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ANNEX IVU.K. EU DECLARATION OF CONFORMITY No xxxxx (1)

1.No xxxxx (Product: product, batch, type, or serial number):U.K.

2.Name and address of the manufacturer or his authorised representative [The authorised representative must also give the business name and address of the manufacturer] or the private importer.U.K.

3.This declaration of conformity is issued under the sole responsibility of the manufacturer or the private importer or the person referred to in Article 19(3) or (4) of Directive 2013/53/EU.U.K.

4.Object of the declaration (identification of product allowing traceability. It may include a photograph, where appropriate):U.K.

5.The object of the declaration described in point 4 is in conformity with the relevant Union harmonisation legislation:U.K.

6.References to the relevant harmonised standards used or references to the other technical specifications in relation to which conformity is declared:U.K.

7.Where applicable, the notified body … (name, number) performed … (description of intervention) and issued the certificate:U.K.

8.Identification of the person empowered to sign on behalf of the manufacturer or his authorised representativeU.K.

9.Additional information:U.K.

(1)

It is optional to assign a number to the declaration of conformity.