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Supplier Declaration of Conformity (Doc) In accordance with ISO/IEC 170501:2004 Doc identification Number1 4/4/2016/03 Issuer details Name2 (of New Zealand manufacturer or importer) Contact Address

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3. Use a pen or type directly into the form, depending on the instructions provided. Make sure your writing is neat and legible if filling out the form manually.
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7. Once you are satisfied with your responses, sign and date the form as required. Some forms may require additional signatures or witness signatures; ensure you comply with all instructions.
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