| Details of Equipment: |
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| Product Type: |
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| Brand Name: |
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| Model Number: |
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| NCA Equipment No.: |
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| Product Name: |
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| Intended Use: |
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| Additional Details for Radio Equipment: |
| Frequency Range: |
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| RF Output Power Radiation: |
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| RF Output Power Conducted: |
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| RF Channel Spacing: |
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| RF Output Impedance: |
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| Type Of Modulation: |
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| Bandwidth: |
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| Software Version: |
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| Antenna Type: |
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| Antenna Gain: |
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| Technical Variants: |
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| Details of Certificate of Compliance: |
| Issuing Body: |
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| Issuing Date: |
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| Validity: |
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| Standards: |
| EMC: |
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| Radio: |
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| Health And Safety: |
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| Manufacture's Information: |
| Name Of Manufacturer: |
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| Address Of Manufacturer: |
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