ANNEX IStandard models for the information document and the EC type-approval certificate
PART 2
MODEL
(maximum format: A4 (210 × 297 mm))
EC TYPE-APPROVAL CERTIFICATE
Stamp of type-approval authority
Communication concerning:
EC type-approval16
Extension of EC type-approval16
Refusal of EC type-approval16
Withdrawal of EC type-approval16
of a type of vehicle with regard to lane departure warning systems
with regard to Commission Regulation (EU) No 351/2012 as amended.
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 vehicle17:
0.3.1.
Location of that marking:
0.4.
Category of vehicle18:
0.5.
Name and address of manufacturer:
0.8.
Names and address(es) of assembly plant(s):
0.9.
Representative of the manufacturer:
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.