Annex 5

(Art. 15)

Template for the declaration of conformity

¹The declaration of conformity for radio equipment that bears the Swiss conformity marking in accordance with Annex 1 point 1 must be issued according to the following template:

Title: Declaration of conformity

1. Radio equipment (product, type, batch or serial number):
2. Name and address of the manufacturer or its authorised representative established in Switzerland:
3. The manufacturer bears sole responsibility for issuing this declaration of conformity:
4. The object of the declaration (identification of the radio equipment allowing traceability; it may include a colour image of sufficient clarity where necessary for the identification of the equipment):
5. The object of the declaration described above is in conformity with the applicable legislation in Switzerland: Ordinance of 25 November 2015 on Telecommunications Installations Any other legislation where applicable
6. References to the relevant technical standards used or references to the other technical specifications in relation to which conformity is declared. References must be listed with their identification number and version and, where applicable, date of issue:
7. Where applicable: the conformity assessment body (name, identification number) performed . (description of intervention) and issued the following type examination certificate: .
8. Where applicable, description of accessories and components, including software, which allow the radio equipment to operate as intended and covered by the declaration of conformity: .
9. Additional details: Signed for and on behalf of: (Place and date of signature): (Name, function) (Signature):

²The declaration of conformity for radio equipment that bears the foreign conformity marking in accordance with Annex 1 point 2 must be issued according to the template in Annex VI of Directive 2014/53/EU¹.