Document of Conformity

Page 2 of 24 Report No.: 250150-TL6-1

TRF No. IEC61984C

Testreport-250150-TL6-1.DOCX

VDE File No. 257500-1431-0045/250150

Test item description ....................... :

Connector (COC)

Trade Mark ........................................ :

Manufacturer .................................... :

Weidmüller Interface GmbH & Co. KG; Klingenbergstraße 16;

32758 Detmold; Germany

Model/Type reference ...................... :

BCF 3.81 Buchsenteil / female part; SC-SMT 3.81 Stiftteil / male

part

Ratings .............................................. :

160 V / 17,5 A

Responsible Testing Laboratory (as applicable), testing procedure and testing location(s):

CB Testing Laboratory:

VDE Prüf- und Zertifizierungsinstitut GmbH

VDE Testing and Certification Institute

Testing location/ address ........................ :

Merianstrasse 28, 63069 Offenbach, Germany

Tested by (name, function, signature) ........ :

Markus Benkner

(authorization of test report)

test engineer

Approved by (name, function, signature) .. :

Berthold Reinholz

reviewer

Testing procedure: CTF Stage 1:

Testing location/ address ........................ :

Tested by (name, function, signature) ........ :

Approved by (name, function, signature) .. :

Testing procedure: CTF Stage 2:

Testing location/ address ........................ :

Tested by (name + signature) ...................... :

(authorization of test report)

Witnessed by (name, function, signature) . :

Approved by (name, function, signature) .. :

Testing procedure: CTF Stage 3:

Testing procedure: CTF Stage 4:

Testing location/ address ........................ :

Tested by (name, function, signature) ........ :

Witnessed by (name, function, signature) . :

Approved by (name, function, signature) .. :

Supervised by (name, function, signature) :