1. No … (unique identification of the packaging):
1. 编号 …（包装唯一识别码）：
2. Name and address of the manufacturer and, where applicable, the manufacturer’sauthorised representative:
2. 制造商名称及地址，必要时包括制造商授权代表的名称及地址：
3. This declaration of conformity is issued under the sole responsibility of the manufacturer.
3. 本符合性声明由制造商单独承担责任出具。
4. Object of the declaration (identification of the packaging allowing traceability): description of the packaging:
4. 声明对象（用于追溯的包装识别）：包装描述：
5. The object of the declaration referred to point 4 is in conformity with the relevant Union harmonisation legislation: … (reference to the other Union acts applied).
5. 第4点所述声明对象符合相关欧盟协调立法： ⅆ （适用的其他欧盟法规引用）。
6. References to the relevant harmonised standards or the common specifications used or references to the other technical specifications in relation to which conformity is declared:
6. 所采用的相关协调标准或通用规范的引用，或声明符合的其他技术规范的引用：
7. Where applicable, the notified body … (name, address, number) … performed … (description of intervention) … and issued the certificate(s): … (details, including the date of the certificate(s), and, where appropriate, information on the duration and conditions of validity).
7. 如适用，通知机构 …（名称、地址、编号） …进行了 …（干预描述） … 并签发了证书：ⅆ（详细信息，包 括证书日期及如适用的有效期限和条件）。
8. Additional information:
Signed for and on behalf of: (place and date of issue):
(name, function) (signature):
(*) (identification number of the declaration)
8. 补充信息：
代表并经授权签署：
（签发地点及日期）： (姓名，职务)（签名）：
(*) （声明识别号码）