Appendix 2
Name of administration
EC Component type-approval certificate in respect of restraint devices for passengers for a type of two-wheel motor vehicle MODEL
Report No … by technical service … date …
EC Component type-approval No: … Extension No: …
1.Trade mark or name of vehicle: …
2.Type of vehicle: …
3.Name and address of manufacturer: …
…
4.Name and address of manufacturer’s representative (if any): …
…
5.Date vehicle submitted for test: …
6.EC Component type-approval granted/refused(1)
7.Place: …
8.Date: …
9.Signature: …
(1)
Delete as appropriate.