✨ Radiocommunications Compliance
NEW ZEALAND GAZETTE
No. 170
4706
SCHEDULE
Supplier’s Declaration of Conformity
Section 134(1)(g) of the New Zealand Radiocommunications Act 1989
Section 182 of the Australian Radiocommunications Act 1992
THIS COMPLETED FORM REMAINS WITH THE SUPPLIER AS PART OF THE DOCUMENTATION
REQUIRED FOR THE “COMPLIANCE FOLDER”
Supplier’s Details
Name (of manufacturer, importer or authorised agent)
| Address | |
| Postcode |
New Zealand: Company Number or GST Number:
Australia: ©, ARBN or ABN
Postal Address (if different)
Postcode
Contact Information
| Telephone |
| Fax |
| Supplier Code Number (include ‘Z’ or ‘N’) |
Product Details
| Brand Name |
| Model, lot, batch or serial number |
| Description and Function |
| Applicable Standards title, number and edition |
| Test Report Number |
Declaration
I hereby declare that the product mentioned above complies with the above mentioned standards, and all products supplied under this Declaration will be identical to the sample identified above.
| Signature of supplier / agent |
| Position in Organisation |
| Print Name |
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 170
Gazette.govt.nz —
NZ Gazette 2003, No 170
✨ LLM interpretation of page content
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Supplier's Declaration of Conformity for Radiocommunications
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