Wireless Products – Transmitters and Transceivers –

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Help Us Determine the Test Requirements

What Countries/Regions would you like to Market your Product in? Check all that apply:
 USA Canada European Union Japan Australia/New Zealand Taiwan Korea

How long will this product be on the market?
Please let us know which of these environments your product will typically operate in (check all that apply):
 Residential Commercial Light Industrial Heavy Industrial Medical Laboratory

General Product Information

Please provide all applicable information to help us provide you with accurate quotation.

Product Description:
(for example, DSL Router or 18” Heads-up Display or Small Form Factor Hologram Generator)
Model Name and/or Number:
(for example, CoolRareCar or XR4TI or XR4TI CoolRareCar)
Give a brief description of the functions that your device performs.
What is the intended operational environment?
What are the physical dimensions of the product?
Please list the number and type of I/O cables used.
Please list all clock (oscillator) frequencies used in the system.
What is the highest clock frequency of the device?
This frequency has been:
List any standards the device has already been type approved to.
This certification project will be:
Are you planning to certify this device through CKC Certification Services?  Yes No

Type of Equipment

Is your device a
 Transmitter Transceiver Transmitter and Separate Receive Industrial Booster Wideband Consumer Booster Provider Specific Booster RF Amplifier
Is your device:
 Fixed Mobile Station Portable Vehicle Mounted

Operating Frequency Information

Transmitter Operating Frequency (s):
Number of Channels (Frequencies):
Channel (Frequency) separation:
What is the Bandwidth?
Measured at (ex. -6dBc, -20dBc, etc...)
Uplink Frequency:
Downlink Frequency:
Signal Protocol:
Other. Specify

Other. Specify:

Output Power Information

Rated Output Power?
Measured at:  Antenna Terminal, ERP, EIRP,

Antenna Information

Number of Antennas sold with unit:
Indicate Antenna Type (check all that apply):
Indicate gain in dBi

Loop (gain: )
Helical (gain: )
Whip (gain: )
Rod (gain: )
Patch (gain: )
Bi-Polarized (gain: )
Circular (gain: )
Parabolic (gain: )
Sector (gain: )
Horn (gain: )
PCB Trace (gain: )
Chip Antenna (gain: )
Other (Type & Gain: )
If antenna is a loop style, please indicate the loop size.
Does the unit have a separate receiver port?  Yes No
Where is the antenna mounted?  On the device On an outdoor structure Indoors
If the antenna is mounted on the device, is the antenna :  Integral External
If the antenna is integral, is it possible to remove the antenna?  Yes No
If the antenna is removable, what type of connector is used?  Reverse BNC Reverse SMA Other Specify:
NOTE: Please provide adapter, if necessary, to connect to either N, BNC, or SMA type connectors.

Power Supply Information

Type of Power:
 Single Phase
 Three Phase
 AC/DC Power Supply:

Additional power options or Accessories:
 Vehicle Adapter
 Battery Charger
 Battery backup

Type of Battery:

 Solar Power
 AC Power Adapter

Current Draw in Amps:

Other Related Information

Will you also require environmental / climatic / dynamics testing on this project?

If you answered yes above, would you like to receive a quotation from one of CKC's environmental testing partners?