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PRODUCT IDENTITY DECLARATION FORM
‫المنتج‬ ‫هوية‬ ‫عن‬ ‫اﻹعﻼن‬
Manufacturer Name: Shenxun Pinghu Shanxi Julix
Technology Co
‫المصنع‬ ‫اسم‬
:
Address: No 9 Songqiu Road Qingpu, China ‫عنوان‬
:
Country: China ‫بلد‬
:
Telephone: 86 - 29 - 87513160 ‫هاتف‬
:
Signatory of this document declares that: ‫بأن‬ ‫يقر‬ ‫المستند‬ ‫هذا‬ ‫على‬ ‫الموقع‬
:
Products: ‫منتجات‬
:
CERTIFIED PRODUCT
‫معتمد‬ ‫منتج‬
NON-CERTIFIED PRODUCT
‫معتمد‬ ‫غير‬ ‫منتج‬
Description / Designation
‫التسمية‬ / ‫الوصف‬ Cable Headphone Cable Headphone
Reference / Model Number
/‫مرجع‬
‫الموديل‬ ‫رقم‬ KPH-01, KPH-016, KPH-02 SY-PO3, EARBUDS 302
Trademark / Manufacturer Name
‫المصنع‬ ‫اسم‬ / ‫التجارية‬ ‫العﻼمة‬ RRINIX RRINIX
Rating / Features
‫تقييم‬
/
‫الميزات‬ Cable Headphone Cable Headphone
Other Details / Comments
‫تعليقات‬ /‫أخرى‬ ‫تفاصيل‬ NA NA
are (tick the appropriate case): )
‫المناسبة‬ ‫الحالة‬ ‫حدد‬
:(
Strictly identical in design (shape, openings,…), features, components, materials, manufacturing
process, markings except product reference-Brand name/Trademark as specified in this document
‫التصميم‬ ‫في‬ ‫ا‬ً‫م‬‫تما‬ ‫متطابق‬
)
، ‫الفتحات‬ ، ‫الشكل‬
(...
‫المنتج‬ ‫إشارة‬ ‫باستثناء‬ ‫العﻼمات‬ ، ‫التصنيع‬ ‫عملية‬ ، ‫المواد‬ ، ‫المكونات‬ ، ‫الميزات‬ ،
-
‫التجارية‬ ‫العﻼمة‬
/
‫العﻼمة‬
‫التجاري‬
‫المستند‬ ‫هذا‬ ‫في‬ ‫محدد‬ ‫هو‬ ‫كما‬ ‫ة‬
Similar and have very minor difference (listed in the field below and with detailed photos) that cannot
impact safety of the item (additional study documentation can be provided):
‫اخت‬ ‫ولديها‬ ‫متشابهة‬
‫بسيطة‬ ‫ﻻفات‬
)
‫مفصلة‬ ‫صور‬ ‫ومع‬ ‫أدناه‬ ‫الحقل‬ ‫في‬ ‫مدرجة‬
(
‫العنصر‬ ‫سﻼمة‬ ‫على‬ ‫تؤثر‬ ‫أن‬ ‫يمكن‬ ‫ﻻ‬
)
‫وثائق‬ ‫توفير‬ ‫يمكن‬
‫إضافية‬ ‫دراسية‬
:(
Details of all the differences
from the certified product
‫المنتج‬ ‫عن‬ ‫اﻻختﻼفات‬ ‫جميع‬ ‫تفاصيل‬
‫المعتمد‬
No difference just model number different
and have the same level of conformity according to the certificate(s) already provided and hereafter identified:
‫للشهادة‬ ‫ا‬ً‫ق‬‫وف‬ ‫المطابقة‬ ‫مستوى‬ ‫نفس‬ ‫لها‬ ‫ويكون‬
)
‫الشهادات‬
(
‫يلي‬ ‫فيما‬ ‫إليها‬ ‫والمشار‬ ‫بالفعل‬ ‫المقدمة‬
:
TYPE OF CERTIFICATE
‫الشهادة‬ ‫نوع‬
REFERENCE NUMBER
‫المرجع‬ ‫رقم‬
DATE OF ISSUANCE
‫اﻻصدار‬ ‫تاريخ‬
IECEE CB Test Certificate
CB certificate No. shall be mentioned here
TEST REPORT
IEC 62368-1 171100201 2020-02-20
Date: 26-03-2022 ‫تاريخ‬
:
Name: Shenxun Pinghu
Shanxi Julix Technology Co
‫اسم‬
:
Title: MANGER ‫عنوان‬
:
Signature: ‫التوقيع‬
:
And stamp of the Company ‫الشركة‬ ‫وختم‬

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PID.pdf

  • 1. PRODUCT IDENTITY DECLARATION FORM ‫المنتج‬ ‫هوية‬ ‫عن‬ ‫اﻹعﻼن‬ Manufacturer Name: Shenxun Pinghu Shanxi Julix Technology Co ‫المصنع‬ ‫اسم‬ : Address: No 9 Songqiu Road Qingpu, China ‫عنوان‬ : Country: China ‫بلد‬ : Telephone: 86 - 29 - 87513160 ‫هاتف‬ : Signatory of this document declares that: ‫بأن‬ ‫يقر‬ ‫المستند‬ ‫هذا‬ ‫على‬ ‫الموقع‬ : Products: ‫منتجات‬ : CERTIFIED PRODUCT ‫معتمد‬ ‫منتج‬ NON-CERTIFIED PRODUCT ‫معتمد‬ ‫غير‬ ‫منتج‬ Description / Designation ‫التسمية‬ / ‫الوصف‬ Cable Headphone Cable Headphone Reference / Model Number /‫مرجع‬ ‫الموديل‬ ‫رقم‬ KPH-01, KPH-016, KPH-02 SY-PO3, EARBUDS 302 Trademark / Manufacturer Name ‫المصنع‬ ‫اسم‬ / ‫التجارية‬ ‫العﻼمة‬ RRINIX RRINIX Rating / Features ‫تقييم‬ / ‫الميزات‬ Cable Headphone Cable Headphone Other Details / Comments ‫تعليقات‬ /‫أخرى‬ ‫تفاصيل‬ NA NA are (tick the appropriate case): ) ‫المناسبة‬ ‫الحالة‬ ‫حدد‬ :( Strictly identical in design (shape, openings,…), features, components, materials, manufacturing process, markings except product reference-Brand name/Trademark as specified in this document ‫التصميم‬ ‫في‬ ‫ا‬ً‫م‬‫تما‬ ‫متطابق‬ ) ، ‫الفتحات‬ ، ‫الشكل‬ (... ‫المنتج‬ ‫إشارة‬ ‫باستثناء‬ ‫العﻼمات‬ ، ‫التصنيع‬ ‫عملية‬ ، ‫المواد‬ ، ‫المكونات‬ ، ‫الميزات‬ ، - ‫التجارية‬ ‫العﻼمة‬ / ‫العﻼمة‬ ‫التجاري‬ ‫المستند‬ ‫هذا‬ ‫في‬ ‫محدد‬ ‫هو‬ ‫كما‬ ‫ة‬ Similar and have very minor difference (listed in the field below and with detailed photos) that cannot impact safety of the item (additional study documentation can be provided): ‫اخت‬ ‫ولديها‬ ‫متشابهة‬ ‫بسيطة‬ ‫ﻻفات‬ ) ‫مفصلة‬ ‫صور‬ ‫ومع‬ ‫أدناه‬ ‫الحقل‬ ‫في‬ ‫مدرجة‬ ( ‫العنصر‬ ‫سﻼمة‬ ‫على‬ ‫تؤثر‬ ‫أن‬ ‫يمكن‬ ‫ﻻ‬ ) ‫وثائق‬ ‫توفير‬ ‫يمكن‬ ‫إضافية‬ ‫دراسية‬ :( Details of all the differences from the certified product ‫المنتج‬ ‫عن‬ ‫اﻻختﻼفات‬ ‫جميع‬ ‫تفاصيل‬ ‫المعتمد‬ No difference just model number different and have the same level of conformity according to the certificate(s) already provided and hereafter identified: ‫للشهادة‬ ‫ا‬ً‫ق‬‫وف‬ ‫المطابقة‬ ‫مستوى‬ ‫نفس‬ ‫لها‬ ‫ويكون‬ ) ‫الشهادات‬ ( ‫يلي‬ ‫فيما‬ ‫إليها‬ ‫والمشار‬ ‫بالفعل‬ ‫المقدمة‬ : TYPE OF CERTIFICATE ‫الشهادة‬ ‫نوع‬ REFERENCE NUMBER ‫المرجع‬ ‫رقم‬ DATE OF ISSUANCE ‫اﻻصدار‬ ‫تاريخ‬ IECEE CB Test Certificate CB certificate No. shall be mentioned here TEST REPORT IEC 62368-1 171100201 2020-02-20 Date: 26-03-2022 ‫تاريخ‬ : Name: Shenxun Pinghu Shanxi Julix Technology Co ‫اسم‬ : Title: MANGER ‫عنوان‬ : Signature: ‫التوقيع‬ : And stamp of the Company ‫الشركة‬ ‫وختم‬