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ANNEX XIVU.K.LIST OF EC TYPE-APPROVALS ISSUED PURSUANT TO REGULATORY ACTS

Type-approval authority stamp

List number:

Covering the period: … to …

The following information in respect of each EC type-approval granted, refused or withdrawn in the above mentioned period must be given:

Manufacturer:

EC type-approval number:

Reason for extension (where applicable):

Make:

Type:

Date of issue:

First date of issue (in the case of extensions):