ANNEX IXU.K.F1... DECLARATION OF CONFORMITY No …(1)

1.PPE (product, type, batch or serial number):U.K.

2.Name and address of the manufacturer and, where applicable, his authorised representative:U.K.

3.This declaration of conformity is issued under the sole responsibility of the manufacturer:U.K.

4.Object of the declaration (identification of PPE allowing traceability; where necessary for the identification of the PPE, a colour image of sufficient clarity may be included):U.K.

5.The object of the declaration described in point 4 is in conformity with the relevant [F2statutory requirements]: …U.K.

6.References to the relevant [F3designated] standards used, including the date of the standard, or references to the other technical specifications, including the date of the specification, in relation to which conformity is declared:U.K.