DECLARATION  OF  CONFORMITY

           Product Idenification.

           Product  name   : 

           Product Type    :

           Model Number  :

           Manufacturer   :      EXAMPLE1  Ltd.

           Address            :

           European Authorized Representative  :

          Authorized Representative Address     :                Country:________        

          EXAMPLE1  Ltd declare under our sole responsibilty that

          the product above conforms to:

           Date of Issue            :    _____________

           Authorised by          :     Name          Signiture: _________________

           Title of Authority     :    _____________

.

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