103.针对IOS-MAT-0010纸和硬纸材料的自我声明IOS-MAT-0010_SD_paper

Self declaration for paper and cardboard material, according to IOS-MAT-0010 针对IOS-MAT-0010纸和硬纸材料的自我声明
This form can be used to certify compliance with requirements according to specification IOS-MAT-0010(AA-10911-11). This form-or an equivalent form with the same information- is to be signed by the final chemical processor（final material producer）in the supply chain of the paper/cardboard, meaning the last manufacturer who adds any chemical preparation to the material, e.g. paper/cardboard manufacturer, multilayer cardboard material gluer, or printer.This can be either the IKEA supplier or a sub-supplier(or a sub-sub-supplier, ect).
此文件是针对技术规范IOS-MAT-0010(AA-10911-11)的符合性声明，此文件或具备同等信息的声明文件，需要由纸/纸板供应链中最终化学品处理方（最终材料生产商）填写，最终材料生产商是指向材料中添加化学制剂的最后一环节生产商，例如，纸/纸板生产商，多层纸板胶合或印刷商。

签署人可以为宜家供应商或其下级供应商（或下-下级供应商，等）。

The self declaration shall be in English- addition of information in local language is voluntary.
自我声明必须是英文的，以当地语言陈述的附加信息仅作参考。

Supporting documents, verifying fulfillment of the requirements, shall be listed in Table 3, such as:
∙Test reports,
∙Self declarations or certificates from sub-suppliers of raw materials and chemicals used to make the paper or cardboard material.
支持文件，即证实可以满足要求的文件，须列在表3中，比如：
∙测试报告
∙来源于生产纸或纸板原材料的下级原材料和化学品供应商和签署的自我声明和证书。

requirement according to IOS-MAT-0010.
注：“不适用”仅在被声明材料不属于IOS-MAT-0010要求范围之内时可选。

1If the final paper/cardboard material in itself is the complete IKEA article, then IKEA article names and numbers can be given.
如果最终纸/纸板材料自身为宜家完整产品，那么需要提供宜家商品名和编号。

2When referring to chemical substances that are included in lists established by government authorities, this SD applies to chemical substances that are included in such list at the time of signing.
对引用来自政府制定的法规和标准里面的化学物质清单时，此声明适用于签署时清单里的物质。

3Documentation as required in the approval from IKEA shall be attached to this SD.
作为宜家许可的文件需要附在此声明内。

This is to certify that we have read and understood IKEA specification IOS-MAT-0010 and that the materials listed in Table 1comply with IKEA requirements according to specification IOS-MAT-0010 (AA-10911-11) .
兹证明我们已阅读及理解宜家技术规范IOS-MAT-0010，且列于表1的材料能够符合宜家技术规范MAT-0010 (AA-10911-11)的相关要求。

Even if this form is signed by a sub-supplier to the IKEA supplier, IOS-MAT-0010 as part of the Purchasing Agreement between IKEA and IKEA supplier always applies, and compliance is the final responsibility of the IKEA supplier in all cases.
即使此文件是由宜家供应商的下级供应商签署，作为宜家和宜家供应商采购协议的一部分IOS-MAT-0010仍然适用，且在任何情况下，满足其要求仍是宜家供应商的最终责任所在。

To be filled in by the final chemical processor(final chemical producer) of the paper/cardboard:
由纸/纸板的最终化学品处理方（最终化学品生产商）填写：
Name of final chemical processor
of the material:
材料最终化学品处理方名称：
Address and phone no.(or supplier
number, for IKEA supplier):
联系地址和电话号码（如为宜家供应商，
请提供供应商编号）：
Place and date:
时间和地点：
Name and signature:
姓名（正楷）和签名:。