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ANNEX IIU.K.

PART 1U.K.Information document

MODELU.K.

Information document No … relating to [F1GB type-approval] of a vehicle with regard to gear shift indicators.

The following information, if applicable, must be supplied in triplicate and include a list of contents. Any drawings must be supplied in appropriate scale and in sufficient detail on size A4 or on a folder of A4 format. Photographs, if any, must show sufficient detail.

If the systems, components or separate technical units have electronic controls, information concerning their performance shall be supplied.

Information set out in points 0, 3 and 4 of Appendix 3 to Annex I of [F2Regulation (EU) No 2017/1151;]

4.11.Gear shift indicator (GSI)U.K.

4.11.1.Acoustic indication available yes/no(1). If yes, description of sound and sound level at the driver’s ear in dB(A). (Acoustic indication always switchable on/off): …U.K.

4.11.2.Information according to point 4.6 of Annex I (manufacturer’s declared value): …U.K.

4.11.3.Information according to point 3.1.1 of Annex I: …U.K.

4.11.4.Information according to point 3.1.2 of Annex I: …U.K.

4.11.5.Photographs and/or drawings of the gear shift indicator instrument and brief description of the system components and operation: …U.K.

4.11.6.Information on the GSI in the vehicle’s user manual: …U.K.

PART 2U.K.

MODEL U.K.

PART 3U.K. [F3GB type-approval] certificate

MODEL(maximum format: A4 (210 × 297 mm))U.K.

[F4GB type-approval] certificateU.K.

Stamp of [F4GB type-approval] authority

Communication concerning the

of a type of a vehicle with regard to gear shift indicator

with regard to [F5Regulation (EU) No 65/2012, as it has effect in domestic law, and as last amended by S.I. …../……]

Textual Amendments

F5Words in Annex 2 Pt. 3 substituted (31.12.2022 at 11.00 p.m.) by virtue of The Road Vehicles and Non-Road Mobile Machinery (Type-Approval) (Amendment and Transitional Provisions) (EU Exit) Regulations 2022 (S.I. 2022/1273), regs. 1(2), 67(5)(b)(ii)

[F4GB type-approval] number: …

Reason for extension: …

SECTION IU.K.
0.1.Make (trade name of manufacturer): …U.K.
0.2.Type: …U.K.
0.2.1.Commercial name(s), (if available): …U.K.
0.3.Means of identification of type, if marked on the vehicle …U.K.
0.3.1.Location of that marking: …U.K.
0.4.Category of vehicle: …U.K.
0.5.Name and address of manufacturer: …U.K.
0.8.Name(s) and address(es) of assembly plant(s) …U.K.
0.9.Name and address of the manufacturer’s representative (if any) …U.K.
SECTION IIU.K.
1.Additional information (where applicable): see addendumU.K.
2.Technical service responsible for carrying out the test and evaluations:U.K.
3.Date of test report:U.K.
4.Number of test report:U.K.
5.Information according to point 4.6 of Annex I to Regulation (EU) No 65/2012 (determined at type-approval):U.K.
6.Remarks (if any): see addendumU.K.
7.Place:U.K.
8.Date:U.K.
9.Signature:U.K.
Attachments

:

Information package

Test report

Additional information: …

Addendum to [F4GB type-approval] certificate No … concerning …

(1)

Delete where not applicable