End Products Qualcomm will administer full Logo use agreement allowing placement of Logo on End Product

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1 Test & Certification Application Certification Process Submission Process 1. Customer submits application on UL web site 2. Qualcomm reviews customer status***to be clarified*** 3. Upon acceptance UL can proceed with testing 4. Upon completion, product will be listed on web site Co-marketing rights granted by Qualcomm upon: Successful compliancy testing and certification (via UL) Execution of Quick Charge 2.0 marketing agreement (via Qualcomm) Review and acceptance of Quick Charge 2.0 brand guidelines (via Qualcomm) Listing Information Products will be listed on web site after successful completion in the following two Listing Categories Chipsets, Reference Designs and Modules Purpose is to show OEMs that Chipset / Reference Design / Module can meet QC 2.0 requirements when incorporated into end product Qualcomm will administer limited Logo use agreement for promotional purposes End Products Qualcomm will administer full Logo use agreement allowing placement of Logo on End Product Page 1 of 6

2 \ Certification Submission Requirements and Pricing Information Chipsets, Reference Designs and Modules Documentation o Datasheet or similar Identification as Class A or Class B charger Class A = 5 / 9 / 12 volts Class B = 5 / 9 / 12 / 20 V Rated output current at each output voltage Provide one sample for testing UL will provide test report to both the customer and Qualcomm UL will provide Chipset Verification to the customer and inform Qualcomm Global pricing o o End Products US $1000 for Report US $100 for Verification Listing Documentation o Datasheet or similar Identification as Class A or Class B charger Class A = 5 / 9 / 12 Volts Class B = 5 / 9 / 12 / 20 Volts Rated output current at each output voltage o Schematic o Bill Of Materials (BOM) o PC Board layout Provide one sample for testing UL will provide test report to both the customer and Qualcomm UL will provide End Product Certification to the customer and inform Qualcomm Global pricing o US $1000 for Report o US $250 for Certification Listing Page 2 of 6

3 Technical Landscape Qualcomm QC 2.0 technology decreases the charge time for mobile devices by 40% to 75% while maintaining the plug-and-play ease of use of USB connectors Conventional USB Charging 1 A at 5 V provides 15 W QC 2.0 High Voltage Charging over USB o Up to 3 A at 20 V provides up to 60 W Industry Standards Environment High Voltage Dedicated Charging Port (Quick Charge 2.0) is a proprietary technology developed and managed by Qualcomm Technical Documents o Interface Specification 80-NH008-1 o HVDCP Compliance Plan 80-NH Qualcomm controls usage of the QC 2.0 Logo Regulatory Environment Various regulatory requirements, including Product Safety and EMC, will apply to chargers and devices that incorporate the QC 2.0 technology Page 3 of 6

4 Applicant Information *Complete, legal business name *Street address 1 *Street address 2 *City *Zip/Postal code *First Name *Title *Telephone Firm Name Street Address 1 Street Address 2 City Zip/Postal code *State *Country Person at the applicant s address to receive Certificate or for contact *Last Name Fax No Technical Contact State Country Telephone Ext Fax No First Name Title Firm Name Street Address 1 Street Address 2 City Zip/Postal code Last Name Non-Technical Contact State Country Telephone Ext Fax No First Name Title Last Name Page 4 of 6

5 PURPOSE OF APPLICATION: Chipset / Module / Reference Design test w/verification End Use Equipment test w/ Certification Chipset / Module / Reference Design test only End Use Equipment test only For Certification of End Use Equipment Please Complete the Following Read certification carefully before answering and signing this application Applicant / Agent Certification I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Certificate issued by Qualcomm as a result of the representations made in this application, the applicant is responsible for (1) compliance of the equipment with the applicable technical rules and (2) In case of Market Surveillance activities requested by Qualcomm, sample will be provided in specified time frame. If the applicant is not the actual manufacturer, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the Qualcomm Quick Charge 2.0 technical requirements. Authorizing an agent to sign this application is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application. If an agent has signed this application on behalf of the applicant, a written letter of authorization has been provided by the applicant. It is understood that the letter of authorization must be submitted to the Certification Body upon request, and that the Certification Body and/ or Qualcomm reserve the right to contact the applicant directly at any time. The certificate holder is obliged to record and file all complaints concerning his certified product. At the request of the certification body the provider has to make these details available immediately free of charge and provide information on the measures taken by him to remedy justified complaints. By indicating my Acceptance below, I certify that the Applicant Name listed above is a Legal Entity, as indicated in the Applicant Name, and that I am an Authorized signatory for said Legal Entity. The Applicant Agrees to the following: i ii iii iv v vi vii viii ix x xi comply with Qualcomm Quick Charge 2.0 requirements for the scope of certification to supply any and all information needed for the evaluation of the products for which certification is sought to make claims regarding certification only in respect of the scope for which certification has been granted does not use its product certification in such a manner as to bring the certification body or Qualcomm into disrepute and does not make any statement regarding its product certification which the certification body may consider misleading or unauthorized upon suspension or cancellation of certification, discontinues its use of all advertising matter that contains any reference thereto and returns any certification documents as required by the certification body uses certification only to indicate that products are certified in conformity with Qualcomm Quick Charge 2.0 standard endeavors to ensure that no certificate or report or any part thereof is used in a misleading manner in making reference to its product certification in communication media such as documents, brochure or advertising, complies with the requirements of the certification body and Qualcomm comply with the requirements for certification and to supply any information needed for evaluation of products to be certified certification body shall periodically evaluate the marked products to confirm that they continue to conform to the standards and when so notified, applicant shall provide requested sample within 30 days of the date of request. keep a record of all complaints relating to product s compliance with requirements of relevant standard; make records available to Certification Body and/or Qualcomm when requested; take appropriate action with respect to such complaints and any deficiencies found in the product that affect compliance with requirements for certification; document the actions taken with respect to complaints and/or deficiencies. Signature of Authorized Person Filing: Title: Date: Page 5 of 6

6 COMPLETE ITEMS BELOW IF AN AGENT SIGNS THE APPLICATION FIRM NAME: First Name Address 1 Address 2 City Zip/Postal Code Last Name State Country Telephone Ext Fax No APPLICATION/AGENT CERTIFICATION The application must be dated, and bear the original signature of either an officer of the applicant, a designated employee of the applicant located at the applicant's address, or an authorized agent. A signature includes any symbol executed or adopted by the applicant with the intent that such symbol be a signature, including symbols formed by computer-generated electronic impulses. The agent information section must be completed if an agent signs the application on behalf of the applicant. Upon completion of this form Scan and return the completed form to UL via to: OR Fax this form to the attention of Ron Paiva to: Page 6 of 6

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