F1SCHEDULE 3DECLARATION OF CONFORMITY

Regulation 16(2)

Annotations:

1

No (unique identification of the toy(s))

2

Name and address of the manufacturer or the manufacturer's authorised representative:

3

This declaration of conformity is issued under the sole responsibility of the manufacturer:

4

Object of the declaration (identification of toy allowing traceability). It must include a colour image of sufficient clarity to enable the identification of the toy.

5

The object of the declaration described in point 4 is in conformity with the following enactments:

6

References to the relevant designated standards used, or references to the specifications in relation to which conformity is declared:

7

Where applicable: 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)