The EU declaration of conformity referred to in Article 28, shall contain all of the following information:
1. Name and type and any additional information enabling the unique identification of the product with digital elements;
2. Name and address of the manufacturer or its authorised representative;
3. A statement that the EU declaration of conformity is issued under the sole responsibility of the provider;
4. Object of the declaration (identification of the product with digital elements allowing traceability, which may include a photograph, where appropriate);
5. A statement that the object of the declaration described above is in conformity with the relevant Union harmonisation legislation;
6. References to any relevant harmonised standards used or any other common specification or cybersecurity certification in relation to which conformity is declared;
7. Where applicable, the name and number of the notified body, a description of the conformity assessment procedure performed and identification of the certificate issued;
8. Additional information:
Signed for and on behalf of:…………………………………
(place and date of issue):
(name, function) (signature):