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ANNEX II U.K.

PART 3 U.K. EC type-approval certificate

MODEL (maximum format: A4 (210 × 297 mm)) U.K.

EC TYPE-APPROVAL CERTIFICATE U.K.

Stamp of EC type-approval authority

Communication concerning the

• EC type-approval(1)

• extension of EC type-approval(1)

• refusal of EC type-approval(1)

• withdrawal of EC type-approval(1)

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 …/2012(1)

EC type-approval number: …

Reason for extension: …

SECTION I U.K.

0.1. Make (trade name of manufacturer): … U.K.

0.2. Type: … U.K.

0.2.1. Commercial name(s), (if available): … U.K.

0.3. Means of identification of type, if marked on the vehicle … U.K.

0.3.1. Location of that marking: … U.K.

0.4. Category of vehicle: … U.K.

0.5. Name and address of manufacturer: … U.K.

0.8. Name(s) and address(es) of assembly plant(s) … U.K.

0.9. Name and address of the manufacturer’s representative (if any) … U.K.

SECTION II U.K.

1. Additional information (where applicable): see addendum U.K.

2. Technical service responsible for carrying out the test and evaluations: U.K.

3. Date of test report: U.K.

4. Number of test report: U.K.

5. Information according to point 4.6 of Annex I to Regulation (EU) No 65/2012 (determined at type-approval): U.K.

6. Remarks (if any): see addendum U.K.

7. Place: U.K.

8. Date: U.K.

9. Signature: U.K.

Attachments

:

Information package

Test report

Additional information: …

Addendum to EC type-approval certificate No … concerning …

(1)

Delete where not applicable