THE RCM LETTER OF AUTHORISATION (For the RCM Compliance under ACMA ) 3-Mar-2016 To: Address: Astec International Ltd. Ref. No.: RCMC16024629 16th Floor, Lu Plaza, 2 Wing Yip Street, Kwun Tong, Kow loon, Hong Kong Product Model Trademark/Brand Compliance Marking Required by ACMA AC Power Adaptor AD2412N3L ARTESYN This letter authorises the above supplier, to label the product(s) listed above, with the RCM (Regulatory Compliance Mark) as shown above, subject to the following conditions: 1. This is to confirm that product(s) listed, comply with ACMA mandated standards. To mark RCM on this product, it is necessary that the supplier should also hold and maintain an Australian Electrical Safety Certificate and/or conduct EESS registration. 2. The units supplied are identical to those described in the compliance folder held by AusRCM Australia. The supplier(s) agree(s) to abide by the terms and conditions as detailed on the service agreement. 3. AusRCM is authorised by applicant to act as a compliance agent only, and assumes no responsibility in the retail supply, servicing or repair of the listed product. AusRCM will hold this compliance folder for at least 5 years. 4. Any modification to the listed product(s) voids this authorisation. 5. This authorisation pertains only to the product(s) listed above. 6. The labelling and supply of the product with the RCM (Regulatory Compliance Mark) is agreed with the above conditions. '4!.02-31!51!",*)#&!",*+)"%$"!(67!%6/ AusRCM Australia Pty Ltd A.B.N.:19604316556 Level 2, Building1, Riverside Quay, 1 Southbank Blvd,Southbank, VIC, 3006, Australia.
Supplier s declaration of conformity For compliance levels 1, 2 and 3 in Australia As required by the following Notices: Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992 ; Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the Radiocommunications Act 1992 Radiocommunications (Compliance Labelling Electromagnetic Radiation) Notice 2003 made under section 182 of the Radiocommunications Act 1992 and Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the Telecommunications Act 1997. Instructions for completion This completed form must be retained by the supplier as part of the documentation required for the compliance records and must be made available for inspection by the ACMA when requested. Supplier s details Company Name (OR INDIVIDUAL) Astec International Ltd. TRADING AS - Street Address 16th Floor, Lu Plaza, 2 Wing Yip Street, Kwun Tong, Kow loon, Hong Kong ACMA supplier code number (issued by the ACMA prior to 1 March 2013) N/A, Overseas. OR ABN N/A, Overseas. POSTCODE N/A Australian Authorised Responsible Representative Company Name (OR INDIVIDUAL) AusRCM Australia Pty Ltd ACMA registered supplier code number E3211 TRADING AS - Street Address Level 2, Building 1, Riverside Quay OR ABN 19 604 316 556 1 Southbank Boulevard, Southbank VIC Australia POSTCODE 3006 ACMA form C02 Page 1 of 2 March 2014
Product details Product description brand name, type, model, lot, batch or serial number (if available) Product: Brand name: Model : AC Power Adaptor ARTESYN AD2412N3L Compliance The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992 and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Act and 407 of the Telecommunications Act. Evidence of compliance is demonstrated by test reports to the following applicable standards. Applicable standards Standard title, number and, if applicable, number of the test report The assessment of following report(s) is(are) undertaken and it is sufficient to show the evidence of compliance with standard(s): AS/NZS CISPR 22:2009+A1:2010; EN 55022:2010; EN 55024:2010; EN 61000:-3-2:2014; EN 61000-3-3:2013 Test report : Tested by WT 168000110 Shenzhen Academy of Metrology and Quality Inspection National Digital Electronic Product Teting Center Declaration I hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all products supplied under this declaration will be identical to the product identified above. Note : Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity. Penalty: 12 months imprisonment SIGNATURE Technical Manager AusRCM Australia PRINT NAME John Spencer DATE 3 March 2016 The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use and disclosure of personal information. These obligations are detailed in the Australian Privacy Principles. The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA s functions or activities. The purpose of the collection of the personal information in this form is to ensure the supplier is identified in the Declaration of conformity. This information is required under the following notices: Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992 Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the Radiocommunications Act 1992 Radiocommunications (Compliance Labelling Electromagnetic Radiation) Notice 2003 made under section 182 of the Radiocommunications Act 1992 Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the Telecommunications Act 1997. If you do not provide the information, a compliance label is not able to be applied. Further information on the Privacy Act and the ACMA s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policy contains details about how you may access personal information about you that is held by the ACMA, and seek the correction of such information. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint. Should you have any questions in this regard, please contact the ACMA s privacy contact officer on telephone on 1800 226 667 or by email at privacy@acma.gov.au. ACMA form C02 Page 2 of 2 March 2014
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39-IC-F0026 Issue 5.0 AUSTRALIA & NEW ZEALAND CERTIFICATE OF APPROVAL Certificate No. Page 1/3 ULL-100429 Date of Issue 2016-02-25 Certificate Holder Certified Product Model(s) Astec International Ltd 16TH FL LU PLAZA 2 WING YIP ST, KWUN TONG KOWLOON, Hong Kong AC Power Adaptor AD2412N3L Trade name or Trademark ARTESYN Rating Information Input : 100-240 Vac, 50/60 Hz, 1.0 A; Output : 12 Vdc, 2.0 A max Declared Class POWER SUPPLY OR CHARGER - Power supply (electronic or transformer types) designated for use with specific electronic equipment Tested to Standard Approval Marking Additional Information AS/NZS 60950.1:2011+A1 ULL-100429-EA See Next Page Expire date 2021-02-25 Amarjit Singh Certification Officer This is to certify that representative samples of the Product described herein ( Certified Product ) have been investigated and found in compliance with the Standard(s) indicated on this Certificate. This certificate is issued in accordance with a) the contractual agreement between UL and the certificate holder, b) the ANZ Certification Program Terms and Conditions, c) JAS-ANZ accreditation and d) NSW Government requirements. It is based on type assessment of representative product(s) and is issued for use in Australia and New Zealand only. www.jas-anz.org/register Certification Body This Certificate remains the property of UL International New Zealand Ltd. Equipment covered by this approval must comply in all respects with the certified article, and is required to be clearly and indelibly marked with the marking indicated in the appendix to this certificate. The certificate holder must immediately notify UL International New Zealand Ltd if these conditions are not met. Notification must be made to UL International New Zealand Ltd within 20 working days of any modification to the product, change of manufacturer or change of certificate holder details. If the client provides copies of the certification documents to others, the documents shall be reproduced in their entirety. This approval shall expire on the date indicated above unless the certificate is suspended, cancelled or withdrawn for any reason prior to that date. All dates are in Year-Month-Day format (YYYY-MM-DD). UL International New Zealand Ltd, 21 Tarndale Grove, Albany, Auckland 0632, New Zealand. +64 9 415 3355, customerservice.anz@ul.com, http://newzealand.ul.com
39-IC-F0026 Issue 5.0 APPENDIX - AUSTRALIA & NEW ZEALAND CERTIFICATE OF APPROVAL Certificate No. ULL-100429 Page 2/3 Date of Issue 2016-02-25 Additional Information: AC Power Adaptor also complies with AS/NZS 60950.1:2015. Certification Body UL International New Zealand Ltd, 21 Tarndale Grove, Albany, Auckland 0632, New Zealand. +64 9 415 3355, customerservice.anz@ul.com, http://newzealand.ul.com
39-IC-F0026 Issue 5.0 APPENDIX - AUSTRALIA & NEW ZEALAND CERTIFICATE OF APPROVAL Certificate No. ULL-100429 Page 3/3 Date of Issue 2016-02-25 Certified products shall be marked with one of the following marking options. 1 Product approval mark (minimum size is not specified, as long as the Approval Number is legible). ULL-100429-EA or; 2 Regulatory Compliance Mark (RCM), provided that all the requirements of all relevant parts of AS/NZS 4417 applicable to the article are fulfilled. Certification Body UL International New Zealand Ltd, 21 Tarndale Grove, Albany, Auckland 0632, New Zealand. +64 9 415 3355, customerservice.anz@ul.com, http://newzealand.ul.com