),Testing and Certification Regulations (PZO) which can be viewed on following website www.eurofins.de/ee or retrieved on request. We also hereby certify that no party to this application is subject to a denial of benefits, including FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862.
Sincerely,
Mark Briesemeister Regulatory Affairs Senior Manager BIOTRONIK SE & Co. KG

BIOTRONIK SE & Co. KG Woermannkehre 1 12359 Berlin Steuer-Nr.: 30/005/75408 USt.-Ident Nr.: DE136651322

Tel +49 (0) 30 68905-0 Fax +49 (0) 30 6844060 [email protected] www.biotronik.com

Geschäftsführende Direktoren: Dr. Alexander Uhl (Vorsitzender) Dr. Thomas Kraft Stephan Schulz-Gohritz

Kommanditgesellschaft: HRA 6501 B, AG Berlin-Charlottenburg Komplementärin: BIOTRONIK MT SE HRB 118866 B, AG Berlin-Charlottenburg



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