The Product Material Compliance (PMC) Team of Emerson Commercial and Residential Solutions primarily work

compliant to existing environmental legislations.

As part of this environmental compliance initiative, we are requesting all of our suppliers/or manufacturers to prov
supplying to us.

There are 2 submission options:

1. FMD - Full Material Declaration

FMD is a full breakdown of all components and their substances by weight and their respective CAS#

Your FMD declaration will have part number (PN), material and substance information which will be checked against glo
passes the initial submission criteria. Assuming the part does not change, we will not ask for submission again.

Please see FMD Tab to submit a Full Material Declaration. Instruction on how to fill out the FMD Form is also avail

2. PMD - Partial Material Declaration

PMD is the submission for parts with proprietary materials—either the whole of the part or a substance in the part. It req
compliance confirmation.
We understand that there may be reasons why you may not be able to submit FMD; proprietary, resources, etc. Therefore,
RoHS only.
Please Note: A PMD submission is only good for the period of time between legislation changes. For example, the REAC
6 months.

Please see PMD Tab to submit a Partial Material Declaration. Please click the PMD Guidelines button should you nee
 tial Solutions primarily works to ensure that all of the products sold in the market are

ers/or manufacturers to provide a Material Declaration of the parts they are

ich will be checked against global legislation. This is a one-time submission assuming it
sk for submission again.

ut the FMD Form is also available in the FMD Guidelines button.

a substance in the part. It requires the part weight information and RoHS and REACH

tary, resources, etc. Therefore, we have an Excel-based form that will capture REACH /

anges. For example, the REACH Candidate and Authorization list is usually updated every

idelines button should you need help with your submission.

Legend:
No Weight Entered

û ΣPart Weight ≠ ΣHomogenous Weight ≠ ΣSubstance Weight

ü ΣPart Weight = ΣHomogenous Weight = ΣSubstance Weight

Emerson Internal Part Manufacturer Part Manufacturi Part

Part Description/ Name Number ng Site Weight
UOM
Number

Indicate the Manufacturer Part Number, if any, List down each c

Provided by Emerson
and manufacturing site. comprise the par

Specify the part weight and unit of measure Provide the weigh
(UOM). These are required. material. Sum o
should be equal

Example:
123-ABC Screw XYZ-111 Germany 2 g

456-DEF Nut TUV-222 Germany 1.5 g

689-GHI Electronic Assembly QRS-333 Mexico 45 g

ABC-123 Electronic Assembly 444-GHI USA 50 g
Subcomponent / Base Material Weight UOM Substance CAS No. Weight UOM

List down each component and/ or material that List down the substances, corresponding CAS
comprise the part. numbers and weights for each material.

Provide the weight of each component and/ or Sum of all the substance weights should be
material. Sum of all the components' weights equal to the weight of the base material.
should be equal to the part weight.
Disclose all substances included in the REACH
or RoHS lists, if any.

Steel AISI 12L14 2 g Copper 7440-50-8 0.003 g

Manganese 7439-96-5 0.023 g
Phosphorus 7723-14-0 0.002 g
Sulfur 7704-34-9 0.007 g
Lead 7439-92-1 0.007 g
Iron 7439-89-6 1.958 g
Copper Alloys ABC 661 1.35 g Manganese 7439-96-5 0.015 g
Silicon 7440-21-3 0.045 g
Copper 7440-50-8 1.434 g
Lead 7439-92-1 0.006 g
Electronic Assembly 45 g Proprietary 12345678 45 g
Electronic Assembly 50 g Proprietary 12345678 45 g
Cadmium 7790-79-6 2.5 g

Lead Monoxide 1317-36-8 2.5 g

 RoHS Exemption

Identify the
applicable EU
RoHS
exemption(s),
if any

6a

6c

No Exemption

No Exemption
 Supplier Compliance Declaration Form

Company Name: TECHNOMAX ENGINEERING PRODUCTS

Company DUNS ID: 67-589-2545 MR. SHRIKANT KALBURGI
Company Adress 52, INDUCTRIAL ESTATE, OGALEWADI, TAL - KARAD, DIST- SATARA Signature Over Printed Name
Compliance Contact: MR. SHRIKANT KALBURGI
Title: C.E.O. 12/8/2023
Email Address: technomaxep@gmail.com Date
Phone Number 9765626382

By completing this form, you certify the information provided is true and complete to the best of your knowledge about the substances, mixtures, and articles. You also agree to notify Emerson
of any changes in the material composition which affect the legal requirements of the supplied items and provide updated declarations.

Please submit a filled out excel copy of this file and the signed form via email to: Jonathan.Adriano@Emerson.com

Back to Gen Instruction

Tab 2 Back to PMD Form FMD Guidelines

Legend:
No Weight Entered
û ΣPart Weight ≠ ΣHomogenous Weight ≠ ΣSubstance Weight
ü ΣPart Weight = ΣHomogenous Weight = ΣSubstance Weight

Emerson Internal Part Description/ Manufacturer Part

Manufacturing Site Part Weight UOM
Subcomponent /
Weight UOM Substance CAS No. Weight UOM
RoHS
Part Number Name Number Base Material Exemption

574-0125-01 120106082-25301 48.000 GRAM MSP 1085 48.000 GRAM Ferrous 7439-89-6 47.808 GRAM
Carbon 7440-44-0 0.024 GRAM
Silicon 7440-21-3 0.00288 GRAM
Manganese 7439-96-5 0.11664 GRAM
Sulphur 7704-34-9 0.00384 GRAM
Phosphorous 7723-14-0 0.01248 GRAM
Nickel 7440-02-0 0.00288 GRAM
Zirconium 7440-67-7 0.00048 GRAM
Vanadium 7440-62-2 0.0024 GRAM
Chromium 7440-47-3 0.00384 GRAM
Molybdenum 7439-98-7 0.00048 GRAM
Aluminium 7429-90-5 0.01632 GRAM
Copper 7440-50-8 0.00432 GRAM
Titanium 7440-32-6 0.000096 GRAM
Niobium 7440-44-0 0.00096 GRAM
Cobalt 7440-48-4 0.00048 GRAM
Boron 7440-42-8 0.000144 GRAM
574-0125-01 SPRING 120106082-25301 26.000 GRAM ES11-138 26.000 GRAM Ferrous 7439-89-6 25.995 GRAM
Carbon 7440-44-0 0.0026 GRAM
Silicon 7440-21-3 0.00078 GRAM
Manganese 7439-96-5 0.00156 GRAM
Sulphur 7704-34-9 0.000078 GRAM
Phosphorous 7723-14-0 0.000065 GRAM
032-0825-01 CLAMP 032-0825-01 120106082-25301 28.000 GRAM MSP-1086 28.000 GRAM 27.911 GRAM
CAPACITOR MTG Ferrous 7439-89-6
Carbon 7440-44-0 0.0042 GRAM
Silicon 7440-21-3 0.00014 GRAM
Manganese 7439-96-5 0.0518 GRAM
Sulphur 7704-34-9 0.00168 GRAM
Phosphorous 7723-14-0 0.00392 GRAM
Nickel 7440-02-0 0.00476 GRAM
Zirconium 7440-67-7 0.00028 GRAM
Vanadium 7440-62-2 0.0014 GRAM