产品安全符合性声明
Declaration of Safety Standard Conformity
制造商:(制造商的地址和名称)
Manufacturer:(Name and address of manufacturer)
特此声明:
Hereby declare:
以下产品:(产品标识)
Products indicated below: (product mark)
符合以下协会指令条例：
Compliance with following associations’ directive:
1.
2.
其他(Other):
此外，作为零部件，这些产品符合以下基本要求：
In addition, these products are compliance with following basic demands as spare part:
1.
2.
其他(Other):
附加信息：(随附由有资质的检测机构或出厂方出具的检测报告，报告有效期控制在2年以内)
Additional information: (please enclose test report that provided by qualified test institute or factory, and the term of validity within 2 years)
作为零部件，这些机器在设计上符合以下基本要求：
As spare part, these machines are compliance with following basic demands in design:
1.
2.
其他(Other):
上述机器只有在声明已组装成符合机器指令的机器后才能投入使用。
The above machines will put into use only after declaration that the machines have been assembled into the machines which compliance with machine directive.
认证标示年份：Certificate Mark Time:
进口商签名(Importer’s Signature)
盖章(Stamp)
出厂方签名(Factory’s Signature)
盖章(Stamp)
标题(Title)
日期(Date) 日期(Date)