Appendix 5
United Kingdom
Model of the EU type-approval certificate for a separate technical unit or component
EU TYPE-APPROVAL CERTIFICATE
MODEL D
(to be used for component/separate technical unit type-approval)
EU TYPE-APPROVAL CERTIFICATE
Stamp of approval authority
Communication concerning:
| of a type of component/separate technical unit (1) (0) |
with regard to Annex(es) … (5) to Commission Delegated Regulation (EU) (No) (1) …/… (and Annex(es) … (5) to Commission Delegated Regulation (EU) (No) (1) …/…) (1), as last amended by (Commission Delegated) (1) Regulation (EU) …/… (1) (6) (of the European Parliament and of the Council) (1)
EU type-approval number (1): …
Reason for extension/refusal/withdrawal (1): …
SECTION I
2.1.
Make(s) (trade name(s) of manufacturer): …
F12.2.
Type ( 7 ): …
2.2.1.
Commercial name(s) (if available): …
2.3.
Company name and address of the manufacturer: …
2.3.1.
Name(s) and address(es) of assembly/manufacture plant(s): …
2.3.2.
Name and address of the manufacturer's representative (if any): …
2.4.
In the case of separate technical unit, vehicle(s) for which is intended for (6):
2.4.1.
Type (2) …
2.4.2.
Variant(s) (2): …
2.4.3.
Version(s) (2): …
2.4.4.
Commercial name(s) (if available): …
2.4.5.
Category, subcategory and speed index of vehicle (3): …
2.6.
Location and method of attachment of the type-approval mark: …
SECTION II
1.
Technical service responsible for carrying out the tests: …
2.
Date of test report: …
3.
Number of test report: …
SECTION III
The undersigned hereby certifies the accuracy of the manufacturer's description in the attached information document of the type of component/separate technical unit (1) (0) described above, for which one or more representative samples, selected by the EU type-approval authority, have been submitted as prototypes of the type of (0) … and that the attached test results apply to the type of (0) …
1.
The type of component/separate technical unit (1) (0) meets/does not meet (1) the technical requirements of the relevant regulatory acts.
2.
The approval is granted/extended/refused/withdrawn (1)
F22.1.
The approval is granted in accordance with Article 35 of Regulation (EU) No 167/2013 and the validity of the approval is thus limited to dd/mm/yyyy ( 4 ).
3.
Restrictions of validity (1) (4): …
Place: …
Date: …
Name and signature (or visual representation of an ‘advanced electronic signature’ according to Directive 1999/93/EC of the European Parliament and of the Council, including data for verification): …
Attachments:
-
Information package
-
Test report
NB:
If this model is used for type-approval of a component or separate technical unit as an exemption for new technology or new concept, pursuant to Article 35 of Regulation (EU) No 167/2013, the heading of the certificate shall read ‘EU PROVISIONAL TYPE-APPROVAL CERTIFICATE VALID ONLY ON THE TERRITORY OF … (3)’, The provisional type-approval certificate shall also specify the restrictions that have been imposed as to its validity in accordance with Article 25(4) of Regulation (EU) No 167/2013.
Explanatory notes relating to Appendix 5
(Footnote markers, footnotes and explanatory notes not to be stated on the EU type-approval certificate for a separate technical unit or component):
(0)
Indicate the component/separate technical unit according to first column of Table 6-1 of Annex VI to this Regulation (e.g. roll-over protective structure (ROPS) (dynamic testing)).
(1)
Delete where not applicable.
(2)
Indicate the alphanumeric code Type-Variant-Version or ‘TVV’ allocated to each type, variant and version as set out in point 2.3 of Part B of Annex I to this Regulation. For the identification of variant and versions it may be employed the matrix set out in point 2.3 of Part B of Annex I to this Regulation.
(3)
Indicate the Member State.
(4)
Applicable only for type-approval of a component or separate technical unit as an exemption for new technology or new concept, pursuant to Article 35 of Regulation (EU) No 167/2013
(5)
The Roman numeral of the relevant Annex to the Commission Delegated Regulation or multiple Roman numerals of the relevant Annexes to the same Commission Delegated Regulation.
(6)
Provide this information for each vehicle type.
F3(7)
Indicate the engine type designation or, in case of engine types within an engine family, the Family Type (FT) in accordance with point 4 of Part B of Annex I to Commission Implementing Regulation (EU) 2017/656.
Annotations
Textual amendments
- F1
- F2
- F3