RCM Declaration

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SIEMENS

Supplier’s declaration of conformity

As required by the following Notices:

^ a c m a

A us tralie n

Co m m unications

and M ed ia A u tho rity

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

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 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

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

the Teiecommunications Act 1997.

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

New Zeaiand IRDN

Bayswater, Victoria, 3153

ACN/ARBN

98 004 347 880

Company Name (o r individual)

Siemens Ltd

Building Technologies Division

Street Address (a u stra ua n )

885 Mountain Highway

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: Symaro™ Differential Pressure Sensors

Product number

Stock number Additional information

[ASN]

[SEN, SSN, ASN or OEM ID]

QBM2030-1U

S55720-S244 EU types

QBM2030-5

S55720-S245 EU types

QBM2030-30 S55720-S246 EU types

QBM3020-1U

S55720-S233 EU types

QBM3020-1

S55720-S234 EU types

QBM3020-3

S55720-S235

EU types

QBIVI3020-5

S55720-S236 EU types

QBM3020-10

S55720-S237 EU types

QBM3020-25 S55720-S238 EU types

QBM3120-1U

S55720-S442 EU types

QBM3120-1 S55720-S443 EU types

QBM3120-3

S55720-S444 EU types

QBM3120-5

S55720-S445

EU types

QBM3120-10

S55720-S446 EU types

QBM3120-25

S55720-S447 EU types

ACMA form - C02

8000074817-C

July 2016

Summary of content (3 pages)

PAGE 1
SIEMENS Supplier’s declaration of conformity ^acm a Australien Communications and Media Authority 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 2008 made under section 182 of the Radiocommunications Act 1992 > Radiocommunications (Compliance Labelling - Electromagnetic Radiation) Notice 2014 made under section 182
PAGE 2
iDES^ERlS Product number Stock number [ASN] [SEN, SSN, ASN or OEM ID] Additional Information QBM3020-1D S55720-S239 EU types QBM3020-3D S55720-S240 EU types QBM3020-5D S55720-S241 EU types QBM3020-10D S55720-S242 EU types QBM3020-25D S55720-S243 EU types QBM3120-1D S55720-S448 EU types QBM3120-3D S55720-S449 EU types QBM3120-5D S55720-S450 EU types QBM3120-10D S55720-S451 EU types QBM3120-25D S55720-S452 EU types QBM4000-1 S55720-S247 EU types QBM4000-3 S55720-S248 EU
PAGE 3
SIEMENS I hereby declare that: 1. I am authorised to make this declaration on behalf of the Company mentioned above, 2. the contents of this form are true and correct, and 3. the product mentioned above complies with the applicable above mentioned Standards and all products supplied under this declaration will be identical to the product identified above. Note: Under section 137.