Commission Regulation (EU) No 63/2011Show full title

ANNEX II Standard format of the application for derogation to be submitted by manufacturers meeting the criteria of Article 11(4) of Regulation (EC) No 443/2009

PUBLIC SECTION OF THE APPLICATION

1. Name, address and contact person for the manufacturer or group of connected manufacturers

Names of manufacturer	Postal address	Contact person name	Contact person e-mail	Contact person telephone number

2. Eligibility criteria

2.1. Is the applicant part of a group of connected manufacturers?



YES (declaration set out in Annex III to be attached; see point 2.3)



NO (see point 2.2)

2.2. Number of registrations in the Union if the application refers to unconnected manufacturer:

2.2.1. Official figure in the last calendar year preceding the date of application

Year
Number of EU registrations

2.2.2. Where the official figure referred to in point 2.2.1 is not available for the period referred to therein, an estimate based on verifiable data

Year
Number of EU registrations

2.2.3. Where the figures in point 2.2.1 and 2.2.2 are not available for that period, the figure for the last calendar year for which such data is available

Year
Number of EU registrations

2.3. If the application refers to a group of connected manufacturers:

2.3.1. The names of connected manufacturers

2.3.2. The number of registrations in the Union in the calendar year preceding the date of application of a group of connected manufacturers

Year
Number of EU registrations

2.3.3. Where the figure referred to in point 2.3.2 is not available, the figure or an estimate based on verifiable data for the last calendar year for which such data is available

Year
Number of EU registrations

3. Details of the passenger cars for which the applicant is responsible

Information on planned products, not available on the market at the time of the application, should be provided in the confidential section of this application.

3.1. Average specific CO₂ emissions in 2007 if not included in Annex IV to this Regulation

3.2. If data for 2007 is not available, the following:

(a)

registrations in the Union, or an estimate based on verifiable data if official figures not available at the time of application, in the calendar year closest to 2007;

(b)

the vehicle characteristics for all types of cars;

(c)

the list of cars grouped per vehicle class as set out in Annex V.

4. Specific emissions target of 25 % reduction from the 2007 baseline

CONFIDENTIAL SECTION OF THE APPLICATION

5. Details of the passenger cars to be launched on the Union market by the applicant (concerns manufacturers not included in Annex IV)

5.1. Vehicle characteristics of all cars

5.2. List of cars grouped per vehicle class as set out in Annex V

5.3. Expected EU registrations of vehicles in the first year of the derogation