Supplier s declaration of conformity

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1 Supplier s declaration of conformity As required by the following Notices: > Radiocommunications (Compliance Labelling - Devices) Notice 2014 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 2014 made under section 182 of the Radiocommunications Act 1992 and > Telecommunications (Labelling Notice for Customer Equipment and Customer Cabling) Instrument 2015 made under section 407 of the Telecommunications Act Instructions for completion > Do not return this form to the ACMA. 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 (manufacturer, importer or authorised agent) Company Name (OR INDIVIDUAL) Siemens Ltd. ACMA supplier code number (issued by the ACMA prior to 1 March 2013) Process Industries and Drives (PD) Process Automation (PA) Street Address (AUSTRALIAN or NEW ZEALAND) 885 Mountain Hwy Bayswater VIC 3153 OR ACN/ARBN OR New Zealand IRDN Phone: Product details and date of manufacture Product description brand name, type, current model, lot, batch or serial number (if available), software/firmware version (if applicable) SIMATIC S7-400 (see Apendix) Date of manufacture or importation of the original/modified item ACMA form C02 Page 1 of 5 February 2015

2 Compliance applicable standards and other supporting documents Evidence of compliance with applicable standards may be demonstrated by test reports, endorsed/accredited test reports, certification/competent body statements. Having had regard to these documents, I am satisfied the above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992 and the Telecommunications Act List the details of the documents the above statement was made, including the standard title, number and, if applicable, number of the test report/endorsed test report or certification/competent body statement EN :2007 +A1:2011 Declaration I hereby declare that: 1. I am authorised to make this declaration on behalf of the Company mentioned above, 2. the contents of this form are true and correct, and 3. the product mentioned above complies with the applicable above mentioned standards and all products supplied under this declaration will be identical to the product identified above. Note: Under section 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 OF SUPPLIER OR AGENT POSITION IN ORGANISATION PRINT NAME DATE 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 collecting the personal information in this form is to ensure the supplier is identified in the Declaration of conformity. If this Declaration of Conformity is not completed and the requested information is not provided, a compliance label cannot be applied. Further information on the Privacy Act and the ACMA s Privacy Policy is available at 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 or by at privacy@acma.gov.au. ACMA form C02 Page 2 of 5 February 2015

3 Apendix part number 6ES7400-1JA01-0AA0 Rack UR2 6ES7400-1JA11-0AA0 Rack UR2 6ES7400-1JA11-0AA1 Rack UR2 6ES7400-1TA01-0AA0 Rack UR1 6ES7400-1TA11-0AA0 Rack UR1 6ES7400-2JA00-0AA0 Rack UR2-H 6ES7400-2JA10-0AA0 Rack UR2-H 6ES7400-2JA10-0AA1 Rack UR2-H 6ES7401-1DA01-0AA0 Rack CR3 6ES7401-1DA01-0AA1 Rack CR3 6ES7401-2TA01-0AA0 Rack CR2 6ES7403-1JA01-0AA0 Rack ER2 6ES7403-1JA11-0AA0 Rack ER2 6ES7403-1TA01-0AA0 Rack ER1 6ES7403-1TA11-0AA0 Rack ER1 6ES7405-0DA02-0AA0 PS 24V 4A 6ES7405-0DA02-0AA1 PS 24V 4A 6ES7405-0KA02-0AA0 PS 24V 10A (standard) 6ES7405-0KR02-0AA0 PS 24V 10A (redundancy-capable) 6ES7405-0KR02-0AA1 PS 24V 10A (redundancy-capable) 6ES7405-0RA02-0AA0 PS 24V 20A 6ES7407-0DA02-0AA0 PS 120V/230V 4A 6ES7407-0DA02-0AA1 PS 120V/230V 4A 6ES7407-0KA02-0AA0 PS 120V/230V 10A (standard) 6ES7407-0KR02-0AA0 PS 120V/230V 10A (redundancy-capable) 6ES7407-0KR02-0AA1 PS 120V/230V 10A (redundancy-capable) 6ES7407-0RA02-0AA0 PS 120V/230V 20A 6ES7408-1TA01-0XA0 Fan Subassembly 24V DC 6ES7408-1TB00-0XA0 Fan Subassembly 230V AC 6ES7410-5HN08-0AB0 CPU 410 SMART 6ES7410-5HX08-0AB0 CPU 410 6ES7412-1XJ05-0AB0 CPU ES7412-1XJ07-0AB0 CPU ES7412-2EK06-0AB0 CPU PN/DP 6ES7412-2EK07-0AB0 CPU PN/DP 6ES7412-2XJ05-0AB0 CPU ES7412-2XK07-0AB0 CPU ES7412-3HJ14-0AB0 CPU 412-3H 6ES7412-5HK06-0AB0 CPU 412-5H 6ES7414-2XK05-0AB0 CPU ES7414-2XL07-0AB0 CPU ES7414-3EM06-0AB0 CPU PN/DP 6ES7414-3EM07-0AB0 CPU PN/DP 6ES7414-3FM06-0AB0 CPU PN/DP 6ES7414-3FM07-0AB0 CPU PN/DP 6ES7414-3XM05-0AB0 CPU ES7414-3XM07-0AB0 CPU ES7414-4HM14-0AB0 CPU 414-4H 6ES7414-4HR14-0AB0 CPU 414-4H 6ES7414-5HM06-0AB0 CPU 414-5H 6ES7416-2FN05-0AB0 CPU416F-2 6ES7416-2FP07-0AB0 CPU416F-2 6ES7416-2XN05-0AB0 CPU ES7416-2XP07-0AB0 CPU ES7416-3ES06-0AB0 CPU PN/DP 6ES7416-3ES07-0AB0 CPU PN/DP 6ES7416-3FS06-0AB0 CPU 416F-3 PN/DP 6ES7416-3FS07-0AB0 CPU 416F-3 PN/DP ACMA form C02 Page 3 of 5 February 2015

4 part number 6ES7416-3XR05-0AB0 CPU ES7416-3XS07-0AB0 CPU ES7416-5HS06-0AB0 CPU 416-5H 6ES7417-4HT14-0AB0 CPU 417-4H 6ES7417-5HT06-0AB0 CPU 417-5H 6ES7417-4XT05-0AB0 CPU ES7417-4XT07-0AB0 CPU ES7421-1BL01-0AA0 Digital Input Module SM 421; DI 32 x 24 VDC 6ES7421-1EL00-0AA0 Digital Input Module SM 421; DI 32 x 120 VUC 6ES7421-1FH20-0AA0 Digital Input Module SM 421; DI 16 x 120/230 VUC 6ES7421-7BH01-0AB0 Digital Input Module SM 421; DI 16 x 24 VDC 6ES7421-7DH00-0AB0 Digital Input Module SM 421; DI 16 _ 24/60 VUC 6ES7422-1BH11-0AA0 Digital Output Module SM 422; DO 16 X 24 VDC/2 A 6ES7422-1BL00-0AA0 Digitalausgabebaugruppe SM 422; DO 32 x DC 24 V/0,5A 6ES7422-1FH00-0AA0 Digital Output Module SM 422; DO 16 x 120/230 VAC/2 A 6ES7422-1HH00-0AA0 Relay Output Module SM 422; DO 16 x 30/230 VUC/Rel. 5A 6ES7422-7BL00-0AB0 Digital Output Module SM 422; DO 32 x 24 VDC/0.5 A 6ES7431-0HH00-0AB0 Analog Input Module SM 431; AI 16 x 13 Bit 6ES7431-1KF00-0AB0 Analog Input Module SM 431; AI 8 x 13 Bit 6ES7431-1KF10-0AB0 Analog Input Module SM 431; AI 8 x 14 Bit 6ES7431-1KF20-0AB0 Analog Input Module SM 431; AI 8 x 14 Bit 6ES7431-7KF00-0AB0 Analog Input Module SM 431; AI 8 x 16 Bit 6ES7431-7KF10-0AB0 Analog Input Module SM 431; AI 8 x RTD x 16 Bit 6ES7431-7QH00-0AB0 Analog Input Module SM 431; AI 16 x 16 Bit 6ES7432-1HF00-0AB0 Analog Output Module SM 432; AO 8 x 13 Bit 6ES7440-1CS00-0YE0 CP 440 6ES7441-1AA04-0AE0 CP ES7441-1AA05-0AE0 CP ES7441-2AA04-0AE0 CP ES7441-2AA05-0AE0 CP ES7450-1AP00-0AE0 FM 450 6ES7450-1AP01-0AE0 FM 450 6ES7451-3AL00-0AE0 FM 451 6ES7452-1AH00-0AE0 FM 452 6ES7453-3AH00-0AE0 FM 453 6ES7455-0VS00-0AE0 FM 455 C 6ES7455-1VS00-0AE0 FM 455 S 6ES7460-0AA01-0AB0 IM ES7460-1BA01-0AB0 IM ES7460-3AA01-0AB0 IM ES7460-4AA01-0AB0 IM ES7461-0AA01-0AA0 IM ES7461-1BA01-0AA0 IM ES7461-3AA01-0AA0 IM ES7461-4AA01-0AA0 IM ES7463-2AA00-0AA0 IM ES7470-0AA00-0AA0 Adapter module 6ES7653-2CA00-0XB0 SE PO 100 6ES7653-2CC00-0XB0 SE PO 500 6ES7653-2CE00-0XB0 SE PO ES7653-2CF00-0XB0 SE PO ES7653-2CG00-0XB0 SE PO 2k+ 6ES7653-2CH00-0XB0 SE PO 0 6ES7653-2CM00-0XB0 SE PO 800 6ES7653-2CP00-0XB0 SE PO 800E 6ES7952-0AF00-0AA0 Memory Card MC952 / 64 KB / RAM 6ES7952-0KF00-0AA0 Memory Card MC952 / 64 KB / 5V FLASH 6ES7952-0KH00-0AA0 Memory Card MC952 / 256 KB / 5V FLASH 6ES7952-1AH00-0AA0 Memory Card MC952 / 256 KB / RAM 6ES7952-1AK00-0AA0 Memory Card MC952 / 1 MB / RAM 6ES7952-1AL00-0AA0 Memory Card MC952 / 2 MB / RAM ACMA form C02 Page 4 of 5 February 2015

5 part number 6ES7952-1AM00-0AA0 6ES7952-1AP00-0AA0 6ES7952-1AS00-0AA0 6ES7952-1AY00-0AA0 6ES7952-1KK00-0AA0 6ES7952-1KL00-0AA0 6ES7952-1KM00-0AA0 6ES7952-1KP00-0AA0 6ES7952-1KS00-0AA0 6ES7952-1KT00-0AA0 6ES7952-1KY00-0AA0 6ES7960-1AA04-0XA0 6ES7960-1AA06-0XA0 6ES7960-1AA08-0XA0 6ES7960-1AB06-0XA0 6ES7963-1AA00-0AA0 6ES7963-1AA10-0AA0 6ES7963-2AA00-0AA0 6ES7963-2AA10-0AA0 6ES7963-3AA00-0AA0 6ES7963-3AA10-0AA0 6ES7964-2AA04-0AB0 A5E Memory Card MC952 / 4 MB / RAM Memory Card MC952 / 8 MB / RAM Memory Card MC952 / 16 MB / RAM Memory Card MC952 / 64 MB / RAM Memory Card MC952 / 1 MB / 5V FLASH Memory Card MC952 / 2 MB / 5V FLASH Memory Card MC952 / 4 MB / 5V FLASH Memory Card MC952 / 8 MB / 5V FLASH Memory Card MC952 / 16 MB / 5V FLASH Memory Card MC952 / 32 MB / 5V FLASH Memory Card MC952 / 64 MB / 5V FLASH Transceiver, far RS 232C interface submodule RS 232C interface submodule 20 ma TTY interface submodule 20 ma TTY interface submodule X27 (RS 422/485) interface submodule X27 (RS 422/485) interface submodule IF 964-DP Interface Submodule Battery Box ACMA form C02 Page 5 of 5 February 2015

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