Ref. No.: RCMC16024629

To:

Address:

Compliance Marking

Required by ACMA

AusRCM Australia Pty Ltd Level 2, Building1, Riverside Quay, 1 Southbank

A.B.N.:19604316556 Blvd ,Southbank, VIC, 3006, Australia.

THE RCM LETTER OF AUTHORISATION

AD2412N3L

Model Trademark/Brand

(For the RCM Compliance under ACMA )

Product

AC Power Adaptor ARTESYN

6.6. The labelling and supply of the product with the RCM (Regulatory Compliance Mark) isagreed with the above conditions.

16th Floor, Lu Plaza, 2 Wing Yip Street, Kwun Tong, Kow loon, Hong Kong

Astec International Ltd.

3-Mar-2016

'4!.02-31!51!",*)#&!",*+)"%$"!(67!%6/

This letter authorises the above supplier, to label the product(s) listed above, with the RCM

(Regulatory Compliance Mark) as shown above, subject to the following conditions:

1.1. This is to confirm that product(s) listed, comply with ACMA mandated standards . To markRCM on this product, it is necessary that the supplier should also hold and maintain anAustralian Electrical Safety Certificate and/or conduct EESS registration.

2. The units supplied are identical to those described in the compliance folder held by AusRCMAustralia. The supplier(s) agree(s) to abide by the terms and conditions as detailed on theservice agreement.

3. AusRCM is authorised by applicant to act as a compliance agent only, and assumes noresponsibility in the retail supply, servicing or repair of the listed product. AusRCM will hold thiscompliance folder for at least 5 years.

4.4. Any modification to the listed product(s) voids this authorisation.

5.5. This authorisation pertains only to the product(s) listed above.

Supplier’s declaration of conformity

For compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

Instructions for completion

Supplier’s details

Company Name (OR INDIVIDUAL) ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

OROR

ABN

POSTCODE N/A

Company Name (OR INDIVIDUAL)

OROR

ABN

ACMA form – C02 Page 1 of 2 March 2014

Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act

1992 ;

Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the

Radiocommunications Act 1992

Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of the

Radiocommunications Act 1992 and

Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997 .

This completed form must be retained by the supplier as part of the documentation required for the compliance records and must be

made available for inspection by the ACMA when requested.

E3211

ACMA registered supplier code number

Level 2, Building 1, Riverside Quay

Street Address

19 604 316 556

AusRCM Australia Pty Ltd

TRADING AS -

1 Southbank Boulevard , Southbank

VIC Australia

POSTCODE 3006

Australian Authorised Responsible Representative

N/A, Overseas.

TRADING AS -

Astec International Ltd.

N/A , Overseas.Street Address

16th Floor, Lu Plaza, 2 Wing Yip Street, Kwun

Tong, Kow loon, Hong Kong

Product description – brand name, type, model, lot, batch or serial number (if available)

Product:

Brand name:

Model :

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Standard title, number and, if applicable, number of the test report

Test report :

Tested by

Penalty: 12 months imprisonment

SIGNATURE

3 March 2016

If you do not provide the information, a compliance label is not able to be applied.

ACMA form – C02 Page 2 of 2 March 2014

Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997 .

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policy

contains details about how you may access personal information about you that is held by the ACMA, and seek the correction of such

information. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email

at privacy@acma.gov.au.

Technical Manager

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use and

disclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

I hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note : Under section 137.1 of the Criminal Code Act 1995 , it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

PRINT NAME John Spencer

AusRCM Australia

DATE

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions

or activities.

The purpose of the collection of the personal information in this form is to ensure the supplier is identified in the ‘Declaration of conformity’.

This information is required under the following notices:

Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act

1992

Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the

Radiocommunications Act 1992

Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of the

Radiocommunications Act 1992

Declaration

Shenzhen Academy of Metrology and Quality Inspection National Digital Electronic

Product Teting Center

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act

1992 and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the

Radiocommunications Act and 407 of the Telecommunications Act.

The assessment of following report(s) is(are) undertaken and it is sufficient to show the evidence of

Product details

Compliance

AC Power Adaptor

ARTESYN

AD2412N3L

WT 168000110

Applicable standards

compliance with standard(s):

AS/NZS CISPR 22:2009+A1:2010; EN 55022:2010; EN 55024:2010;

EN 61000:-3-2:2014; EN 61000-3-3:2013

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39-IC-F0026 – Issue 5.0

AUSTRALIA & NEW ZEALANDCERTIFICATE OF APPROVAL

Amarjit Singh

Certification Officer

This is to certify that representative samples of the Product described herein (“Certified Product”) have beeninvestigated and found in compliance with the Standard(s) indicated on this Certificate. This certificate is issued inaccordance with a) the contractual agreement between UL and the certificate holder, b) the ANZ CertificationProgram Terms and Conditions, c) JAS-ANZ accreditation and d) NSW Government requirements. It is based ontype assessment of representative product(s) and is issued for use in Australia and New Zealand only.

This Certificate remains the property of UL International New Zealand Ltd.

Equipment covered by this approval must comply in all respects with the certified article, and is required to be clearlyand indelibly marked with the marking indicated in the appendix to this certificate. The certificate holder mustimmediately notify UL International New Zealand Ltd if these conditions are not met.

Notification must be made to UL International New Zealand Ltd within 20 working days of any modification to theproduct, change of manufacturer or change of certificate holder details.

If the client provides copies of the certification documents to others, the documents shall be reproduced intheir entirety.

This approval shall expire on the date indicated above unless the certificate is suspended, cancelled or withdrawn forany reason prior to that date.

All dates are in Year-Month-Day format (YYYY-MM-DD).

www.jas-anz.org/register

Certification Body UL International New Zealand Ltd,21 Tarndale Grove, Albany,Auckland 0632, New Zealand.+64 9 415 3355, customerservice.anz@ul.com,http://newzealand.ul.com

Certificate No. ULL-100429

Page 1/3

Date of Issue 2016-02-25

Certificate Holder Astec International Ltd16TH FLLU PLAZA2 WING YIP ST, KWUN TONG

KOWLOON, Hong Kong

Certified Product AC Power Adaptor

Model(s) AD2412N3L

Trade name or Trademark ARTESYN

Rating Information Input : 100-240 Vac, 50/60 Hz, 1.0 A;

Output : 12 Vdc, 2.0 A max

Declared Class POWER SUPPLY OR CHARGER - Power supply (electronic ortransformer types) designated for use with specific electronic

equipment

Tested to Standard AS/NZS 60950.1:2011+A1

Approval Marking ULL-100429-EA

Additional Information See Next Page

Expire date 2021-02-25

39-IC-F0026 – Issue 5.0

APPENDIX - AUSTRALIA & NEW ZEALANDCERTIFICATE OF APPROVALCertificate No. ULL-100429

Page 2/3

Date of Issue 2016-02-25

Certification Body UL International New Zealand Ltd,21 Tarndale Grove, Albany,Auckland 0632, New Zealand.+64 9 415 3355, customerservice.anz@ul.com,http://newzealand.ul.com

Additional Information:

AC Power Adaptor also complies with AS/NZS 60950.1:2015.

39-IC-F0026 – Issue 5.0

APPENDIX - AUSTRALIA & NEW ZEALANDCERTIFICATE OF APPROVALCertificate No. ULL-100429

Page 3/3

Date of Issue 2016-02-25

Certification Body UL International New Zealand Ltd,21 Tarndale Grove, Albany,Auckland 0632, New Zealand.+64 9 415 3355, customerservice.anz@ul.com,http://newzealand.ul.com

Certified products shall be marked with one of the following marking options.

1 Product approval mark (minimum size is not specified, as long as the Approval Numberis legible).

ULL-100429-EA

or;

2 Regulatory Compliance Mark (RCM), provided that all the requirements of all relevant parts ofAS/NZS 4417 applicable to the article are fulfilled.