RCM Declaration
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© Siemens Switzerland Ltd, CH-6300 Zug 
A5W00000177-017 
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 
OR 
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 GLB... 
Product number 
Stock number 
Additional information 
[ASN] 
[SEN, SSN, ASN or OEM ID] 
GLB111.1E/KN 
S55499-D198 
-Not valid for LVD 
GLB111.1E/MO 
S55499-D199 
6FU1513-1LBxx-xxxx 
-Not valid for LVD 
GLB111.1G/MO 
S55499-D446 
-Not valid for LVD 
GLB111.9E/KN 
S55499-D207 
-Not valid for LVD 
GLB111.9E/MO 
S55499-D206 
-Not valid for LVD 
GLB131.1E 
GLB131.1E 
Not valid for EN 50491-x, EN IEC 63044-x 
Not valid for LVD 
GLB131.1E/07H 
S55499-D158 
Not valid for EN 50491-x, EN IEC 63044-x 
Not valid for LVD 
GLB131.2E 
GLB131.2E 
6FU1213-1LBxx-xxxx 
Not valid for LVD 
Not valid for EN 50491-x, EN IEC 63044-x 
GLB132.1E 
GLB132.1E 
Not valid for LVD 
Not valid for EN 50491-x, EN IEC 63044-x 
GLB136.1E 
GLB136.1E 
Not valid for LVD 
Not valid for EN 50491-x, EN IEC 63044-x 



