Declaration of Conformity (according to ISO/IEC Guide 22 and EN 45014) No (1) : Manufacturers Name (2) : Manufacturers Address : The manufacturer here by declares that the product Product Name (3) : Product Type (3) : Model Numbers (3) : Product Options : conforms to the following standards or other normative documents (4) : Electromagnetic Emissions : (by Council Directive 89/336/EEC) Electromagnetic Immunity : (by Council Directive 89/336/EEC) Safety : (by Council Directive 73/23/EEC) Supplementary Information (5) : Place and Date : Name and Position (6) : Contact Address : Signature : Notes : 1 : Every Declaration of conformity should be identified for easy reference 2 : Identification of the manufacturer or where appropriate of the Authorised representative. For larger companies it may be necessary to specify operation groups or departments. 3 : Identification and description of the apparatus to which the declaration od conformity refers. The apparatus should be unequivocally described so that the declaration may be related to the apparatus. For mass-products it is not necessary to give individual serial numbers. 4 : Reference to the specifications under which conformity is declared and where appropriate, to the national measures implemented to ensure the conformity of the apparatus with the provisions of the Directive (or Directives). Where appropriate, reference must be given to the EC type-examination certificate issued by a notified body. 5 : Text should appear there only if additional information is given. It should be tailored to the type of information. 6 : Identification of the signatory empowered to bind the manufacturer or his representative.