xmlns:atom="http://www.w3.org/2005/Atom"

ANNEX VI

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(1):

0.3.1.Location of that marking:
0.4.Category of vehicle(2):
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.[…]:
(1)

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??).

(2)

As defined in Annex II, Section A.