Regulation (EU) 2024/1781
附属書V EU適合宣言
Annex V — EU declaration of conformity
1.
1.
No.…（製品の一意の識別）：
No … (unique identification of the product):
2.
2.
Name and address of the manufacturer and, where applicable, the manufacturer’s authorised representative:
3.
3.
この適合宣言は、製造業者の単独責任の下で発行されます。
This declaration of conformity is issued under the sole responsibility of the manufacturer:
4.
4.
宣言の対象（明確な識別及びトレーサビリティを可能にするのに十分な製品の説明。製品の識別に必要な場合には画像を含めることができる。）：
Object of the declaration (description of the product sufficient for its unambiguous identification and allowing traceability; it may, where necessary for the identification of the product, include an image):
5.
5.
The object of the declaration referred to in point (4) is in conformity with this Regulation, the delegated act adopted pursuant to Article 4 and, where applicable, other Union harmonisation legislation:
6.
6.
References to the relevant harmonised standards or to the common specifications used or references to the other technical specifications in relation to which conformity is declared:
7.
7.
該当する場合には、ノーティファイドボディ…（名称、番号）が…（関与の説明）を実施し、証明書又は承認決定…（番号）を発行した：
Where applicable, the notified body … (name, number) performed … (description of intervention) and issued the certificate or approval decision … (number):
8.
8.
適切な場合には、適用されるCEマークの貼付を定める他の連合法への言及：
Where appropriate, the reference to other Union law providing for the affixing of the CE mark that is applied:
9.
9.
製造業者又は製造業者の認定代理人を拘束する権限を有する者の識別及び署名：
The identification and signature of the person empowered to bind the manufacturer or the manufacturer’s authorised representative:
10.
10.
署名者（～のために及び～に代わって）：
Signed for and on behalf of:
（発行の場所及び日付）：
(place and date of issue):
（氏名、役職）（署名）：
(name, function) (signature):