C5266091 X24 Ed1 Attestation Statement
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Attestation Statements
zhengzhoushixiubenshangmaoyouxiangongsi X3B-01 Power Strip with USB,LED with bluetooth 2A95YX3B-01 2A95YX3B01 x3b 01
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Document DEVICE REPORTGetApplicationAttachment.html?id=6418523C5266091_X24_Ed.1 "Attestation Statements" TO: Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 The Commission adopted rules that prohibit equipment authorization for "covered" telecommunications equipment and video surveillance equipment produced by entities identified on the Commission's Covered List1, which is periodically updated. See the Covered List for more details. This Attestation Statement is to confirm that we follow the Section 2.911(d)(5)(i)-(ii) Applicant Company name: zhengzhoushixiubenshangmaoyouxiangongsi Grantee code: 2A95Y FCC ID: 2A95YX3B-01 Contact Name: Address: zhonggui xia dibadajie88hao, silou9910shi, zimaoshiyanquzhengzhoupianqu,henansheng,450000 Telephone No: 15188330465 Fax No: Email: [email protected] i. [Zhengzhoushixiubenshangmaoyouxiangongsi] ("the applicant") certifies that the equipment for which authorization is sought is not "covered" equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. The applicant must sign this certification. ii. [Zhengzhoushixiubenshangmaoyouxiangongsi] ("the applicant") certifies that, as of the date of the filing of the application, the applicant [is not] identified on the Covered List as an entity producing "covered" equipment. The applicant must sign this certification. Date: 2023/2/2 Applicant's Name: zhonggui xia Title: legal person Signature 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 1/1
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