The Measuring Instruments Regulations 2016 SCHEDULE 1K — Declaration of Conformity

Declaration of Conformity (No. XXXX)

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Instrument model/instrument (product, type, batch or serial number):

Declaration of Conformity (No. XXXX)

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Name and address of the manufacturer and, where applicable, his authorised representative:

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This declaration of conformity is issued under the sole responsibility of the manufacturer.

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Object of the declaration (identification of the instrument allowing traceability; it may, where necessary for the identification of the instrument, include an image):

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The object of the declaration described above is in conformity with the relevant statutory requirements:

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References to the relevant designated standards or normative documents used or references to the other technical specifications in relation to which conformity is declared:

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The approved body (name, number) performed … (description of intervention) and issued the certificate:

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Additional information: Signed for and on behalf of: (place and date of issue): (name, function) (signature):