SCHEDULE 6 EU DECLARATION OF CONFORMITY (No.XXXX)
Regulation 40(b)
1 Product model/product (product, type, batch or serial number):
2 Name and address of manufacturer and, where applicable, the authorised representative:
3 This declaration of conformity is issued under the sole responsibility of the manufacturer.
4 Object of the declaration (identification of product allowing traceability; it may, where necessary for the identification of the product, include an image):
5 The object of the declaration described above is in conformity with the relevant Union harmonisation legislation:
6 References to the relevant harmonised standards used or references to the other technical specifications in relation to which conformity is declared:
7 Where applicable, the notified body (name, number) performed (description of intervention) and issued the certificate:
8 Additional information:
Signed for and on behalf of:
(place and date of issue):
(name, function) (signature):