Supplier's Declaration of Conformity for Material
Declaration Management
|
1
|
Identification
number
|
_______________
|
2
|
Issuer's name
|
|
Issuer's
address
|
3
|
Object(s) of the declaration
|
__________________________________________
|
|
|
__________________________________________
|
|
|
__________________________________________
|
4
|
The object(s) of the declaration
described above is in conformity with the following
documents:
|
|
Document No.
|
Title
|
Edition/date of issue
|
5
|
____________________________
|
__________________________________
|
__________________________
|
|
____________________________
|
__________________________________
|
____________________
|
|
____________________________
|
__________________________________
|
____________________
|
6
|
Additional information
|
____________________________________________________
|
|
|
____________________________________________________
|
|
Signed for and on behalf of
|
|
|
|
_________________________________________________
|
|
|
_________________________________________________
|
|
|
(place and date of issue)
|
|
|
7
|
__________________________________________
|
______________________________________________________
|
|
(name, function)
|
(signature)
|
|