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ANNEX VI

MODEL AMaximum format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of EC type-approval authority

Communication concerning:Of a type of:
EC type-approvalacomplete vehiclea
extension of EC type-approvalacompleted vehiclea
refusal of EC type-approvalaincomplete vehiclea
withdrawal of EC type-approvala

vehicle with complete and incomplete variantsa

vehicle with completed and incomplete variantsa

with regard to Directive 2007/46/EC

EC type-approval number:

Reason for extension:

SECTION I

0.1.Make (trade name of manufacturer):
0.2.

Type:

0.2.1.Commercial name(s)(1):
0.3.

Means of identification of type, if marked on the vehicle:

0.3.1.Location of that marking:
0.4.Category of vehicle(2):
0.5.Name and address of manufacturer of the complete vehiclea:

Name and address of manufacturer of the base vehiclea (3):

Name and address of manufacturer of the latest built stage of the incomplete vehiclea (3):

Name and address of manufacturer of the completed vehiclea (3):

0.8.Name(s) and address(es) of assembly plant(s):
0.9.Name and address of the manufacturer’s representative (if any):

SECTION II

The undersigned hereby certifies the accuracy of the manufacturer’s description in the attached information document of the vehicle(s) described above ((a) sample(s) having been selected by the EC type-approval authority and submitted by the manufacturer as prototype(s) of the vehicle type) and that the attached test results are applicable to the vehicle type.

1.For complete and completed vehicles/variantsa:

The vehicle type meets/does not meeta the technical requirements of all the relevant regulatory acts as prescribed in Annex IV and Annex XIa (3) to Directive 2007/46/EC.

2.For incomplete vehicles/variantsa:

The vehicle type meets/does not meeta the technical requirements of the regulatory acts listed in the table on side 2.

3.The approval is granted/refused/withdrawna.
4.The approval is granted in accordance with Article 20 and the validity of the approval is thus limited to dd/mm/yy.
(Place)(Signature)(Date)
Attachments:

Information package.

Test results (see Annex VIII).

Name(s) and specimen(s) of the signature(s) of the person(s) authorised to sign certificates of conformity and a statement of their position in the company.

NB: If this model is used for type-approval pursuant to Articles 20, 22 or 23, it may not bear the heading ‘EC Vehicle Type-Approval Certificate’, except:

EC VEHICLE TYPE-APPROVAL CERTIFICATE

Side 2

This EC type-approval is, where incomplete and completed vehicles or variants are concerned, based on the approval(s) for incomplete vehicles listed below:

Stage 1: Manufacturer of the base vehicle:

EC type-approval number:

Dated:

Applicable to variants:

Stage 2: Manufacturer:

EC type-approval number:

Dated:

Applicable to variants:

Stage 3: Manufacturer:

EC type-approval number:

Dated:

Applicable to variants:

In the case where the approval includes one or more incomplete variants, list those variants which are complete or completed.

Complete/completed variant(s):

List of requirements applicable to the approved incomplete vehicle type or variant (as appropriate, taking account of the scope and latest amendment to each of the regulatory acts listed below).

(List only subjects for which a EC type-approval exists.)

ItemSubjectRegulatory act referenceLast amendedApplicable to variants

In the case of special purpose vehicles, exemptions granted or special provisions applied pursuant to Annex XI and exemptions granted pursuant to Article 20:

Regulatory act referenceItem numberKind of approval and nature of exemptionApplicable to variants
AppendixList of regulatory acts to which the type of vehicle complies(to be filled in only in the case of type-approval in accordance with Article 6(3)
a

Or UNECE Regulations that are deemed to be equivalent.

SubjectRegulatory act referenceaAs amended byApplicable to variants
1.Sound levels70/157/EEC
2.Emissions70/220/EEC
3.Fuel tanks/Rear protective devices70/221/EEC
4.Rear registration plate space70/222/EEC
5.Steering effort70/311/EEC
6.Door latches and hinges70/387/EEC
7.Audible warning70/388/EEC
8.Rear visibility71/127/EEC
8A.Indirect vision devices2003/97/EC
9.Braking71/320/EEC
10.Suppression (radio)72/245/EEC
11.Diesel smoke72/306/EEC
12.Interior fittings74/60/EEC
13.Anti-theft and immobiliser74/61/EEC
14.Protective steering74/297/EEC
15.Seat strength74/408/EEC
16.Exterior projections74/483/EEC
17.Speedometer and reverse gear75/443/EEC
18.Plates (statutory)76/114/EEC
19.Seat belt anchorages76/115/EEC
20.Installation of lighting and light signalling devices76/756/EEC
21.Retro reflectors76/757/EEC
22.End-outline, front-position (side), rear-position (side), stop, side marker, daytime running lamps76/758/EEC
23.Direction indicators76/759/EEC
24.Rear registration plate lamps76/760/EEC
25.Headlamps (including bulbs)76/761/EEC
26.Front fog lamps76/762/EEC
27.Towing hooks77/389/EEC
28.Rear fog lamps77/538/EEC
29.Reversing lamps77/539/EEC
30.Parking lamps77/540/EEC
31.Seat belts and restraint systems77/541/EEC
32.Forward vision77/649/EEC
33.Identification of controls78/316/EEC
34.Defrost/Demist78/317/EEC
35.Wash/Wipe78/318/EEC
36.Heating systems2001/56/EC
37.Wheel guards78/549/EEC
38.Head restraints78/932/EEC
39.CO2 emissions/Fuel consumption80/1268/EEC
40.Engine power80/1269/EEC
41.Diesel emissions88/77/EEC
42.Lateral protection89/297/EEC
43.Spray-suppression systems91/226/EEC
44.Masses and dimensions (cars)92/21/EEC
45.Safety glass92/22/EEC
46.Tyres92/23/EEC
47.Speed limiters92/24/EEC
48.Masses and dimensions (other than vehicles referred to in item 44)97/27/EC
49.External projections of cabs92/114/EEC
50.Couplings94/20/EC
51.Flammability95/28/EC
52.Buses and coaches2001/85/EC
53.Frontal impact96/79/EC
54.Side impact96/27/EC
55.Vehicles intended for the transport of dangerous goods98/91/EC
56.Front underrun protection2000/40/EC
57.Pedestrian protection2003/102/EC

MODEL B(to be used for system type-approval or vehicle type-approval with regard to a system)Maximum format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of EC type-approval authority

Communication concerning:
EC type-approvalaa type of system/type of a vehicle with regard to a systema
extension of EC type-approvala
refusal of EC type-approvala
withdrawal of EC type-approvala

with regard to Directive …/…/EC/Regulation (EC) No …/…a, as last amended by Directive …/…/EC/Regulation (EC) No …/…a

EC type-approval number:

Reason for extension:

SECTION I

0.1.Make (trade name of manufacturer):
0.2.

Type:

0.2.1.Commercial name(s) (if available):
0.3.

Means of identification of type, if marked on the vehicle(4):

0.3.1.Location of that marking:
0.4.Category of vehicle(5):
0.5.Name and address of manufacturer:
0.8.Name(s) and address(es) of assembly plant(s):
0.9.Representative of the manufacturer:

SECTION II

1.Additional information (where applicable): see Addendum
2.Technical service responsible for carrying out the tests:
3.Date of test report:
4.Number of test report:
5.Remarks (if any): see Addendum
6.Place:
7.Date:
8.Signature:
Attachments:

Information package.

Test report.

Addendumto EC type-approval certificate No …

1.

Additional information

1.1.

[…]:

1.1.1.[…]:

[…]

2.

Type-approval number of each component or separate technical unit installed on the vehicle type to comply with this Directive or Regulation

2.1.[…]:
3.

Remarks

3.1.[…]:

MODEL C(to be used for component/separate technical unit type-approval)Maximum format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of EC type-approval authority

a

Delete where not applicable.

Communication concerning:
EC type-approvalaof a type of component/separate technical unita
extension of EC type-approvala
refusal of EC type-approvala
withdrawal of EC type-approvala

with regard to Directive …/…/EC/Regulation (EC) No …/…a, as last amended by Directive …/…/EC/Regulation (EC) No …/…a

EC type-approval number:

Reason for extension:

SECTION I

0.1.Make (trade name of manufacturer):
0.2.Type:
0.3.

Means of identification of type, if marked on the component/separate technical unita (4):

0.3.1.Location of that marking:
0.5.Name and address of manufacturer:
0.7.In the case of components and separate technical units, location and method of affixing of the EC approval mark:
0.8.Name(s) and address(es) of assembly plant(s):
0.9.Name and address of the manufacturer’s representative (if any):

SECTION II

1.Additional information (where applicable): see Addendum
2.Technical service responsible for carrying out the tests:
3.Date of test report:
4.Number of test report:
5.Remarks (if any): see Addendum
6.Place:
7.Date:
8.Signature:
Attachments:

Information package.

Test report.

Addendumto EC type-approval certificate No …

1.

Additional information

1.1.

[…]:

1.1.1.[…]:

[…]

2.

Restriction of use of the device (if any)

2.1.[…]:
3.

Remarks

3.1.[…]:
(1)

If not available at the time of granting the type-approval, this item shall be completed at the latest when the vehicle is introduced on the market.

(2)

As defined in Annex II.A.

(3)

See side 2.

(4)

If the means of identification of type contains characters not relevant to describe the vehicle, component or separate technical unit types covered by this information document, such characters shall be represented in the documentation by the symbol ‘?’ (e.g. ABC??123??).

(5)

As defined in Annex II, Section A.