Code of the applicant

Number

Declaration of Conformity

D33005

Please check all the related technical documents in accordance with the Commodity Inspection Act before signing the form.

Obligatory Applicant

 

 

 

 

150

4

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02-2894-3447 # 2521

 

 

 

 

Telephone

 

 

 

 

(Motherboard)

 

 

Commodity Name

 

 

 

 

 

 

 

 

 

 

 

 

P9X79 DELUXE

 

 

 

Commodity Type Model

 

 

 

(

) (Class B)

 

 

 

 

 

 

CNS 13438 : 95

 

Standard(s) and version

 

 

 

 

 

Test Report Number

11B147R-ITTWP01V04

 

 

 

 

 

(SL2-IN-E-0043)

 

Testing laboratory name and designation number

 

 

 

 

 

 

The form of the DoC marking appears like this

 

 

or

 

 

 

 

 

 

 

 

 

D33005

 

 

D33005

I hereby declare that the listed commodity conforms to Declaration of Conformity requirements stipulated in the Commodity Inspection Act. I agree to take any legal obligations should violations against the Declaration of Conformity occur.

Obligatory Applicant

 

 

Signature

DATE

year

month

day

1.

2.

1.

2.

3.

4.

5.

6.

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