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ANNEX IIIU.K.EC DECLARATION OF CONFORMITY

1.No … (unique identification of the product):U.K.

2.Name and address of the manufacturer or his authorised representative:U.K.

3.This declaration of conformity is issued under the sole responsibility of the manufacturer (or installer):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 above is in conformity with the relevant Community harmonisation legislation: …U.K.

6.References to the relevant harmonised standards used or references to the 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.Additional information:U.K.

Signed for and on behalf of: …………………………………

(place and date of issue):

(name, function) (signature):