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Regulation 14(2)

[F1SCHEDULE 1AE+W+SDeclaration of conformity

1.  Declaration of conformity (unique identification of the EEE):E+W+S

2.  Name and address of the manufacturer or, where applicable, authorised representative:E+W+S

3.  This declaration of conformity is issued under the sole responsibility of the manufacturer (or installer):E+W+S

4.  Object of the declaration (identification of EEE allowing traceability: it may include a photograph, where appropriate):E+W+S

5.  The object of the declaration described above is in conformity with relevant statutory requirements:E+W+S

6.  Where applicable, references to the relevant designated standards used or references to the technical specifications in relation to which conformity is declared:E+W+S

7.  Additional information:E+W+S

Signed for and on behalf of:

place and date of issue:

name, function) (signature:]