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1. Unique identification code of the product-type: 2. Intended use/es: 3. Manufacturer: 4. Authorised representative: 5. System/s of AVCP: 6a. Harmonised standard: Notified body/ies: 6b. European Assessment Document: European Technical Assessment: Technical Assessment Body: Notified body/ies: 7. Declared performance/s: 8. Appropriate Technical Documentation and/or Specific Technical Documentation: The performance of the product identified above is in conformity with the set of declared performance/s. This declaration of performance is issued, in accordance with Regulation (EU) No 305/2011, under the sole responsibility of the manufacturer identified above. Signed for and on behalf of the manufacturer by: [name] At [place] on [date of issue] [signature] Instructions for drawing up the declaration of performance 1. GENERAL These instructions aim at guiding the manufacturers when drawing up a declaration of performance compliant with Regulation (EU) No 305/2011, following the model of this Annex (hereinafter referred to as ‘the model’).

These instructions are not part of the declarations of performance to be issued by manufacturers and should not be enclosed to these declarations of performance. When drawing up a declaration of performance, the manufacturer shall:

(1) reproduce the texts and the headlines of the model which are not indicated between square brackets;

(2) replace the blank spaces and square brackets by inserting the necessary information. Manufacturers may also include in the declaration of performance the reference to the website where the copy of the declaration of performance is made available in accordance with Article 7(3) of Regulation (EU) No 305/2011. This may be included after point 8 or in another place where it does not affect the readability and clarity of the mandatory information.

2. FLEXIBILITY Providing that the mandatory information required by Article 6 of Regulation (EU) No 305/2011 is provided in a clear, complete and coherent manner, when drawing up a declaration of performance, it is possible to:

(1) use a different layout as in the model;

(2) combine the points of the model by presenting some of them together;

(3) present the points of the model in a different order or using one or more tables;

(4) omit some points of the model which are not relevant for the product for which a declaration of performance is drawn up. For example, this is the case since the declaration of performance may be based either on a harmonised standard or on a European Technical Assessment issued for the product, rendering the other alternative not applicable. These omissions could also concern the points on the authorised representative or on the use of Appropriate Technical Documentation and the Specific Technical Documentation;

(5) present the points without numbering them. If a manufacturer wishes to issue a single declaration of performance covering different variations of a product-type, at least the following elements need to be listed separately and clearly for every product variation: the number of the declaration of performance, the identification code under point 1 and the declared performances/s under point 7.

3. INSTRUCTION FOR THE COMPLETION OF THE FORM