775 Montague Expressway

Milpitas, CA 95035
Tel: 408-526-1188

Fax: 408-526-1088

Email:

IDA (Singapore)Telecommunication Equipment Application Form

Reason for Amendment (current / obsolete) / Revision History / Approved Date
From / To
Initial Release (obsolete) / 1.0 / 1.0 / Feb-12-2007
Updated SDoC Form (obsolete) / 1.0 / 2.0 / Sept-26-2008
Updated SDoC Form (obsolete) / 2.0 / 3.0 / Dec 16 2009
Updated company template & Added text box (current) / 3.0 / 4.0 / Jan-31-2012
Infocomm Development Authority of Singapore
8 Temasek Boulevard
#14-00 SuntecTower Three
Singapore 038988 / Main Telephone No:
EQR Enquiry No:
Fax No: / 6211 0888
6211 1937
6211 2234 /
Application for Telecommunication Equipment Registration
Instructions: / 1. / Please submit application form to the above address together with the applicable registration fee.
2. / Documents accompanying the application should be original or certified true copies from manufacturer.
3. / Request for registration without the submission of complete documents and information will not be accepted (refer to § 2 of the “IDA Guide for Registration of Telecommunication Equipment” for guidance).
4. / Payment shall be in a crossed cheque or telegraphic transfer made payable to “IDA Singapore”. The registration fee is not refundable.

Section 1:Items in this section must be completed

1.1 Type of Registration Request +
 New Model of Equipment /  Modified Model of Equipment
1.2 Equipment Registration Scheme +
Simplified Equipment Registration
 SER (Self-declaration)
General Equipment Registration
GER (Declaration certified by an IDA recognised body)
GER (Declaration evaluated by IDA)
1.3 Supplier’s Particulars (Declaring Party)
Company Name: / Telecom Dealer’s Licence No:
Address: / Postal Code: / Telephone No:
1.4 IDA Recognised Certification Body’s (CB) Particulars (if applicable)
Name & Address of CB / CB’s Certificate No:
(Please submit copy of Certificate issued by CB)
1.5 Supplier’s Contact for Technical Information
Name:
Designation:
Email: / Local Phone No: / Local Fax No:

*I/We declare that all information given in this request for registration and in the documents attached is true and correct.

*I/We warrant that each unit of equipment to be sold will comply with all applicable technical requirements.

Supplier’s Signature & Date / Name & Designation / Company’s Stamp

Section 2:Equipment Particulars must be completed

2.1 Equipment Information
Equipment Type +
 GSM (e.g. handheld/portable, base station)
 3G Terminal
 Short Range Device (e.g. Bluetooth and/or WLAN, remote controls, RFID, alarm and paging systems etc.)
 Cordless Phone (DECT, PHS or analogue)
 Land Mobile Radio
 Wireless Broadband Access
 Broadband Access (ADSL or cable modems)
 Complex/Multi-line (e.g. ISDN and BISDN equipment, PABX, payphone etc.)
 Single-line (e.g. telephone, fax machine, voice band modem etc.)
Equipment Description:
List the IDA Technical Specifications which Equipment is conforming to:
(Please submit the Supplier’s Declaration of Conformity.)
Trade Name: / Manufacturer’s Name & Address
Model:
Country of Origin/Import:
Year of Manufacture
2.2 Equipment Technical Data (Line Terminal Equipment) +
List of Network Interface Cards used (if applicable):
Auto-dial Feature:  Yes  No
Software Version used (if applicable): / Switch/Protocol Type (if applicable):
2.3 Equipment Technical Data (Radio-communication Equipment)
Frequency band(s):
RF Power Output (EIRP): / Channel Spacing (in kHz):
Specific Absorption Rate (SAR) Value in W/kg @10 g: N/A
(applicable to mobile phone only)

Section 3:Submission Requirements

One of the registration packages must be submitted together with the registration request. +
 SER (Self-declaration)
aRegistration Fee
bSDoC
cPhotographs of Equipment
dSales Brochure with Technical Data (e.g. Frequency Band and RF Power Output) /  GER (Declaration certified by an IDA recognised body)
aRegistration Fee
bSDoC
cCopy of Certificate issued by CB
dPhotographs of Equipment
eGeneral Information or Sales Brochure /  GER (Declaration evaluated by IDA)
aRegistration Fee
bSDoC
cPhotographs of Equipment
dDescription of Equipment
eSales Brochure with Technical Data
fTest Reports
gFacilities supported
hUser Guide

SCS-F13 IDA Application Form Page 1 of 6 Rev 4.0

Instructions:This Declaration is to be completed by an applicant for telecommunication equipment registration under the Telecommunications (Dealers) Regulations. An original, signed copy of the Declaration is to be submitted to IDA.
Where there is an operational group or department responsible for registering the equipment, please specify the details under the name of the applicant. /
Supplier’s Declaration of Conformity
I/We
(Name of Applicant)
of
(Address of Applicant)
hereby declare that the following telecommunication equipment,
(Trade name and Model name)
complies with the following IDA Technical Specifications:
IDA Reference / Issue Date / Title of IDA Technical Specification
I/We declare that this Declaration of Conformity is based on test data or certification produced by:
(Name & Address of Test Laboratory or Certification Body)
I/We declare that all information submitted to IDA in this Declaration of Conformity is true to the best of my knowledge, information and belief, and I/we am/are aware that there are penalties under the Telecommunications (Dealers) Regulations for furnishing false information.
Signature of Authorised Officer / Date of Declaration
Name of Authorised Officer
Position held in Organisation / Telecom Dealer’s Licence No.
Additional Information:
Name & Address of Manufacturer

IDA SDOC FORM (Jul 09)

Table 1 - Technical Specifications for Line Terminal Equipment

No. / Reference / Eqpt Category Code
(for online entry) / Issue Date / Title of Specification
1 / IDA TS PSTN / PSTN1 / Mar 07 / Technical Specification for Terminal Equipment connecting to the Public Switched Telephone Network (PSTN)
2 / IDA TS ADSL / ADSL1 / Apr 06 / Technical Specification for Asymmetric Digital Subscriber Line (ADSL) Modems
3 / IDA TS ISDN-BA / ISDN1 or ISDN3 / Jul 05 / Technical Specification for connecting to the Integrated Services Digital Network (ISDN) using Basic Access
4 / IDA TS ISDN-PRA / ISDN2 / Jul 05 / Technical Specification for connecting to the Integrated Services Digital Network (ISDN) using Primary Rate Access
5 / IDA TS BISDN / BISDN / Jul 05 / Technical Specification for connecting to the Broadband Integrated Services Digital Network (BISDN)
6 / IDA TS DLCN / DLCN1 / Jul 05 / Technical Specification for Digital Interfaces based on hierarchical bit rates of 2048 kbit/s, 34 368 kbit/s and 139 264 kbit/s
7 / IDA TS CM / CABLE / Jul 05 / Technical Specification for Cable Modems (CM) connected to the Radio-Frequency Interface of the High-speed Data-Over-Cable Systems (DOCSIS 1.1)

Note:The requirements to comply with IEC 60950-1 for electrical safety and IEC CISPR 22 for electromagnetic compatibility (IDA EMC framework) have been included in the Technical Specifications as part of the conformity assessment requirements together with the telecommunications part.

Table 2 - Technical Specifications for Radio-Communication Equipment

No. / Reference / Eqpt Category Code
(for online entry) / Issue Date / Title of Specification
1 / IDA TS CT-CTS / LPREQ or
PMREQ / Apr 06 / Technical Specification for Cordless Telephone and Cordless Telecommunication Systems
2 / IDA TS SRD / LPREQ or
PMREQ / Jul 09 / Technical Specification for ShortRange Devices
3 / IDA TS AR / PMREQ / Jul 05 / Technical Specification for Amateur Radio Equipment
4 / IDA TS LMR / PMREQ or
PRNEQ / Aug 06 / Technical Specification for Land Mobile Radio Equipment
5 / IDA TS RPG / PRNEQ / Jul 05 / Technical Specification for Radio Pagers (Public Paging Service)
6 / IDA TS GSM-MT / PRNEQ / Jul 09 / Technical Specification for GSM Mobile Terminals
7 / IDA TS GSM-BS / PRNEQ / Jul 09 / Technical Specification for GSM Base Station and Repeater Equipment
8 / IDA TS 3G-MT / PRNEQ / Jul 09 / Technical Specification for IMT-2000 Third-Generation (3G) Cellular Mobile Terminals
9 / IDA TS 3G-BS / PRNEQ / Jul 05 / Technical Specification for IMT-2000 Third-Generation (3G) Cellular Base Station and Repeater Systems
10 / IDA TS GMPCS / PRNEQ / Jul 05 / Technical Specification for Global Mobile Personal Communication by Satellite (GMPCS) Terminals
11 / IDA TS WBA / PRNEQ / Jun 05 / Technical Specification for Wireless Broadband Access (WBA) Equipment
12 / IDA TS UWB / PMREQ / Dec 07 / Technical Specification for Ultra Wideband (UWB) Devices

Note:The IDA EMC framework for telecommunication equipment does not apply to radio-communication equipment which is covered by a different set of emission standards established and published in the relevant IDA Technical Specifications.

SCS-F13 IDA Application Form Page 1 of 6 Rev 4.0