ANNEX IIIInformation document for the purpose of EC type-approval of vehicles

PART IIIType-approval numbers

Supply the information required by the following table in respect of the applicable subjects (***) for this vehicle in Annex IV or Annex XI. (All relevant approvals for each subject must be included)

a

Contracting Parties to the Revised 1958 Agreement.

b

To be indicated if not obtainable from the type-approval number.

SubjectType-approval numberMember State or Contracting Partya issuing the type-approvalbExtension dateVariant(s)/Version(s)

Signed:

Position in company:

Date: