Document of Conformity

Page 5 of 28 Report No.: 2198607.50

IEC 61984

Clause Requirement + Test Result - Remark Verdict

Test item particulars.............................................. :

connector

Classification of installation and use .................... :

Unenclosed fixed connector: male part

Unenclosed free connector : female part

Supply Connection ................................................ :

0,2 – 4,0 mm²

............................................................................... :

Possible test case verdicts:

- test case does not apply to the test object ..........: N/A

- test object does meet the requirement.................: P (Pass)

- test object does not meet the requirement ..........: F (Fail)

Testing....................................................................:

Date of receipt of test item .....................................:

2016-10-21

Date(s) of performance of tests..............................:

2016-11-07 to 2017-01-05

General remarks:

The test results presented in this report relate only to the object tested.

This report shall not be reproduced, except in full, without the written approval of the Issuing testing

laboratory.

"(see Enclosure #)" refers to additional information appended to the report.

"(see appended table)" refers to a table appended to the report.

Throughout this report a comma / point is used as the decimal separator.

Manufacturer’s Declaration per Sub-clause 6.2.5 of IECEE 02:

The application for obtaining a CB Test Certificate

includes more than one factory location and a

declaration from the Manufacturer stating that the

sample(s) submitted for evaluation is (are)

representative of the products from each factory

has been provided..................................................:

Yes

Not applicable

When differences exist; they shall be identified in the General Product Information section.

Name and address of factory (ies) ........................:

Weidmüller Interface GmbH & Co. KG

Klingenbergstraße 16, D-32758 Detmold, Germany

General product information: