Baneua Knienta / Customer Order 08.19/01 Mlocayrs 3 ouinnu Bianosianocti / Services for Conformity Assessment NB TR.UA.OS2 /Momep peeerpauii OO8 TR.UA.082 cent 2 as wea] Commer Purase Ove Ne Ukraine Yupaina Pecerpaultnwh No saneun ¥KPYACTOTHAT/A /UKCHASTOTNAGLIAD NB UKCHASTOTNAGLIAD | 008 YKPYACTOTHATNAD, rae to: YH23/0, Prospect Peremogy, 151 | np-r Nepemoru, 151 fora pecrpaul ssnn____2021 8. 03179 Kyiv 03179, m. Kato. Span signoniarne Basen Howansnne 808. _ (6j80 nacxo, sonoanime yeomno. Hadani dani Bydyme 2osnavenl @ cepmudixamex excnepmuau muny (eidonocm! npo eupoGuuxa ma npodyxuio). Zanosnenut Gnonx somoanensa mone 6ymu eidnpeenenul Garcon a0 enexmponiow nowmon / Please fil im carefully. The given dato vl be indicated in certificates of exomination type (information about the manufacturer and product). A completed order form can be sent by fax or emai 3aranbna inopmauia crocosno Saashuxa / General information about the Applicant: 11a. | Hasea opranisawit/ TOB Rumosupeoraa oBxacva maaan nox nocibne ma naewaenas WEIaDNaIO™ lorganization name: luz. | Aapeca/uom €APnoy / Legal —Tapaina, TOODT, x. Ruan, poe. Boson, GyO1E. wa, 43, Rod CUPTIOV Wa7ERAD dress /EDRPOU code: la. | craryesansnna / Applicant Bupobunx 7 Yaosnosanennt npencrasnne TC] 1 biotus: Manufacturer ‘Authorized Representative [i+ | Boprenn/arcin/anineie 1.5. Konraxrna oco6a (opranisauia) Manayna Bonodumup Bonodumupoaiy 0631354989 1 contact person (organization) Ten / Fax 412-460-466 e-mail: 361366@ukr.net ee Tipoaynuin, wo sansnena wa oulery siqnosiquocti / Products applied for conformity assessment: Taenrudixauin npoayary, axa saaBnewa Wa CulHKy BIANOBLAHOCTI(w:Vropro8ensna wapra/monens bonsai pra) pom? Identification of the product that is claimed for conformity assessment (type wademark/ model (produc ine) of product exy) 2.2, | Bwpobninic (nase oxco6nn, wpnncne aapeca)/ Manufacturer (name of manulactre, legal adares Inmepaxmusna nanexe 3 abvOoeanun Koun'omepou (IIEOM) mopeoeexsnot mapxu iBoard soderei Board [Pax Add PC) iN/CIH SSD 2 o6nadnanwas padiodocmyny ((IEEE 802.11 a’b/gin’ac, IEEE 802.15.1 Bluetooth) (de xx ~ diazonam expamy 6 hoiimas, ddd - sepein cuemenu andpord, iN - indexc npoyecopa, C-poanip naw'sml @ FB, H - o6'eu duexy @ TB, SSD ~ mount )pocu eupobuvax nomyacnocmed 1. Vxpaiva, T0001, w. Rumowup, ea. Rulacexe woce, 11,2. Vxpaiva, T0003, x bkumomup, saitoan Koponewxa, 3B 2.3. | Cxnan oBnaqvanwn jownonente|axccyape, nx ennwsntrs na oanasignic eet owmoram TPP)/ POR ofthe equipment {components and accessories that affect tothe compliance with essential requirements of RED) Timepaxmuana ravens 3 eBydosann nownvomepow (TIEOM) mopcosexenal mapsu (Board woderen (Board IPxx Add PC INCIH SSD (oe xx ~ diazonate expany 4 dokwax, Ad.d - eepeis cucmewu andpoid, IN - indexe npoyccopa, C-posuip aw 'ami a PB, H - 06'eu ducxy 6 15): Kounouenmu | axceevapu: aldcymul 2a, | Paslovexnonaris, wo exwopucroayeroes y npeyual/ Radio technology used ia products: BH tnponacmyrosnh panionocryn (Bd IEEE 802.11 b/g; 62 1EEE €02.21n;; 02 Ee 202 12a; ; 5 VEEE 802.11 ac, 52 sivetooth;; CI Zigdee; CI 2400 Aru; C2) e€€ 802.16} CO Ungposuii crinsnnxoanii paaioss'nsox {L) Gsm 900/180; CF) im-2000; C) tre; D coma-8oo); B Noncrpoi xoporworo paaiycy aii (C1 6,7 Mru; O13 mry; O 433 mru; 0 868 mru; 2400 ru; 9 5800 ru); Gi inayerapni sacrocysannn (C1 nec, 0 RFID); Ci Paniopeneinnitse'as0x; C1 Pagionoxauiin anniposannn,