RCM Declaration

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8000081793-012

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 GMA..

Product number

Stock number

Additional information

[ASN]

[SEN, SSN, ASN or OEM ID]

GMA121.1E

GMA121.1E/EV

S55499-D697

GMA121.1E/FW

S55499-D101

GMA121.1E/FW1

S55499-D144

GMA121.1E/FX

S55499-D752-A559

GMA121.1E/INN

GMA121.1E/IV

GMA121.1E/IV1

S55499-D508

GMA121.1G/IV

S55499-D164

GMA121.9E

GMA121.9H

S55499-D680

GMA126.1E

GMA126.1E/09H

S55499-D155

GMA126.1E/50H

S55499-D449

GMA126.1E/EV

S55499-D698

GMA126.1E/FC

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 (
PAGE 2
s Product number Stock number [ASN] [SEN, SSN, ASN or OEM ID] GMA126.1E/ME GMA126.1E/ME GMA126.1E/ME1 GMA126.1E/ME1 GMA126.1E/ME2 GMA126.1E/ME2 GMA126.1E/ME3 GMA126.1E/ME3 GMA131.1E GMA131.1E GMA131.9E GMA131.9E GMA132.1E GMA132.1E GMA136.1E GMA136.1E GMA151.1E/IV S55499-D608 GMA161.1E GMA161.1E GMA161.1E/09H S55499-D156 GMA161.1E/102 S55499-D670 GMA161.1E/DK S55499-D350-A401 GMA161.1E/FW1 S55499-D776-A404 GMA161.1E/HA2 S55499-D148 GMA161.1E/MO S55499-D300 GMA161.
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.