2.911 d 7 US Agent for Service of Process v1.4

Miranda Lu

2.911 (d)(7)USAgentforServiceofProcessv1.2

Dongguan Boxinda Electronic Technology Co., LTD B-19 4 in1 Wireless Charger 2A4OE-B-19 2A4OEB19 b 19

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B-19 4 In1 Wireless Charger by Dongguan Boxinda Electronic

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Document DEVICE REPORTB-19-Attestation-Statements-Dongguan-Boxinda-Electronic-2a4oe-b-19-ex-1-3
Dongguan Boxinda Electronic Technology Co., LTD
Section 2.911(d)(7) USA Agent for Service of Process
Company name:Dongguan Boxinda Electronic Technology Co., LTD Address:Room 302, Building 1, 160 Luyuan Road Tangxia Town, Dongguan City, Guangdong Province China Product Name:4 in1 Wireless Charger FCCID: 2A4OE-B-19 Model(s):B-19

2.911(d)(7) USA Designated Agent for Service of Process

We, [Dongguan Boxinda Electronic Technology Co., LTD] ("the applicant") designate [FCC US Agent, LLC]NOTE1 for the purpose of accepting service of process on behalf
of the applicant.

Applicant consent: We acknowledge our consent to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and email address of the designated agent and acknowledge our acceptance of our obligation to maintain an agent for service of process in the United States for no less than one year after either we the grantee have permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later.

Agent obligation: We acknowledge our obligation to accept service of process in the United States for matters related to the applicable equipment at our physical U.S. address and email address for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later.

USA Agent Company name: FCC US Agent, LLC USA Address:3722 Illinois Avenue, Saint Charles, IL, 60174, USA

Applicant Company name:Dongguan Boxinda Electronic Technology Co., LTD Address:Room 302, Building 1, 160 Luyuan Road Tangxia Town, Dongguan City, Guangdong Province China

FRN Number: 0033402884 Contact Name: Tim Payne Telephone No:(708) 571-3148 Email:[email protected]

FCC Grantee Code:2A4OE FRN Number:0031992282 Contact Name: songzhen li Telephone No:13423908225 Email:[email protected]

2.911 (d)(7)USA Agent v1.4

Dongguan Boxinda Electronic Technology Co., LTD

Signature: Title :Manager

Tim

Digitally signed by Tim Payne DN: cn=Tim Payne, o=FCC US Agent, LLC, ou=FCC US

Agent, LLC,

Payne email=support@FCCUSAgen t.com, c=US Date: 2023.05.19 11:13:07

-05'00'

Signature:

Date:5/19/2023

Title: project manager Date: 5/19/2023

NOTE 1: An applicant located in the United States may designate itself as the agent for service of process.
Reference; Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-nation al-security-threats-to-the-communications-supply-chain-through-the

2.911 (d)(7)USA Agent v1.4



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