EU DECLARATION OF CONFORMITY

MANUFACTURER N° XXX/XXXXX/ASSEMBLY/DOC/1

Name : XXXXXXXXXXX

Address : XXXXXXXXXXXX Pvt. Ltd. ZZZZZZZZZZZZZZZ .

The Company mentioned above certifies under its own responsibility that the assembly specified below
satisfies the requirements of the pressure equipment directive 2014/68/EU, as transposed in the national law.

This declaration is issued under the sole responsibility of the manufacturer

ASSEMBLY (For assembly, see annexureA) :
Description (1) : XXXXXXX SKID
Serial number (2) : XXXXXXXXXXXXX
Year of manufacturing : MM/2022
Harmonized standards applied (3) : --
Other technical standards and specifications used (3) : ISO 12100 :2010.
ISO 80079-36 :2016

Other Community directive applied : ATEX Directive 2014/34/EU

Machinary directive 2006/42/EC,
Low voltage directive 2014/35/EU,
Electromagnetic compatibility
directive 2014/30/EU.
Module (s) of conformity assessment applied : Category xx & Module xx
EU certificate of conformity applied: --
Marking CExxxx II 3 G Ex
‘d, e, ic, h’

IIA T3 Gc

Notified Body : Bureau Veritas Services SAS nr 0062

8 Cours du Triangle 92800 PUTEAUX-LA DEFENSE FRANCE
Additional comments (if necessary): This equipment shall not be put into service until the system into
which it is to be incorporated and has been declared inconformity as per provisions of applicable EU directives
taking into consideration the process parameters. The criteria for selection, safety requirements of the other
associated equipment’s and installation guidelines are detailed in the instruction manual.
The given machine is combination of different components & auxiliaries and is used for specified intended
application only.

SIGNED ON BEHALF OF THE MANUFACTURER / AUTHORIZED REPRESENTATIVE

Name : Mr. xxxxxxxxxxxxxxxxx Title / Position :xxxxxxxxx

Place/date : xxxxxx /DD/MM/YYYY

Signature :