RCM Declaration

Supplier's declaration
of
conformity
........
Ouww'
'•
...............
As
required
by
the
foUowing Notices:
> Radiocommunications (Complianoe Labelling-Devices) Notice 2014
made
undersection
182
ofthe
RadiocommunicationsAct 1992;
> Radlocommunlcatlons Label/Ing (Electromagnetlc Compatlbility) Notice
2008
made
unde
r seetion 182
of
the Radlocommunications
Act1992
> Radiocommunlcatlons (Complfanoe
Labelling
- Electromagnetic Redietion)
Notfoe
2014 made under
sec
ti
on
182
of
the
Radiocommunications
Act
1992 and
> Telecommunications (Labelling Notice
for
Customer Equipment
and
Customer Cabling) Instrument 2015
made
under section 407
of
the
Te/ecommunlcations
Act
1997.
ln
s
truct1ons
for
completion
>
Da
not
retum
th/$ fonn
to
the
ACMA
. This oompleted fonn
must
be retained
by
the
supplier
as
part
of
the
documentation required
for the oompllance reoords and
must
be
made
available
for
inspection
by
the
ACMA
wtten requested.
Supplicr
s
clctails
(m;inufacturer
.
1m
po
1 tc r or a
uthons
e
cl
agent)
Company Name (OR INDM
DUAL
)
Siemens Limited, Australla
1 ABN
98
004
347
880
ACN/ARBN
Building Technologies Division
OR
Control Products
& System Business
Unit
New
Zealand IRDN
Street Address (AUSTRALIAN or
NEW
ZEALAND)
885
Mountain
Hwy
Bayswater, Victoria, Australia P08TCODE
3153
Phone:
Product
details
and
date
of
manufacture
Product
desaiption
- brand name, type, current modal, lot, batch
or
seriai number
(if
available), software/finnware version
(if
applicable)
Fire
det.ction
producta
AlgoRex:
001101A,
001102A
, DT1101A, DT1102A, OB1101A, OB1102A,
D01131A
, DOT1131A, DT1131A, OT1132A, DB1131A,
D01151A, D01152A,
DOT1151A, DOT1152A, DT1152A, DB1151A, D01101A-EX, OOT1151A·EX, DT1101A-EX, DT1102A-EX,
DT1151A-EX,
001133A
,
001153A,
DLA1191A, OF1101-EX, DF1151-EX, DF1191, DF1192, DM1103, DM1104D, DMA1101,
DMA1103D, DM1131, DM1132, DM1133, DMA1131, DMA1133D, DMA11340, OM1151, DM1152, DM1153, DMA1151,
DMA11530, DMA11530-EX, DMA11540, DC1131-AA, DC1134-AA, DC1136-AA. DCA1192A, DC1154-AA, DC1156-AA,
DC1157-AA,
Date
of
manufacture
or
lmportation
of
the originallmodlfled ltem
RestJ1cled
ACMA
form -
C02
Page 1
of2
July2016

Summary of content (2 pages)