# Commission Implementing Regulation (EU) 2019/250 of 12 February 2019 on the templates for ‘EC’ declarations and certificates for railway interoperability constituents and subsystems, on the model of declaration of conformity to an authorised railway vehicle type and on the ‘EC’ verification procedures for subsystems in accordance with Directive (EU) 2016/797 of the European Parliament and of the Council and repealing Commission Regulation (EU) No 201/2011 (Text with EEA relevance), Annex VI: MODEL OF DECLARATION OF CONFORMITY TO AN AUTHORISED VEHICLE TYPE

Extent: E+W+S+N.I.

We,
Applicant
[Business name]
[Full address]
Declare under our sole responsibility that vehicle [European Vehicle Number/pre-reserved Vehicle Number/agreed means of identification] to which this declaration refers
conforms to authorised vehicle type [ERATV identification of the type/version/variant of vehicle]
complies with the relevant Union law and relevant national rules, as indicated in the annexes to this declaration,
has undergone all verification procedures necessary for establishing this declaration.
List of annexes
[Titles of the annexes]
Signed for and on behalf of [name of the applicant]
Done at [place], [date DD/MM/YYYY]
[name, function] [signature]

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Source: https://www.legislation.gov.uk/eur/2019/250/annex/VI (the official version)
Page: https://openlegislation.uk/eu-regulation-2019-250/annex-VI
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.