Appendix 4
Model EC type-approval certificate for a vehicle with regard to the installation of devices for indirect vision
Articles 4(2) and 10 of Council Directive 70/156/EEC of 6 February 1970 on the approximation of the laws of the Member States relating to the type-approval of motor vehicles and their trailers
Name of Administration
EC type-approval No: … extension11
1.
Trade name or mark of vehicle: …
…
2.
Type of vehicle: …
3.
Category of vehicle (M1, M2, M3, N1, N2≤ 7,5 t, N2> 7,5 t, N3)12
3.1.
Type of category N3 vehicle: rigid lorry/trailer/semi-trailer12
4.
Name and address of manufacturer: …
…
5.
If applicable, name and address of authorised representative: …
…
6.
Trade name or mark of mirrors and supplementary devices for indirect vision and component type-approval number…
…
7.
Class(es) of mirrors and devices for indirect vision (I, II, III, IV, V, VI, S)12
8.
Extension of EC type-approval of the vehicle to cover the following device for indirect vision: …
…
…
9.
Data for identification of the R point of the driver's seating position: …
…
10.
Maximum and minimum bodywork widths in respect of which the mirror and the device for indirect vision has been granted type-approval (in the case of chassis/cabs referred to in point 3.3 of Annex III): …
…
…
…
11.
Vehicle submitted for EC type-approval on: …
12.
Technical department responsible for checking conformity for the purpose of EC type-approval: …
…
13.
Date of report issued by that department: …
14.
Number of report issued by that department: …
15.
EC type-approval in respect of the installation of devices for indirect vision has been granted/refused12
16.
An extension of EC type-approval in respect of the installation of devices for indirect vision has been granted/refused12
17.
Place: …
18.
Date: …
19.
Signature: …
20.
The following documents, bearing the type-approval number shown above, are annexed to this certificate:
drawings showing the mountings of the devices for indirect vision;
drawings and plans showing the mounting positions and characteristics of the part of the structure where the devices for indirect vision are mounted;
general view from the front, the rear and the passenger compartment showing where the devices for indirect vision are fitted.
These documents must be supplied to the competent authorities of the other Member States at their express request.