F1SCHEDULE 9DECLARATION OF CONFORMITY (No XXXX) F2
It is optional for the manufacturer to assign a number to the declaration of conformity.
1
Instrument model/Instrument (product, type, batch or serial number):
2
Name and address of the manufacturer and, where applicable, his authorised representative:
3
This declaration of conformity is issued under the sole responsibility of the manufacturer.
4
Object of the declaration (identification of instrument allowing traceability; it may, where necessary for the identification of the instrument, include an image):
5
The object of the declaration described above is in conformity with the relevant UK legislation:
6
References to the relevant designated standards used or references to the other technical specifications in relation to which conformity is declared:
7
The approved 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):
Schs. 6-9 inserted (E.W.S.) (31.12.2020) by The Product Safety and Metrology etc. (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/696), reg. 1, Sch. 26 para. 45 (with Sch. 26 para. 5) (as amended by S.I. 2020/676, regs. 1(1), 2); 2020 c. 1, Sch. 5 para. 1(1)