F1ANNEX VIMODELS OF THE TYPE-APPROVAL CERTIFICATE
MODEL A
(to be used for type-approval of a vehicle)
Maximum format: A4 (210 × 297 mm)
EC VEHICLE TYPE-APPROVAL CERTIFICATE
Stamp of type-approval authority
Communication concerning: | Of a type of: |
Delete where not applicable. |
with regard to Directive 2007/46/EC as last amended by Directive …./…/EC / Regulation (EC) No. …/…136
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)137:
0.3.
Means of identification of type, if marked on the vehicle:
0.3.1.
Location of that marking:
0.4.
Category of vehicle138:
F50.5.
Company name and address of manufacturer of the complete/completed vehicle136:
F20.5.1.
For multi-stage approved vehicles, company name and address of the manufacturer of the base/previous stage(s) vehicle …
0.8.
Name(s) and address(es) of assembly plant(s):
0.9.
Name and address of the manufacturer's representative (if any):
SECTION II
The undersigned hereby certifies the accuracy of the manufacturer's description in the attached information document of the vehicle(s) described above ((a) sample(s) having been selected by the EC type-approval authority and submitted by the manufacturer as prototype(s) of the vehicle type) and that the attached test results are applicable to the vehicle type.
1.For complete and completed vehicles/variants136:
2.For incomplete vehicles/variants136:
The vehicle type meets/does not meet136 the technical requirements of the regulatory acts listed in the table on side 2.
3.
The approval is granted/refused/withdrawn136.
4.
The approval is granted in accordance with Article 20 and the validity of the approval is thus limited to dd/mm/yy.
(Place) | (Signature) | (Date) |
- Attachments
Information package.
Test results (see Annex VIII).
Name(s) and specimen(s) of the signature(s) of the person(s) authorised to sign certificates of conformity and a statement of their position in the company.
NB: If this model is used for type-approval pursuant to Articles 20, 22 or 23, it may not bear the heading ‘EC Vehicle Type-Approval Certificate’, except:
in the case mentioned in Article 20 where the Commission has decided to allow a Member State to grant a type-approval in accordance with this Directive,
in the case of vehicles of the category M1, type-approved according to the procedure prescribed in Article 22.
EC VEHICLE TYPE-APPROVAL CERTIFICATE
Side 2
This EC type-approval is, where incomplete and completed vehicles, variants or versions are concerned, based on the approval(s) for incomplete vehicles listed below:
Stage 1: Manufacturer of the base vehicle:
EC type-approval number:
Dated:
Applicable to variants or versions (as appropriate):
Stage 2: Manufacturer:
EC type-approval number:
Dated:
Applicable to variants or versions (as appropriate):
Stage 3: Manufacturer:
EC type-approval number:
Dated:
Applicable to variants or versions (as appropriate):
In the case where the approval includes one or more incomplete variants or versions (as appropriate), list those variants or versions (as appropriate) which are complete or completed.
Complete/completed variant(s):
List of requirements applicable to the approved incomplete vehicle type, variant or version (as appropriate, taking account of the scope and latest amendment to each of the regulatory acts listed below).
Item | Subject | Regulatory act reference | Last amended | Applicable to variant or, if need be, to version |
---|---|---|---|---|
(List only subjects for which an EC type-approval exists.) |
In the case of special purpose vehicles, exemptions granted or special provisions applied pursuant to Annex XI and exemptions granted pursuant to Article 20:
Regulatory act reference | Item number | Kind of approval and nature of exemption | Applicable to variant or, if need be, to version |
---|---|---|---|
F5Appendix
List of regulatory acts to which the type of vehicle complies
(to be filled in only in the case of type-approval in accordance with Article 6(3)).
F6MODEL B
(To be used for type-approval of a vehicle with regard to a system)
Maximum format: A4 (210 × 297 mm)
EC TYPE-APPROVAL CERTIFICATE
Stamp of type-approval authority
Communication concerning:
| of a type of system/type of a vehicle with regard to a system142 |
| |
| |
| |
Delete where not applicable. |
with regard to Directive …/…/EC / Regulation (EC) No …/…142, as last amended by Directive …/…/EC / Regulation (EC) No …/…142
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 vehicle143:
0.3.1.
Location of that marking:
0.4.
Category of vehicle144:
0.5.
Name and address of manufacturer:
0.8.
Name(s) and address(es) of assembly plant(s):
0.9.
Name and address of the manufacturer's representative (if any):
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.
[…]:
MODEL C
(to be used for component/separate technical unit type-approval)
Maximum format: A4 (210 × 297 mm)
EC TYPE-APPROVAL CERTIFICATE
Stamp of type-approval authority
Communication concerning:
| of a type of component/separate technical unit145 |
| |
| |
| |
Delete where not applicable. |
with regard to Directive …/…/EC / Regulation (EC) No …/…145, as last amended by Directive …/…/EC / Regulation (EC) No …/…145
EC type-approval number:
Reason for extension:
SECTION I
0.1.
Make (trade name of manufacturer):
0.2.
Type:
0.3.
0.3.1.
Location of that marking:
0.5.
Name and address of manufacturer:
0.7.
In the case of components and separate technical units, location and method of affixing of the EC approval mark:
0.8.
Name(s) and address(es) of assembly plant(s):
0.9.
Name and address of the manufacturer's representative (if any):
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.
Restriction of use of the device (if any)
2.1.
[…]:
3.
Remarks
3.1.
[…]:
F4MODEL D
(to be used for harmonised individual approval of a vehicle pursuant Article 24)
Maximum format: A4 (210 × 297 mm)
EC INDIVIDUAL VEHICLE APPROVAL CERTIFICATE
Name, address, phone number and e-mail-address of the individual approval authority |
Communication concerning individual vehicle approval with regard to Article 24 of Directive 2007/46/EC
Section 1
The undersigned [… …name and position] hereby certifies that the vehicle:
0.1.
Make (trade name of manufacturer): …
0.2.
Type: | Variant: | Version: |
0.2.1.
Commercial name: …
0.4.
Category of vehicle147: …
0.5.
Name and address of the manufacturer: …
0.6.
Location and method of attachment of the statutory plates: …
Location of the vehicle identification number: …
0.9.
Name and address of the manufacturer's representative (if any):
0.10.
Vehicle identification number:
- submitted for approval on
[…… date of application]
- by
[…… Name and address of the applicant]
is granted approval according to the provisions of Article 24 of Directive 2007/46/EC. In witness whereof, the following approval number has been allocated: …
The vehicle complies with Appendix 2 to Annex IV to Directive 2007/46/EC. It can be permanently registered without further approval in Member States having right/left hand traffic148 and using metric/imperial148 units for the speedometer.
(Place) (Date) | (Signature149) | (Stamp of the approval authority) |
[…] | […] | […] |
Or visual representation of an ‘advanced electronic signature’ according to Directive 1999/93/EC, including data for verification. |
Attachments
Two photos150 of the vehicle (min resolution 640 x 480 pixel, ~7 x 10 cm)
Section 2
General construction characteristics
1.
Number of axles: … and wheels: …
1.1.
Number and position of axles with twin wheels: …
3.
Powered axles (number, position, interconnection): …
Main dimensions
4.
Wheelbase151: … mm
4.1.
Axle spacing: 1-2: … mm 2-3: … mm 3-4: … mm
5.
Length: … mm
6.
Width: … mm
7.
Height: … mm
Masses
13.
Mass of the vehicle in running order: … kg152
16.
Technically permissible maximum masses
16.1.
Technically permissible maximum laden mass: … kg
16.2.
Technically permissible mass on each axle: 1. … kg 2. … kg 3. … kg etc.
16.4.
Technically permissible maximum mass of the combination: … kg
18.
Technically permissible maximum towable mass in case of:
18.1.
Drawbar trailer: … kg
18.2.
Semi-trailer: … kg
18.3.
Centre-axle trailer: … kg
18.4.
Unbraked trailer: … kg
19.
Technically permissible maximum static vertical mass at the coupling point: … kg
Power plant
20.
Manufacturer of the engine: …
21.
Engine code as marked on the engine: …
22.
Working principle: …
23.
Pure electric: yes/no153
23.1.
Hybrid [electric] vehicle: yes/no153
24.
Number and arrangement of cylinders: …
25.
Engine capacity: … cm3
26.
Fuel: Diesel/petrol/LPG/NG – Biomethane/Ethanol/Biodiesel/Hydrogen153
26.1.
Mono fuel/Bi fuel/Flex fuel153
27.
Maximum speed
29.
Maximum speed: … km/h
Axles and suspension
30.
Axle(s) track: 1. … mm 2. … mm 3. … mm
35.
Tyre/wheel combination: …
Bodywork
38.
Code for bodywork155: …
40.
Colour of vehicle156: …
41.
Number and configuration of doors: …
42.
Number of seating positions (including the driver)157: …
42.1.
Seat(s) designated for use only when the vehicle is stationary: …
42.3.
Number of wheelchair user accessible position: …
Coupling device
44.
Approval number or approval mark of coupling device (if fitted): …
Environmental performances
46.
Sound level
Stationary: … dB(A) at engine speed: … min-1
Drive-by: … dB(A)
47.
Exhaust emission level158: Euro …
Other legislation: …
49.
CO2 emissions/fuel consumption/electric energy consumption159:
- 1.
all power train except pure electric vehicles
CO2 emissions
Fuel consumption
Combined:
… g/km
… l/100 km/m3/100 km (1)
Weighted, combined
… g/km
… l/100 km
- 2.
pure electric vehicles and OVC hybrid electric vehicles
Electric energy consumption (weighted, combined153) … Wh/km
52.
Remarks
53.
Additional information (mileage160, …)
Substituted by Commission Regulation (EC) No 1060/2008 of 7 October 2008 replacing Annexes I, III, IV, VI, VII, XI and XV to Directive 2007/46/EC of the European Parliament and of the Council establishing a framework for the approval of motor vehicles and their trailers, and of systems, components and separate technical units intended for such vehicles (Framework Directive) (Text with EEA relevance).