TEMPLATE FOR DECLARATION OF CONFORMITY
EXAMPLE
(To be printed on Company Letterhead of Product Owner or Physical Manufacturer)
We, (name of Product Owner or Physical Manufacturer), as the (Product Owner or Physical Manufacturer) hereby declare that the below mentioned devices have been classified according to the classification rules and conform to the Essential Principles for Safety and Performance as laid out in the ASEAN Agreement on Medical Device Directive.
Name and Address of Product Owner :
(Person who in responsible for medical device according to the definition of ASEAN AGreement on Medical Device Directive)