Commission Regulation (EU) No 351/2012Dangos y teitl llawn

PART 2

MODEL (maximum format: A4 (210 × 297 mm)) EC TYPE-APPROVAL CERTIFICATE

Stamp of type-approval authority

Communication concerning:

• EC type-approval(1)

• Extension of EC type-approval(1)

• Refusal of EC type-approval(1)

• Withdrawal of EC type-approval(1)

of a type of vehicle with regard to lane departure warning systems

with regard to Commission Regulation (EU) No 351/2012 as amended.

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(2):

0.3.1. Location of that marking:

0.4. Category of vehicle(3):

0.5. Name and address of manufacturer:

0.8. Names 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.

(1)

Delete where not applicable.

(2)

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, such characters shall be represented in the documentation by the symbol ‘?’ (e.g. ABC??123??).

(3)

As defined in Section A of Annex II to Directive 2007/46/EC.