ANNEX II
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 …