✨ Supplier Declaration of Conformity
SCHEDULE F
Supplier Declaration of Conformity
(for Level of Conformity A)
Section 134 of the Radiocommunications Act 1989
This completed form, accompanied by a fee of $112 (GST inclusive), should be sent to:
Product Declaration Officer
PO Box 8562 Riccarton
Christchurch
New Zealand
Supplier's Details
Name (of New Zealand manufacturer, importer or agent)
Address (Street, Suburb, City)
Postcode
Trading Name (if different)
New Zealand Company Number (if applicable)
Contact Information
- Telephone
- Fax
Postal Address
Product Details
Brand Name
Type and Model
Description and Function
Applicable Standard
Conformity Testing
Name of Testing Body
Address of Testing Body
Test Report Number / Reference and Date
Declaration
I declare that the product complies with the standard specified, and that all products to be supplied under this Declaration will be identical to that product.
Signature of Authorised Person
Date
Position in Organisation (if Applicable)
Print Name
Radio Spectrum
LexisNexis
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2001, No 139
Gazette.govt.nz —
NZ Gazette 2001, No 139
✨ LLM interpretation of page content
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Supplier Declaration of Conformity Form for Radio Spectrum
(continued from previous page)
🚂 Transport & CommunicationsRadio Spectrum, Supplier Declaration, Conformity, Radiocommunications Act 1989