Annex IV

ANNEX VI

MODELS OF THE TYPE-APPROVAL CERTIFICATE

MODEL A

(to be used for type-approval of a vehicle)

Maximum format: A4 (210 × 297 mm)

EC VEHICLE TYPE-APPROVAL CERTIFICATE

Stamp of type-approval authority

Delete where not applicable.
Communication concerning:	Of a type of:
EC type-approvalf1 extension of EC type-approval refusal of EC type-approval withdrawal of EC type-approval	complete vehicle completed vehicle incomplete vehicle vehicle with complete and incomplete variants vehicle with completed and incomplete variants

with regard to Directive 2007/46/EC as last amended by Directive …./…/EC / Regulation (EC) No. …/…

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)^f2:

0.3.

Means of identification of type, if marked on the vehicle:

0.3.1.

Location of that marking:

0.4.

Category of vehicle^f3:

0.5.

Name and address of manufacturer of the complete vehicle:

Name and address of manufacturer of the base vehicle ^f4:

Name and address of manufacturer of the latest built stage of the incomplete vehicle :

Name and address of manufacturer of the completed vehicle :

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

The undersigned hereby certifies the accuracy of the manufacturer's description in the attached information document of the vehicle(s) described above ((a) sample(s) having been selected by the EC type-approval authority and submitted by the manufacturer as prototype(s) of the vehicle type) and that the attached test results are applicable to the vehicle type.

1.

For complete and completed vehicles/variants:

The vehicle type meets/does not meet the technical requirements of all the relevant regulatory acts as prescribed in Annex IV and Annex XI to Directive 2007/46/EC.

2.

For incomplete vehicles/variants:

The vehicle type meets/does not meet the technical requirements of the regulatory acts listed in the table on side 2.

3.

The approval is granted/refused/withdrawn.

4.

The approval is granted in accordance with Article 20 and the validity of the approval is thus limited to dd/mm/yy.

(Place)

(Signature)

(Date)

Attachments

Information package.

Test results (see Annex VIII).

Name(s) and specimen(s) of the signature(s) of the person(s) authorised to sign certificates of conformity and a statement of their position in the company.

NB: If this model is used for type-approval pursuant to Articles 20, 22 or 23, it may not bear the heading “EC Vehicle Type-Approval Certificate”, except:

• in the case mentioned in Article 20 where the Commission has decided to allow a Member State to grant a type-approval in accordance with this Directive,

• in the case of vehicles of the category M₁, type-approved according to the procedure prescribed in Article 22.

EC VEHICLE TYPE-APPROVAL CERTIFICATE

Side 2

This EC type-approval is, where incomplete and completed vehicles, variants or versions are concerned, based on the approval(s) for incomplete vehicles listed below:

Stage 1: Manufacturer of the base vehicle:

EC type-approval number:

Dated:

Applicable to variants or versions (as appropriate):

Stage 2: Manufacturer:

EC type-approval number:

Dated:

Applicable to variants or versions (as appropriate):

Stage 3: Manufacturer:

EC type-approval number:

Dated:

Applicable to variants or versions (as appropriate):

In the case where the approval includes one or more incomplete variants or versions (as appropriate), list those variants or versions (as appropriate) which are complete or completed.

Complete/completed variant(s):

List of requirements applicable to the approved incomplete vehicle type, variant or version (as appropriate, taking account of the scope and latest amendment to each of the regulatory acts listed below).

(List only subjects for which an EC type-approval exists.)
Item	Subject	Regulatory act reference	Last amended	Applicable to variant or, if need be, to version

In the case of special purpose vehicles, exemptions granted or special provisions applied pursuant to Annex XI and exemptions granted pursuant to Article 20:

Regulatory act reference	Item number	Kind of approval and nature of exemption	Applicable to variant or, if need be, to version

Appendix

List of regulatory acts to which the type of vehicle complies

(to be filled in only in the case of type-approval in accordance with Article 6(3))

Or UNECE Regulations that are considered to be equivalent.
Subject		Regulatory act referencef5	As amended by	Applicable to versions
1.	Permissible sound level	Directive 70/157/EEC
2.	Emissions	Directive 70/220/EEC
2a.	Emissions (Euro 5 and 6) light-duty vehicles/access to information	Regulation (EC) No 715/2007
3.	Fuel tanks/Rear protective devices	Directive 70/221/EEC
4.	Rear registration plate space	Directive 70/222/EEC
5.	Steering effort	Directive 70/311/EEC
6.	Door latches and hinges	Directive 70/387/EEC
7.	Audible warning	Directive 70/388/EEC
8.	Rear visibility	Directive 71/127/EEC
8a.	Indirect vision devices	Directive 2003/97/EC
9.	Braking	Directive 71/320/EEC
10.	Radio interference (electromagnetic compatibility)	Directive 72/245/EEC
11.	Diesel smoke	Directive 72/306/EEC
12.	Interior fittings	Directive 74/60/EEC
13.	Anti-theft and immobiliser	Directive 74/61/EEC
14.	Protective steering	Directive 74/297/EEC
15.	Seat strength	Directive 74/408/EEC
16.	Exterior projections	Directive 74/483/EEC
17.	Speedometer and reverse gear	Directive 75/443/EEC
18.	Plates (statutory)	Directive 76/114/EEC
19.	Seat-belt anchorages	Directive 76/115/EEC
20.	Installation of lighting and light signalling devices	Directive 76/756/EEC
21.	Retro reflectors	Directive 76/757/EEC
22.	End-outline, front-position (side), rear-position (side), stop, side marker, daytime running lamps	Directive 76/758/EEC
23.	Direction indicators	Directive 76/759/EEC
24.	Rear registration plate lamps	Directive 76/760/EEC
25.	Headlamps (including bulbs)	Directive 76/761/EEC
26.	Front fog lamps	Directive 76/762/EEC
27.	Towing hooks	Directive 77/389/EEC
28.	Rear fog lamps	Directive 77/538/EEC
29.	Reversing lamps	Directive 77/539/EEC
30.	Parking lamps	Directive 77/540/EEC
31.	Seat-belts and restraint systems	Directive 77/541/EEC
32.	Forward vision	Directive 77/649/EEC
33.	Identification of controls, tell-tales and indicators	Directive 78/316/EEC
34.	Defrost/demist	Directive 78/317/EEC
35.	Wash/wipe	Directive 78/318/EEC
36.	Heating systems	Directive 2001/56/EC
37.	Wheel guards	Directive 78/549/EEC
38.	Head restraints	Directive 78/932/EEC
39.	CO2 emissions/Fuel consumption	Directive 80/1268/EEC
40.	Engine power	Directive 80/1269/EEC
41.	Emissions (Euro IV and V) heavy-duty vehicles.	Directive 2005/55/EC
42.	Lateral protection	Directive 89/297/EEC
43.	Spray-suppression systems	Directive 91/226/EEC
44.	Masses and dimensions (cars)	Directive 92/21/EEC
45.	Safety glazing	Directive 92/22/EEC
46.	Tyres	Directive 92/23/EEC
47.	Speed limitation devices	Directive 92/24/EEC
48.	Masses and dimensions (other than vehicles referred to in item 44)	Directive 97/27/EC
49.	External projections of cabs	Directive 92/114/EEC
50.	Couplings	Directive 94/20/EC
51.	Flammability	Directive 95/28/EC
52.	Buses and coaches	Directive 2001/85/EC
53.	Frontal impact	Directive 96/79/EC
54.	Side impact	Directive 96/27/EC
56.	Vehicles intended for the transport of dangerous goods	Directive 98/91/EC
57.	Front under-run protection	Directive 2000/40/EC
58.	Pedestrian protection	Directive 2003/102/EC
59.	Recyclability	Directive 2005/64/EC
60.	Frontal protection systems	Directive 2005/66/EC
61.	Air-conditioning systems	Directive 2006/40/EC

MODEL B

(to be used for type-approval of a system or type-approval of a vehicle with regard to a system)

Maximum format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of type-approval authority

Communication concerning:

Delete where not applicable.
EC type-approvalf6	of a type of system/type of a vehicle with regard to a system
extension of EC type-approval
refusal of EC type-approval
withdrawal of EC type-approval

with regard to Directive …/…/EC / Regulation (EC) No …/…, as last amended by Directive …/…/EC / Regulation (EC) No …/…

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^f7:

0.3.1.

Location of that marking:

0.4.

Category of vehicle^f8:

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 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

Addendum

to EC type-approval certificate No …

1.

Additional information

1.1.

[…]:

1.1.1.

[…]:

[…]

2.

Type-approval number of each component or separate technical unit installed on the vehicle type to comply with this Directive or Regulation

2.1.

[…]:

3.

Remarks

3.1.

[…]:

MODEL C

(to be used for component/separate technical unit type-approval)

Maximum format: A4 (210 × 297 mm)

EC TYPE-APPROVAL CERTIFICATE

Stamp of type-approval authority

Communication concerning:

Delete where not applicable.
EC type-approvalf9	of a type of component/separate technical unit
extension of EC type-approval
refusal of EC type-approval
withdrawal of EC type-approval

with regard to Directive …/…/EC / Regulation (EC) No …/…, as last amended by Directive …/…/EC / Regulation (EC) No …/…

EC type-approval number:

Reason for extension:

SECTION I

0.1.

Make (trade name of manufacturer):

0.2.

Type:

0.3.

Means of identification of type, if marked on the component/separate technical unit ^f10:

0.3.1.

Location of that marking:

0.5.

Name and address of manufacturer:

0.7.

In the case of components and separate technical units, location and method of affixing of the EC approval mark:

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 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.

Addendum

to EC type-approval certificate No …

1.

Additional information

1.1.

[…]:

1.1.1.

[…]:

[…]

2.

Restriction of use of the device (if any)

2.1.

[…]:

3.

Remarks

3.1.

[…]: