0004-EX-TN-2016

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Compliance Testing License

Applicant (Company) Name:

Universal Instrument Company

Applicant's FCC Registration Number (FRN):

0025918848

Attention To:

Richard Strube

City:

Conklin

Country (If not the United States):

United States

E-mail Address:

richard.strube@uic.com

State:

New York

Street Address:

33 Broome Parkway

Zip Code:

13748

442 application form - Authorized Party to Sign

Signature Date:

2016-09-27 16:27:26.096

Signature of Applicant (Authorized person filing application):

Richard E. Strube

Title of Person Signing Application:

Sr. Product & Code Compliance Engineer

442 application form - Eligibility Questions

Applicant affirms that they are a testing laboratory recognized by the FCC as being competent to perform measurements of equipment for equipment authorization under the FCC rules.

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

Richard

Last Name:

Strube

Phone Number:

607-779-5326

Title:

Sr. Product & Code Compliance Engineer

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2016-09-27 17:08:24.46

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

We make equipment known as Pick & Place equipment. We make the equipment that takes components and populates printed circuit boards. Our market is word wide which requires that we pass an initial EMI test for CE and other places.

442 application form - Location Information

County:

BROOME

North Latitude:

42 ° 2 ' 9 "

Street Address:

33 Broome Corporate Parkway

West Longitude:

75 ° 48 ' 31 "

Notes

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