Annex A RF Technical Brief Cover Sheet – RF EXPOSURE: SAR and RF (MPE) Evaluation – All fields must be completed with the requested information or the following codes: N/A for Not Applicable, N/P for Not Performed or N/V for Not Available. Where applicable, check appropriate box. Company Number: Model Number: Manufacturer: TYPE OF EVALUATION: (Complete the applicable sections: (a) SAR Evaluation: Device Used in the Vicinity of the Human Head; (b) SAR Evaluation: Body-Worn Device/Body-Supported Device; (c) SAR Evaluation: Limb-Worn Device; (d) RF Exposure Evaluation.) Note: The worst-case scenario (i.e. highest measured value obtained) should be reported. (a) SAR HEAD – N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated (b) SAR BODY – N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated (c) SAR LIMB – N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated
Annex A – RF Technical Brief Cover Sheet RF EXPOSURE: SAR and RF (MPE) Evaluation – All fields must be completed with the requested information or the following codes: N/A for Not Applicable, N/P for Not Performed or N/V for Not Available. Where applicable, check appropriate box. Company Number: Model Number: Manufacturer: TYPE OF EVALUATION: (Complete the applicable sections: (a) SAR Evaluation: Device Used in the Vicinity of the Human Head; (b) SAR Evaluation: Body-Worn Device/Body-Supported Device; (c) SAR Evaluation: Limb-Worn Device; (d) RF Exposure Evaluation.) Note: The worst-case scenario (i.e. highest measured value obtained) should be reported. (a) SAR – HEAD N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated (b) SAR – BODY N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated (c) SAR – LIMB N/A N/P N/V Multiple simultaneous Tx Yes No Exposure limits used General Public Use Controlled Use Duty Cycle (%) Standard Used SAR Value W/kg Measured Method Measured Computed Calculated
IC_Annex-ABC_130311.docx