User Manual
Compliance
-
applicable
standards
and
other
supporting
documents
Evidence
of
compliance with applicable standards may be demonstrated by test reports, endorsed/accredited test reports,
certification/competent body statements.
Having had regard to these documents,
1 am satisfied the above mentioned product complies with the requirements
of
the relevant ACMA
Standards made under the
Radiocommunications
Act
1992 and the Telecommunications
Act
1997.
List the details
of
the documents the above statement was made, including the standard title, number and,
if
applicable, number
of
the test
report/endorsed test report
or
certification/competent body statement
EMC emission standard
EN
61000-6-3: 2007+A1:2011
Testreport Electrosuisse Albislab No. 11-EL-0135.13_FP120-Z1
Declaration
1 hereby declare that:
1.
1 am authorised to make this declaration on behalf
of
the Company mentioned above,
2. the contents
of
this form are true and correct, and
3. the product mentioned above
complies with the applicable above mentioned standards and all products supplied under this declaration will be identical to
the product identified above.
Note:
Under section 137
.1
of the Criminal Code
Act
1995,
it
is an offence to knowingly provide false or misleading information
to
a Commonwealth entity.
Penalty:
12 months imprisonment
Team Leader Fire Safety
SIGNATURE OF SUPPUER
OR
AGENT POSITION
IN
ORGANISATION
PRINT NAME
Joachim Schuetz
DATE
12/12/2015
The Privacy
Act
1988 (Cth) (the Privacy Act) imposes obligations
on
the ACMA
in
relation to the collection, security, quality, access, use and
disclosure
of
personal information. These obligations are detailed
in
the Australian Privacy Principles.
The ACMA may only collect personal information
if it
is reasonably necessary for, or directly related to, one or more
of
the ACMA's functions or
activities.
The purpose
of
collecting the personal information
in
this form is to ensure the supplier is identified
in
the 'Declaration
of
conformity'.
lf
this
Declaration
of
Conformity is not completed and the requested information is not provided, a compliance label cannot be applied.
Further information
on
the Privacy Act and the ACMA's Privacy Policy is available at www.acma.qov.au/privacypolicy.
The
Privacy Policy
contains details about how you may access personal information about you that is held by the ACMA, and seek the correction
of
such
information.
lt
also explains how you may complain about a breach
of
the Privacy Act and how we will deal with such a complaint.
Should
you have any questions
in
this regard, please contact the ACMA's privacy contact officer
on
telephone on 1800 226 667 or by email
at
privacy@acma.qov.au.
Unrestricted ACMA
form
- C02 Page 2 of 2 February 2015