Document of Conformity

Page 6 of 24 Report No.: 250150-TL6-1

TRF No. IEC61984C

Testreport-250150-TL6-1.DOCX

VDE File No. 257500-1431-0045/250150

Test item particulars .................................................. :

Classification of installation and use ...................... :

Built in

Supply Connection ..................................................... :

....................................................................................... :

Possible test case verdicts:

- test case does not apply to the test object ........... :

N/A

- test object does meet the requirement ................. :

P (Pass)

- test object does not meet the requirement ........... :

F (Fail)

Testing ......................................................................... :

Date of receipt of test item ........................................ :

2018-05-07

Date (s) of performance of tests ............................... :

2018-05-30…2018-06-26

General remarks:

"(See Enclosure #)" refers to additional information appended to the report.

"(See appended table)" refers to a table appended to the report.

Throughout this report a comma / point is used as the decimal separator.

Manufacturer’s Declaration per sub-clause 4.2.5 of IECEE 02:

The application for obtaining a CB Test Certificate

includes more than one factory location and a

declaration from the Manufacturer stating that the

sample(s) submitted for evaluation is (are)

representative of the products from each factory has

been provided ................................................................ :

Yes

Not applicable

When differences exist; they shall be identified in the General product information section.

Name and address of factory (ies) .. :

Thüringische Weidmüller GmbH; Allee 1; 99848 Wutha-Farnroda;

Germany / Reference 30010824

Weidmüller Interface (Suzhou) Co., Ltd., OEM-Business; 81

Xiangyang Road Suzhou New District; 215011 SUZHOU CITY;

Jiangsu; China / Reference 30017348

General product information and other remarks:

All tests were performed with samples from both factories.