ANNEX II
PART 1Information document
MODEL
Information document No … relating to EC type-approval of a vehicle with regard to gear shift indicators.
The following information, if applicable, must be supplied in triplicate and include a list of contents. Any drawings must be supplied in appropriate scale and in sufficient detail on size A4 or on a folder of A4 format. Photographs, if any, must show sufficient detail.
If the systems, components or separate technical units have electronic controls, information concerning their performance shall be supplied.
Information set out in points 0, 3 and 4 of Appendix 3 to Annex I of Regulation (EC) No 692/20085:
4.11.
Gear shift indicator (GSI)
4.11.1.
Acoustic indication available yes/no6. If yes, description of sound and sound level at the driver’s ear in dB(A). (Acoustic indication always switchable on/off): …
4.11.2.
Information according to point 4.6 of Annex I (manufacturer’s declared value): …
4.11.3.
Information according to point 3.1.1 of Annex I: …
4.11.4.
Information according to point 3.1.2 of Annex I: …
4.11.5.
Photographs and/or drawings of the gear shift indicator instrument and brief description of the system components and operation: …
4.11.6.
Information on the GSI in the vehicle’s user manual: …
PART 2
MODEL
PART 3EC type-approval certificate
MODEL(maximum format: A4 (210 × 297 mm))
EC TYPE-APPROVAL CERTIFICATE
Stamp of EC type-approval authority
Communication concerning the
EC type-approval7
extension of EC type-approval7
refusal of EC type-approval7
withdrawal of EC type-approval7
of a type of a vehicle with regard to gear shift indicator
with regard to Regulation (EU) No 65/2012 as last amended by Regulation (EU) No …/20127
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 vehicle …
0.3.1.
Location of that marking: …
0.4.
Category of vehicle: …
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 test and evaluations:
3.
Date of test report:
4.
Number of test report:
5.
Information according to point 4.6 of Annex I to Regulation (EU) No 65/2012 (determined at type-approval):
6.
Remarks (if any): see addendum
7.
Place:
8.
Date:
9.
Signature:
- Attachments
Information package
Test report
Additional information: …
Addendum to EC type-approval certificate No … concerning …