ANNEX IIREQUIREMENTS AND PROCEDURES RELATED TO THE OPERATION OF THE SIMULATION TOOL

Appendix 2

MODEL OF A LICENCE TO OPERATE THE SIMULATION TOOL WITH A VIEW TO DETERMINING CO2 EMISSIONS AND FUEL CONSUMPTION OF NEW VEHICLES

Maximum format: A4 (210 × 297 mm)

LICENCE TO OPERATE THE SIMULATION TOOL WITH A VIEW TO DETERMINING CO2 EMISSIONS AND FUEL CONSUMPTION OF NEW VEHICLES

Communication concerning:

  • granting10

  • extension10

  • refusal10

  • withdrawal10

Administration stamp

Delete where not applicable (there are cases where nothing needs to be deleted when more than one entry is applicable)

of the licence to operate simulation tool with regard to Regulation (EC) No 595/2009 as implemented by Regulation (EU) 2017/2400.

Licence number:

Reason for extension: …

SECTION I

0.1

Name and address of manufacturer:

0.2

Assembly plants for which the processes referred to in point 1 of Annex II of Commission Regulation (EU) 2017/2400 have been set up with a view to the operation of the simulation tool

0.3

Vehicle groups covered:

SECTION II

1.Additional information

1.1

Assessment report performed by an approval authority

1.2.

Data and process flow handling description (e.g. flow chart)

1.3.

Description of quality management process

1.4.

Additional quality management certificates (if any)

1.5.

Description of simulation tool data sourcing, handling and storage

1.6

Additional documents (if any)

2.

Approval authority responsible for carrying out the assessment

3.

Date of the assessment report

4.

Number of assessment report report

5.

Remarks (if any): see Addendum

6.

Place

7.

Date

8.

Signature