Annex V EU DECLARATION OF CONFORMITY
L20242847EN110120241023EN0001.000573173120242847
The EU declaration of conformity referred to in Article 28, shall contain all of the following information:
- 1.Name and type and any additional information enabling the unique identification of the product with digital elements
- 2.Name and address of the manufacturer or its authorised representative
- 3.A statement that the EU declaration of conformity is issued under the sole responsibility of the provider
- 4.Object of the declaration (identification of the product with digital elements allowing traceability, which may include a photograph, where appropriate)
- 5.A statement that the object of the declaration described above is in conformity with the relevant Union harmonisation legislation
- 6.References to any relevant harmonised standards used or any other common specification or cybersecurity certification in relation to which conformity is declared
- 7.Where applicable, the name and number of the notified body, a description of the conformity assessment procedure performed and identification of the certificate issued
- 8.Additional information:
Signed for and on behalf of:
(place and date of issue):
(name, function) (signature):