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Appendix 4 MODEL OF GB TYPE-APPROVAL CERTIFICATEF1

Original text. Later amendments are not shown.

(Maximum format: A4 (210 × 297 mm))

GB TYPE-APPROVAL CERTIFICATE

Stamp of administration

Communication concerning the:

  • GB type-approval (1),

  • extension of GB type-approval (1),

  • refusal of GB type-approval (1),

  • withdrawal of GB type-approval (1),

  • of a type of system/type of a vehicle with regard to a system (1) with regard to Regulation (EC) No 715/2007 (2) and Regulation (EU) 2017/1151 (3) F2as they have effect in domestic law

F3GB 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 (4)

0.3.1.

Location of that marking: …

0.4.

Category of vehicle (5)

F40.4.2.

Base vehicle ( 5a ) ( 1 ): yes/no ( 1 )

0.5.

Name and address of manufacturer: …

0.8.

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

0.9.

Representative of the manufacturer: …

SECTION II —

to be repeated for each interpolation family, as defined in paragraph 5.6. of Annex XXI

0.

Interpolation family identifier as defined in paragraph 5.0 of Annex XXI

1.

Additional information (where applicable): (see addendum)

2.

Technical service responsible for carrying out the tests: …

3.

Date of type 1 test report: …

4.

Number of the type 1 test report: …

5.

Remarks (if any): (see addendum)

6.

Place: …

7.

Date: …

8.

Signature: …

Attachments:Information package F5....

Annotations

Textual amendments

F1

Words in Annex 1 Appendix 4 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), 81(2)(i)(i)

F2

Words in Annex 1 Appendix 4 inserted (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), 81(2)(i)(ii)

F3

Words in Annex 1 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), 81(2)(a)

F4

Inserted by Commission Regulation (EU) 2018/1832 of 5 November 2018 amending Directive 2007/46/EC of the European Parliament and of the Council, Commission Regulation (EC) No 692/2008 and Commission Regulation (EU) 2017/1151 for the purpose of improving the emission type approval tests and procedures for light passenger and commercial vehicles, including those for in-service conformity and real-driving emissions and introducing devices for monitoring the consumption of fuel and electric energy (Text with EEA relevance).

F5

Word in Annex 1 Appendix 4 omitted (31.12.2022 at 11.00 p.m., 31.12.2022) by virtue of 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), 81(2)(i)(iii)