Application	Remote Monitoring Telematics Fleet Management Metering Telehealth Security Point-of-Sale Fixed Wireless Terminal  Consumer Electronics Other	What is the application of your product?
Product Description		Please provide description of your product.
Testing	PTCRB GCF FCC CE IC Anatel  TRP-TIS Spurious Emissions Field  Testing Other
Technology	GPRS   1XRTT EDGE  UMTS   EVDO HSDPA 3.6 HSDPA 7.2HSDPA 14.4 HSPA+21 DC-HSPA+ LTE Other	What radio technologies does your product support?.
Freqeuncy Bands	2G Bands  3G Bands  4G Bands	Please list the applicable frequency bands supported by your product.
Module Info	Does your product use an integrated module? Yes No If 'Yes' on above, Manufacturer                                   Model                                              Any changes to SIM Interface?       Yes No Any changes to power Interface?    Yes No Audio supported?                           Yes No
Antenna Info	Number of cellular antennas      Antenna Gain                            Coaxial cable length
Region	North America   South America Europe Asia-Pacific Africa	Which region(s) would be launching your product?
Country List		Which countries would you be launching your product?
Operator List		Which netwrok  operator(s) would you be launching your product ?
Timeframe	0-3 months  3-6 months > 6 months	When do you expect to start certification?
Notes
Contact Details	Name        Email         Phone         Company    City