ANNEX X附則
ANNEX X EU DECLARATION OF CONFORMITY (No XXXX) ( 1 ) 1. Product model/product (product, type, batch or serial number): 2. Name and address of the manufacturer and, where applicable, his authorised representative: 3. This declaration of conformity is issued under the sole responsibility of the manufacturer. 4. Object of the declaration (identification of product allowing traceability; it may, where necessary for the identification of the product, include an image): 5. The object of the declaration described above is in conformity with the relevant Union harmonisation legislation: 6. References to the relevant harmonised standards used or references to the other technical specifications in relation to which conformity is declared: 7. Where applicable, the notified body … (name, number) performed … (description of intervention) and issued the certificate: 8. Additional information: Signed for and on behalf of: (place and date of issue): (name, function) (signature): ( 1 ) It is optional for the manufacturer to assign a number to the declaration of conformity.