DECLARATION OF CONFORMITY
WITH AUSTEL TECHNICAL STANDARDS
NUMBER: 2006137
I/We (name of company representative responsible for the permit)
of (Australian Company or Agent Name)
Australian Company Name (ACN)________________________________
hereby declare, under our sole responsibility, that all product supplied by this
organization
is customer equipment of the same type as that for which the permit/verification of
permit was issued.
I/We agree to allow ACA access to, and removal of, the Compliance Folder for
ongoing compliance audit purposes, in accordance with agreed administrative
process.
Information about the person making this Declaration.
(The person making this Declaration must hold a suitably responsible position in
the above organization)
(Signature of the person making this Declaration)
(Full Name of the Above Person)
(Position held in the company)
(Date of Declaration)
Sample ACA Certificate
