Division 2 Annex VI is amended as follows:

the first sentence of the heading of Model B is replaced by the following:

‘ MODEL B

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

the following Model D is added:

‘ MODEL D

(to be used for harmonised individual approval of a vehicle pursuant Article 24)

Maximum format: A4 (210 × 297 mm)

EC INDIVIDUAL VEHICLE APPROVAL CERTIFICATE

Name, address, phone number and e-mail-address of the individual approval authority

Communication concerning individual vehicle approval with regard to Article 24 of Directive 2007/46/EC

Section 1

The undersigned [… …name and position] hereby certifies that the vehicle:

0.1.

Make (trade name of manufacturer): …

0.2.

Type:

Variant:

Version:

0.2.1.

Commercial name: …

0.4.

Category of vehicle^f1: …

0.5.

Name and address of the manufacturer: …

0.6.

Location and method of attachment of the statutory plates: …

Location of the vehicle identification number: …

0.9.

Name and address of the manufacturer's representative (if any):

0.10.

Vehicle identification number:

submitted for approval on

[…… date of application]

by

[…… Name and address of the applicant]

is granted approval according to the provisions of Article 24 of Directive 2007/46/EC. In witness whereof, the following approval number has been allocated: …

The vehicle complies with Appendix 2 to Annex IV to Directive 2007/46/EC. It can be permanently registered without further approval in Member States having right/left hand traffic^f2 and using metric/imperial units for the speedometer.

Or visual representation of an “advanced electronic signature” according to Directive 1999/93/EC, including data for verification.
(Place) (Date)	(Signaturef3)	(Stamp of the approval authority)
[…]	[…]	[…]

Attachments

Two photos^f4 of the vehicle (min resolution 640 x 480 pixel, ~7 x 10 cm)

Section 2

General construction characteristics

1.

Number of axles: …and wheels: …

1.1.

Number and position of axles with twin wheels: …

3.

Powered axles (number, position, interconnection): …

Main dimensions

4.

Wheelbase^f5: … mm

4.1.

Axle spacing: 1-2: … mm 2-3: … mm 3-4: … mm

5.

Length: … mm

6.

Width: … mm

7.

Height: … mm

Masses

13.

Mass of the vehicle in running order: …kg^f6

16.

Technically permissible maximum masses

16.1.

Technically permissible maximum laden mass: … kg

16.2.

Technically permissible mass on each axle: 1. … kg 2. … kg 3. … kg etc.

16.4.

Technically permissible maximum mass of the combination: … kg

18.

Technically permissible maximum towable mass in case of:

18.1.

Drawbar trailer: … kg

18.2.

Semi-trailer: …kg

18.3.

Centre-axle trailer: …kg

18.4.

Unbraked trailer: … kg

19.

Technically permissible maximum static vertical mass at the coupling point: … kg

Power plant

20.

Manufacturer of the engine: …

21.

Engine code as marked on the engine: …

22.

Working principle: …

23.

Pure electric: yes/no^f7

23.1.

Hybrid [electric] vehicle: yes/no

24.

Number and arrangement of cylinders: …

25.

Engine capacity: …cm³

26.

Fuel: Diesel/petrol/LPG/NG – Biomethane/Ethanol/Biodiesel/Hydrogen

26.1.

Mono fuel/Bi fuel/Flex fuel

27.

Maximum net power^f8: … kW at … min^-1 or maximum continuous rated power (electric motor) … kW

Maximum speed

29.

Maximum speed: …km/h

Axles and suspension

30.

Axle(s) track: 1. … mm 2. … mm 3. … mm

35.

Tyre/wheel combination: …

Bodywork

38.

Code for bodywork^f9: …

40.

Colour of vehicle^f10: …

41.

Number and configuration of doors: …

42.

Number of seating positions (including the driver)^f11: …

42.1.

Seat(s) designated for use only when the vehicle is stationary: …

42.3.

Number of wheelchair user accessible position: …

Coupling device

44.

Approval number or approval mark of coupling device (if fitted): …

Environmental performances

46.

Sound level

Stationary: …dB(A) at engine speed: …min^-1

Drive-by: … dB(A)

47.

Exhaust emission level^f12: Euro …

Other legislation: …

49.

CO₂ emissions/fuel consumption/electric energy consumption^f13:

1. 1..

   all power train except pure electric vehicles

   	CO2 emissions	Fuel consumption
   Combined:	… g/km	… l/100 km/m3/100 km (1)
   Weighted, combined	… g/km	… l/100 km

2. 2..

   pure electric vehicles and OVC hybrid electric vehicles

   Electric energy consumption (weighted, combined) …Wh/km

52.

Remarks

53.

Additional information (mileage^f14, …)

Explanatory notes relating to Annex VI model D ’