Primer Deklaracije o usaglaenosti / Example of form of declaration of conformity

Supplier's declaration of conformity (in accordance with ISO/IEC 17050-1)

1)

No: .........................................

2)

Issuer's name:

...........................................................................................................

Issuer's address:

...........................................................................................................
...........................................................................................................

3)

Object of the declaration:

...........................................................................................................
...........................................................................................................
...........................................................................................................

4)

5)

The object of the declaration described above is in conformity with the requirements of the
following documents:
Documents No

Title

Edition/Date of issue

.................................

...............................................................

...................................................

.................................

...............................................................

...................................................

.................................

...............................................................

...................................................

Additional information:
6)

.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
Signed for and on behalf of:
.................................................
.................................................
(Place and date of issue)

7)

.................................................

...........................................................................................................

(Name, function)

(Signature or equivalent authorized by the issuer)

EC Declaration of Conformity
In accordance with EN ISO 17050-1:2004

We
of

(Name of Manufacturer)
(Address of Manufacturer)

in accordance with the following Directive(s):

2006/95/EC The Low Voltage Directive
2004/108/EEC The Electromagnetic Compatibility Directive
...
hereby declare that:
Equipment
Model number

(Generic description of equipment)

(Model number)

is in conformity with the applicable requirements of the following documents

Ref. No.
(Standard numbers)

Title
(Standard title)

Edition/date
(Year of issue and amendment numbers if applicable)

I hereby declare that the equipment named above has been designed to comply with the
relevant sections of the above referenced specifications. The unit complies with all
applicable Essential Requirements of the Directives.
Signed by: ............................................................................................................................
Name:
(full name of signatory)
Position:
(position)
Done at
(place)
On
(date)
Document ref.

xxxxxxx