MANUFACTURER'S DECLARATION regarding samples from series ...
MANUFACTURER'S DECLARATION regarding samples from series ...
MANUFACTURER'S DECLARATION regarding samples from series ...
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Formular F37e<br />
Gesellschaft zur Prüfung elektrotechnischer Industrieprodukte GmbH<br />
MANUFACTURER’S <strong>DECLARATION</strong> <strong>regarding</strong><br />
<strong>samples</strong> <strong>from</strong> <strong>series</strong> production / prototypes Page 1 of 2<br />
PA / Proj. No.:<br />
Samples comply fully with <strong>series</strong> production:<br />
We herewith declare, that the <strong>samples</strong> of our product / <strong>series</strong><br />
delivered for testing under the above mentioned PA/Proj.-Number are in all respects -<br />
materials, tools, manufacturing process, etc. - representative for <strong>samples</strong> <strong>from</strong> <strong>series</strong><br />
production and are representative of the products <strong>from</strong> each factory as listed in Annex 1.<br />
Samples do not fully comply with <strong>series</strong> production:<br />
We herewith declare, that the <strong>samples</strong> of our product / <strong>series</strong><br />
delivered for testing under the above mentioned PA/Proj.-Number deviate in the following<br />
details - materials, tools, manufacturing process, etc. - <strong>from</strong> <strong>samples</strong> coming <strong>from</strong> <strong>series</strong><br />
production:<br />
Deviation<br />
No.<br />
Deviation <strong>from</strong> <strong>series</strong> production<br />
part/ material/ process<br />
Further remarks<br />
Date: Company stamp and legally binding signature:<br />
CTI - VIENNA Gesellschaft zur Prüfung elektrotechnischer Industrieprodukte GmbH<br />
Einzingergasse 4 Tel.: +43 (0)1 271 64 00 info@cti-vienna.at<br />
A-1210 Wien Fax: +43 (0)1 271 64 00 09 www.cti-vienna.at<br />
F37e/05/11
Formular F37e<br />
Gesellschaft zur Prüfung elektrotechnischer Industrieprodukte GmbH<br />
ANNEX 1:<br />
Factory locations including full address details<br />
Seite 2 von 2<br />
CTI - VIENNA Gesellschaft zur Prüfung elektrotechnischer Industrieprodukte GmbH<br />
Einzingergasse 4 Tel.: +43 (0)1 271 64 00 info@cti-vienna.at<br />
A-1210 Wien Fax: +43 (0)1 271 64 00 09 www.cti-vienna.at<br />
F37e/05/11
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