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8000059930-007

ACMA form – C02

January 2018

Supplier’s declaration of conformity

As required by the following Notices:

 Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992;

 Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications

Act 1992

 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the

Radiocommunications Act 1992 and

 Telecommunications (Labelling Notice for Customer Equipment and Customer Cabling) Instrument 2015 made under section 407 of

the Telecommunications Act 1997.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

Siemens Ltd

Building Technologies Division

Street Address (AUSTRALIAN)

885 Mountain Highway

Bayswater, Victoria, 3153

ACN/ARBN

98 004 347 880

New Zealand IRDN

Product details and date of manufacture

Product description – brand name, type, current model, lot, batch or serial number (if available), software/firmware version (if applicable)

Product identification: Desigo™ PX… Modular Controller

Product number

Stock number

Additional information

[ASN]

[SEN, SSN, ASN or OEM ID]

PXA40-T

PXA40-W0

PXA40-W1

PXA40-W2

PXC00-E.D

PXC00-U

PXC00.D

PXC100-E.D

PXC100.D

PXC200-E.D

PXC200.D

PXC3.E72

S55376-C100

PXC3.E72A

S55376-C101

PXC3.E75

S55376-C102

PXC3.E75A

S55376-C103

PXC3.E16A-100A

S55376-C118

Summary of content (3 pages)

PAGE 1
s Supplier’s declaration of conformity As required by the following Notices:     Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992; Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications Act 1992 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the Radiocommunications Act 1992 and Telecommunications (
PAGE 2
s Product number Stock number [ASN] [SEN, SSN, ASN or OEM ID] PXC3.E72-100A S55376-C130 PXC3.E72A-100A S55376-C131 PXC3.E75-100A S55376-C132 PXC3.E75A-100A S55376-C133 PXC50-E.D S55372-C110 PXC50.D S55372-C109 PXG3.L S55842-Z105-A100 PXG3.M S55842-Z106-A101 PXG3.W100 S55842-Z115 PXG3.W100-1 S55842-Z117 PXG3.W200-1 S55842-Z118 PXX-L11 PXX-L11 PXX-L12 PXX-L12 PXX-PBUS S55842-Z107 PXC001.D S55372-C113 PXC001-E.
PAGE 3
s I hereby declare that: 1. I 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.