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Appendix 5

United Kingdom

Original text. Later amendments are not shown.

Model of F1GB type-approval certificate of an engine type/component as separate technical unit

Explanatory foot notes can be found in Appendix 10 to this Annex.

Maximum format: A4 (210 × 297 mm)

GB TYPE-APPROVAL CERTIFICATE

Communication concerning:

  • GB type-approval (1)

  • extension of GB type-approval (1)

  • refusal of GB type-approval (1)

  • withdrawal of GB type-approval (1)

Stamp of type-approval authority

of a type of component/separate technical unit (1) with regard to Regulation (EC) No 595/2009 as implemented by Regulation (EU) No 582/2011.

Regulation (EC) No 595/2009 and Regulation (EU) No 582/2011, as last amended by …

GB 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 (1) (a):

  1. 0.3.1.

    Location of that marking:

0.4.

Name and address of manufacturer:

0.5.

In the case of components and separate technical units, location and method of affixing of the F2GB approval mark:

0.6.

Name(s) and address(es) of assembly plant(s):

0.7.

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.

  1. Addendumto GB type-approval certificate No …

Annotations

Textual amendments

F1

Words in Annex 1 Appendix 5 substituted (31.12.2022 at 11.00 p.m.) by The Road Vehicles and Non-Road Mobile Machinery (Type-Approval) (Amendment and Transitional Provisions) (EU Exit) Regulations 2022 (S.I. 2022/1273), regs. 1(2), 66(4)(a)

F2

Words in Annex 1 Appendix 5 Section 1 point 0.5 substituted (31.12.2022 at 11.00 p.m.) by The Road Vehicles and Non-Road Mobile Machinery (Type-Approval) (Amendment and Transitional Provisions) (EU Exit) Regulations 2022 (S.I. 2022/1273), regs. 1(2), 66(4)(b)

Notes on Annex I

Textual amendments

F1

Words in Annex 1 heading substituted (31.12.2022 at 11.00 p.m.) by The Road Vehicles and Non-Road Mobile Machinery (Type-Approval) (Amendment and Transitional Provisions) (EU Exit) Regulations 2022 (S.I. 2022/1273), regs. 1(2), 66(2)(a)