Regulations 2(3), 41(c)

[F1SCHEDULE 3AE+W+SDeclaration of Conformity (Annex III to the Directive)

1)UK registration number:

2)Product, batch or serial number:

3)Name and address of the manufacturer:

4)This declaration of conformity is issued under the sole responsibility of the manufacturer.

5)Object of the declaration (identification of product allowing traceability):

6)The object of the declaration described above is in conformity with the relevant statutory requirements:

7)References to the designated standards used or references to the other technical specifications in relation to which conformity is declared:

8)The approved body   (name, number) performed   (description of intervention) and issued the certificate:

9)Additional information:

Signed for and on behalf of:

[place and date of issue]:

[name, function] [signature]:]