DECLARATION OF CONFORMITY
RECREATIONAL CRAFT
WRITTEN DECLARATION OF CONFORMITY;Directive
94/25/EC as amended by
Directive 2003/44/EC
(To be completed by boat builder)
Name of the manufacturer
________________________________________________________________________
Street and number
_______________________________________________________________________________
Post Code ________________ Town
____________________________
Country
________________________________
Module used for construction assessment: A
_-
Aa
__
B+C
_-
B+D
__
B+E
__
B+F
__
G
__
H
__
Module used for noise emisión assessment: A
_-
Aa
__
G
_-
H
__
IF THE DECLARATION IS MADE BY AN AUTHORISED REPRESENTATIVE ESTABILISHED IN THE EEA
Authorised representative established in the EEA territory : ____________________________________________________
Street and number: ______________________________________________________________________________________
Code postal:______________________ Town: ____________________________ Country: ___________________________
IF THE INTERVENTION OF A NOTIFIED BODY IS REQUIRED FOR CONSTRUCTION ASSESSMENT
Nom: ___________________________________________________ ID Code _______________________________________
Street and number: ______________________________________________________________________________________
Post Code: ___________________ Town:__________________________________ Country _________________________
Reference of Attestation (certificate number and date)____________________________ ___ / ___ / ____
IF THE INTERVENTION OF A NOTIFIED BODY IS REQUIRED FOR NOISE EMISSION ASSESSMENT
Nom _____________________________________________________ID Code_______________________________________
Street and number:_______________________________________________________________________________________
Post Code____________________ Town: __________________________________ Country: ________________________
Reference of Attestation (certificate number and date)______________________________ ___ / ___ / ____
DESCRIPTION OF THE CRAFT
Craft identification number (CIN):
___ ___ - ___ ___ ___ - ___ ___ ___ ___ ___ - ___ ___ - ___ ___
Brand name of the craft: __________________________________________________________________________________
Type or number : _______________________________________________________________________________
Design Category (A,B,C,D):
.................................. ............................................................... ..........................................._________
Recommended number of persons to carry
......................................................................................................................________
Type of craft*
.................................................................................................................................................... ................_________
Type of hull*
........................................................................................... .........................................................................._________
Deck*
..................................................................................................................................................................................._________
Construction material*
....................………………………..…….....................................…………….........................._________
Propulsion*
........................................................................................ ................................................................................_________
Motor*
............................................................................................................................. .................................................._________
Maximum recommended engine power (kW)*
............................................................................................................__________
Installed power (kw)
........................................................................................................................................................._________
Length of hull (m)
............................................................................................................................. ................................_________
Width (m):
........................................................................................................................................................................._________
Depth (m)
………………….………………………………………………………………..........................................___________
Draught (m)
………………………………………………………………………………...…………………………___________
( * See codes on opposite side)
I declare at my own responsability that the craft mentioned above complies with all applicable essential safety
requirements in the way mentioned overleaf
(and is in conformity with the type for which the above mentioned EC-type
examination certificate has been issued)*
* Include text between brackets only if such certificate has been issued
Name:
………………………......…………............
Signature and title
: …………………………..............………………………
(Identification of the person empowered to sign on behalf of the manufacturer or his authorised representative)
Date and place of issue (dd/mm/yy):
___________________________________________________________________________
