RCM Declaration

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A5W00026946-006

ACMA form – C02 / January 2018

Supplier’s declaration of conformity

As required by the following Notices:

 Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992;

 Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications

Act 1992

 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the

Radiocommunications Act 1992 and

 Telecommunications (Labelling Notice for Customer Equipment and Customer Cabling) Instrument 2015 made under section 407 of

the Telecommunications Act 1997.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

Siemens Ltd

Building Technologies Division

Street Address (AUSTRALIAN)

885 Mountain Highway

Bayswater, Victoria, 3153

ACN/ARBN

98 004 347 880

New Zealand IRDN

Product details and date of manufacture

Product description – brand name, type, current model, lot, batch or serial number (if available), software/firmware version (if applicable)

Product identification: Electromotoric damper actuators GDD..

Product number

Stock number

Additional information

[ASN]

[SEN, SSN, ASN or OEM ID]

GDD141.1E/RW

S55499-D208

6FU1414-1DDxx-xxxx

GDD141.1E/RW

S55499-D403

GDD142.1E/RW

S55499-D210

6FU1414-2DDxx-xxxx

GDD142.1E/RW

S55499-D405

GDD146.1E/RW

S55499-D209

6FU1414-6DDxx-xxxx

GDD146.1E/RW

S55499-D404

GDD146.1G/RW

S55499-D274

GDD161.1E/RW

S55499-D211

6FU1416-1DDxx-xxxx

GDD161.1E/RW

S55499-D406

GDD241.1E/RW

S55499-D651

GDD241.1E/RW

S55499-D718

GDD241.1E/RWT

S55499-D653

GDD242.1E/RW

S55499-D712

GDD242.1E/RW

S55499-D719

GDD242.1E/RWT

S55499-D685

GDD246.1E/RW

S55499-D720

Summary of content (3 pages)

PAGE 1
s Supplier’s declaration of conformity As required by the following Notices:     Radiocommunications (Compliance Labelling - Devices) Notice 2014 made under section 182 of the Radiocommunications Act 1992; Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2017 made under section 182 of the Radiocommunications Act 1992 Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2014 made under section 182 of the Radiocommunications Act 1992 and Telecommunications (
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s Product number Stock number [ASN] [SEN, SSN, ASN or OEM ID] GDD246.1E/RW1 S55499-D715 GDD246.1E/RWT S55499-D654 GDD261.1E/RW S55499-D713 GDD261.1E/RW S55499-D721 GDD261.1E/RWT S55499-D686 GDD141.1E S55499-D513 Not valid for railway applications GDD146.1E S55499-D514 Not valid for railway applications GDD161.
PAGE 3
s Compliance – applicable standards and other supporting documents Evidence of compliance with applicable standards may be demonstrated by test reports, endorsed/accredited test reports, certification/competent body statements. Having had regard to these documents, I am satisfied the above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992 and the Telecommunications Act 1997.