Supplier’s Declaration of Conformity
Section 134 (1) (g) of the New Zealand Radiocommunications Act 1989
Note | This co
mpleted form remains with the supplier as part of the documentation required for the “Compliance folder”
1. Supplier details
Name (of manufacturer, importer or authorised agent):
New Zealand physical address:
New Zealand contact information:
Telephone:
Mobile:
Fax:
Email:
New Zealand postal address (if different):
(New Zealand) Company number or GST number: Supplier number (include “E” or “Z”):
2. Product details
Brand name:
Model, lot, batch or serial number:
Description and function:
If radio product:
Frequency or frequency range (MHz): Radiated power e.i.r.p (dBW):
Applicable standard title, number & edition:
Test report number or other identifier:
3. Declaration
I hereby declare that the product to which this declaration of conformity relates complies with the mentioned standard(s),
and all products supplied under this Declaration will be identical to the sample identified in this Declaration.
Signature of supplier/agent: Print name:
Date: Position in organisation:
ZEBRA TECHNOLOGIES (NEW ZEALAND) LIMITED
Suite 115, 23 Edwin Street
Mount Eden
Auckland 1024
New Zealand
Touch Computer supporting 802.11a/b/g/n/ac WLAN+NFC+BT4.0
AS/NZS 4268:2012/Amdt 1:2013
Senior Director Technical Architects
